Staff Product Manager, Specialty Benefits Programs

Job not on LinkedIn

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $185k - $230k / year

⏰ Full Time

🔴 Lead

✅ Product Manager

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Leap

WebsiteLinkedInAll Job Openings

11 - 50 employees

Founded 2023

🛡️ Insurance

💼 Consulting

🏥 Healthcare

💰 $1M Venture Round - LEAP HEALTH on 2024-03

Insurance • Consulting • Healthcare

Leap is the only transparent specialty infusion benefit solution for employers. It eliminates hidden drug markups and provides end-to-end coordination of specialty infusion care — from pharmacy sourcing to in-home nursing — to reduce specialty drug costs and simplify the patient experience. Leap serves self-funded employers, brokers/consultants, and patients with a tech-enabled care model that cuts infusion spending, improves engagement, and delivers in-year hard-dollar savings.

📋 Description

• Own the design and evolution of Leap's specialty benefit programs • Define program structures, participation requirements, member incentives, clinical exceptions, plan terms, and clinical criteria • Translate business and client requirements into product, operational, and partner requirements • Identify required capabilities, infrastructure, and partnerships • Decide whether to build capabilities internally or partner externally • Evaluate, select, negotiate, and contract with TPAs, utilization management organizations, and healthcare vendors • Own partner performance, renewals, and renegotiations • Establish operating models, prior authorization workflows, service-level expectations, exception handling, and escalation paths • Own execution after launch and make day-to-day product and operational decisions • Resolve issues across internal and external partners • Define and track engagement, utilization, savings, member experience, and operational performance • Use data and operational learnings to improve outcomes and create scalable models across clients • Own and communicate the value proposition • Serve as product and technical subject matter expert in prospect and client conversations • Partner with Sales and Client Success to translate client needs into program structures • Develop customer segmentation and total addressable market across program configurations • Prioritize configurations to build and target client segments

🎯 Requirements

• Experience owning a healthcare product or offering from design through implementation and live operation • Experience working directly with self-funded employers and TPAs • Experience navigating operational dependencies across employers, TPAs, health plans, networks, and utilization management partners • Experience identifying capability gaps and building or contracting for solutions • Direct experience evaluating vendors and negotiating contracts and commercial terms • Ability to balance member experience, client savings, and operational feasibility in product and operational tradeoffs • Comfortable serving as the product and technical expert in sales and client conversations • Strong understanding of healthcare benefit design and utilization management mechanics preferred • Experience with specialty drugs, infusion therapy, buy-and-bill, or site-of-care programs preferred • Legally authorized to work in the United States • Must indicate whether US visa sponsorship is currently or eventually required

🏖️ Benefits

• Equity / stock options • Competitive total rewards package • Benefits