Health Insurance Product Development Manager

Job Summary: The Insurance Product Administrator is responsible for building and managing various health plans like MECs, fully insured, level-funded and self-funded.

The ideal candidate will ensure compliance with federal and state regulations, maintain plan documentation, and oversee participant communications. This role requires strong organizational skills and in-depth knowledge of health product design and service. Key Responsibilities:

Oversee the administration of MEC, fully insured, level-funded and self-funded health plans. Ensure compliance with ACA, ERISA, and other applicable regulations. Manage plan documentation, participant communications, and annual filings (SPDs, 5500s). Collaborate with other departments to ensure seamless plan operations.

Handle escalated participant issues and complex cases. Oversee the administration of MEC, fully-insured, level-funded, and self-funded health plans. Analyze carrier data on complex clients and provide recommendations to account teams to help with the negotiation of rates and funding levels Analyze and recommend optimal funding arrangements Assist in marketing, analysis and placement of stop loss coverages Price plan design and product alternatives Assist in reviewing contracts, preparing RFP specifications, and identifying markets for proposals Assist in the workflow for monthly and quarterly financial reporting for clients Assist in negotiating rates with insurance carriers and other vendors Provide technical expertise, product updates, and training programs Follow industry development, changes, and legislative updates within all types plan administration methodology Conduct special projects as needed Qualifications:

Bachelor's degree in Business Administration, Health Management, or a related field. Health and Life Insurance licensing required 5 years of experience in health plan administration, preferably with MEC or self-funded plans. Strong knowledge of ACA and ERISA regulations.

Excellent communication and organizational skills. What We Offer Competitive salary and benefits package Dynamic and innovative work environment Opportunities for professional growth and development Remote work flexibility