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Senior Director, Specialty Benefits Programs

🕒 22 days ago
Healthcare Product ManagementBenefit DesignMember EngagementProgram Operations

📜 Description

  • Define program structure, including participation requirements and clinical exceptions.
  • Translate business and client requirements into clear operational and partner requirements.
  • Identify necessary capabilities and partnerships for effective program operation.
  • Establish the operating model and track performance across various metrics.

🛠️ Requirements

  • Experience owning a healthcare product from design through implementation.
  • Experience working with self-funded employers and TPAs.
  • Ability to identify capability gaps and build or contract for solutions.
  • Direct experience evaluating vendors and negotiating contracts.
  • Strong understanding of healthcare benefit design and utilization management.

Benefits

  • Specialty drugs and infusions represent nearly 10% of all healthcare spend and are the fastest-growing cost category for employers. Leap
  • Own the design and evolution of Leap's specialty benefit programs.
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