Role Snapshot The Director, Next-Gen Solutions leads the health plan's efforts to create novel/transformational offerings to the market, with an initial focus on designing, developing, building and launching the organization's next-generation commercial health plan model. This role provides strategic direction/insights, program leadership, cross-functional coordination, hands-on project management, and disciplined execution to ensure the advancement effort is viable, future-ready, and aligned with enterprise priorities.
The Director leads end to end development of new benefit designs/constructs, financial/payment models, customer experience/engagement strategies, and technology-enabled capabilities while ensuring operational and commercial readiness across the organization. This role also identifies future phases of continuous product enhancements and refinements. This role is responsible for leading and delivering a multi-year transformation program, ensuring the solution is strategically differentiated, financially viable, operationally executable, and commercially scalable
Salary Range 160,000-180,000 The base pay offered for this position may vary within the posted range based on your job-related knowledge, skills, and experience.
Work Location Madison WI area. - This position will be hybrid, having the regional availability to come into our office 2 days a week. Our office location: WPS Corporate Center Building - 1717 W. Broadway in Madison, WI, 53713
How do I know this opportunity is right for me? If you enjoy the following: - Lead the end-to-end development of innovative, transformational products by directing research, feasibility assessment, design, validation, development, commercialization, and ongoing post-launch improvement.
- Develop and maintain multi-year product roadmaps, program frameworks, and cross functional structures detailing key stakeholders, required resources/investments, and timelines with milestones and deliverables.
- Lead cross-functional teams to design, refine, and validate new benefit, financial/payment, and experience/engagement constructs.
- Evaluate AI and technology-enabled vendor solutions; assess strategic fit, capabilities, cost/value, and implementation requirements.
- Develop detailed product proformas and manage project budgets.
- Translate strategic direction into actionable requirements across Product, Clinical, Actuarial/Pricing, Digital/Marketing, Network, Operations, Analytics/Reporting, and Compliance teams.
- Ensure operational readiness, including configuration, workflow development, training, and performance measurement to ensure product offerings are market-ready.
- Manage program timelines, vendors, dependency resolution, risk mitigation, communications, and executive reporting.
- Support launch planning in partnership with Sales, Marketing, Employer Relations, and Account Management teams.
- Define KPIs and success metrics, track performance, and guide post-launch optimization.
- Identify future advancement phases and continuous improvement opportunities to ensure long-term product competitiveness.
- Foster collaboration, transparency, and alignment across diverse stakeholder groups.
Minimum Qualifications - Bachelor's degree in Business, Entrepreneurship, Marketing or a related field, or equivalent combination of education and experience.
- Ten (10) or more years of progressive experience successfully supporting and contributing to health plan strategy, product development and/or enterprise program delivery, to include five (5) or more years of experience leading complex, high-performing cross-functional business and IT teams.
- Strong knowledge of the health insurance industry, its core functions, and its commercial and self-funded employer markets.
- Strong knowledge of health plan operational areas, provider networks, health/clinical services, actuarial concepts and risk management.
- Strong knowledge of health plan sales and distribution channels, including two (2) or more years working with digital solutions.
- In-depth understanding of customer needs and engagements strategies (members, providers, employers and brokers).
- Excellent interpersonal communication, facilitation and influencing skills with the ability to drive alignment and structured program management across business, technical, and executive stakeholders.
- Strategic thinker with excellent analytical and organizational capabilities.
- Deep understanding of product development lifecycles, compliance-driven delivery requirements, and the ability to collaborate with technical and non-technical teams.
Remote Work Requirements (when working from home)- High speed cable or fiber internet.
- Minimum of 10 Mbps downstream and at least 1 Mbps upstream internet connection (can be checked at https://speedtest.net).
- Please review Remote Worker FAQs for additional information.
Benefits - Hybrid work options available
- Performance bonus and/or merit increase opportunities
- 401(k) with a 100% match for the first 3% of your salary and a 50% match for the next 2% of your salary (100% vested immediately)
- Competitive paid time off
- Health insurance, dental insurance, and telehealth services start DAY 1
- Professional and Leadership Development Programs
- Review additional benefits: (https://www.wpshealthsolutions.com/careers/)
