Staff Product Manager, Specialty Benefits Programs

Leap Health, Inc

$120K — $145K *
US-AnywhereRemote in United States
Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • 5-7 years experience in healthcare product management
  • Proven track record with self-funded employers and TPAs
  • Expertise in identifying capability gaps and developing solutions
  • Experience in vendor evaluation and contract negotiations
  • Ability to balance product design trade-offs among stakeholders

Responsibilities

  • Design and evolve specialty benefit programs
  • Translate client requirements into operational product specifications
  • Identify and develop necessary operational capabilities and partnerships
  • Establish and oversee operational workflows and service expectations
  • Track program performance metrics and implement improvements
  • Communicate the value proposition of offerings to stakeholders
  • Partner with sales to align on client needs and product offerings

Benefits

  • Opportunity for hands-on involvement in program development
  • Chance to shape scaling strategies at an early stage
  • Collaborative environment with cross-functional teams
  • Impactful work aimed at improving healthcare savings and member experience
Full Job Description
About the Role

Leap is hiring a Staff Product Manager, Specialty Benefits Programs to design and operate the benefit structures, clinical requirements, and member engagement models that direct specialty drug and infusion utilization to Leap for lower-cost, high-quality care.

This is a hands-on product ownership role. You'll define how each one works in practice, identify the capabilities Leap needs to run it, build or contract for those capabilities, establish the operating and performance model, and take it live. You'll do this in close partnership with Sales, Legal, Clinical Affairs, Operations, and Client Success.

You'll have the opportunity to build this capability at an early stage and shape how it scales. Success means turning complex benefit and operational requirements into models that can be implemented consistently across clients, deliver a strong member experience, and generate measurable savings.

What You'll Accomplish
Program Design
  • Own the design and evolution of Leap's specialty benefit programs
  • Define program structure and rules, including participation requirements, member incentives, and clinical exceptions, and formalize them into plan terms and clinical criteria
  • Translate business and client requirements into clear product, operational, and partner requirements
Capability & Partner Development
  • Identify the capabilities, infrastructure, and partnerships Leap needs to operate these programs effectively
  • Determine when to build capabilities internally versus partner externally
  • Evaluate, select, negotiate, and contract with enabling partners, including TPAs, utilization management organizations, and other healthcare vendors
  • Own partner performance, renewals, and renegotiation once they're live
Program Operations & Performance
  • Establish the operating model, including prior authorization workflows, service-level expectations, exception handling, and escalation paths
  • Own execution once live, making day-to-day product and operational decisions and resolving issues across internal and external partners
  • Define and track performance across engagement, utilization, savings, member experience, and operational execution
  • Use performance data and operational learnings to improve outcomes and build repeatable models that scale across clients
Product & Commercial Enablement
  • Own and communicate the value proposition for these offerings across the organization
  • Serve as the product and technical subject matter expert in key prospect and client conversations
  • Partner with Sales and Client Success to translate client needs into the right structure and clearly communicate how it works
  • Develop the customer segmentation and total addressable market (TAM) across different program configurations, and use it to prioritize which configurations to build and for which client segments


What We're Looking For
Required
  • Experience owning a healthcare product or offering from design through implementation and live operation
  • Experience working directly with self-funded employers and TPAs, and navigating the operational dependencies required to implement benefit programs across employers, TPAs, health plans, networks, and utilization management partners
  • Experience identifying capability gaps and building or contracting for solutions to address them
  • Direct experience evaluating vendors and negotiating contracts and commercial terms
  • Ability to make product and operational tradeoffs balancing member experience, client savings, and operational feasibility
  • Comfortable serving as the product and technical expert in sales and client conversations
Preferred
  • Strong understanding of healthcare benefit design and utilization management mechanics
  • Experience with specialty drugs, infusion therapy, buy-and-bill, or site-of-care programs


At Leap, we're building an outlier company with real impact - and that takes focus, energy, and commitment. If that excites you, we'd love to hear from you.

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