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Texicare · 5 hours ago

Director / Senior Director of Health Plan Benefits & Product Development

Austin, TX

Full-time

Hybrid

Senior Level, Lead/Staff

8+ years exp

Texicare is a mission-driven health affiliate of Texas Mutual, founded in 2023 to improve healthcare access for small businesses in Texas. The Director of Benefits & Product Development will define and oversee the organization’s product strategy and benefit portfolio, ensuring alignment with market needs and business goals while driving innovation and regulatory compliance.

Financial ServicesHealth InsuranceInsurance

Responsibilities

Defines long-term product vision, priorities, and multi-year roadmap aligned with enterprise strategy, market needs, and the unique dynamics of the Texas health care market

Oversees the full lifecycle management of medical and ancillary products, including development, optimization, performance monitoring, and sunsetting decisions

Collaborates closely with Sales, Medical Management, and Network teams to understand market needs, broker feedback, and clinical priorities to inform innovative and differentiated product offerings tailored to Texas members and employers

Partners with Actuary and Finance to design competitively priced plan offerings that balance cost, profitability, and incentives for appropriate utilization of services

Leads business case development for new product concepts, benefit enhancements, and ancillary programs, encouraging creative solutions that position the organization competitively in Texas

Ensures the team leverages market trends, competitor insights, and member feedback to drive innovative product improvements

Maintains ultimate accountability for regulatory compliance, accuracy, and clarity of all plan documents, including SBCs, SPDs, COCs, and internal/external collateral

Provides strategic oversight and accountability for all ancillary product offerings, ensuring they are innovative and tailored to meet the unique needs of Texas members

Qualification

Product developmentHealth plan operationsRegulatory complianceBenefit designPricing strategyCross-functional leadershipBachelor's degreeMaster's degreeMedicaid experienceMedicare Advantage experience

Required

A bachelor's degree or any equivalent combination of education, training, and experience

At least 8 years of experience in product development, benefits, or health plan operations or any equivalent combination of education, training, and experience

Experience managing product documentation (SBC/SPD), regulatory compliance, and product lifecycle

Strong understanding of health plan operations, benefit design, and pricing strategy

Proven experience leading cross-functional initiatives and teams