Benefit Design Strategist

February 6

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Firefly Health

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Firefly Health is a healthcare company focused on providing a high-quality, convenient, and accessible healthcare experience through innovative health plans. They connect members to the healthcare they deserve, with a focus on virtual care services that fit into the busy lives of remote workers and those seeking care on their schedule. Firefly Health offers personalized care teams that provide direct access to a range of health professionals, including behavioral specialists, to ensure comprehensive, patient-centered service. The company emphasizes virtual healthcare, but also facilitates seamless in-person visits when necessary.

virtual primary care • telehealth • telemedicine • health coverage • health plan

51 - 200 employees

⚕️ Healthcare Insurance

💰 $40M Series B on 2021-04

📋 Description

• Be a part of the team building the future of healthcare! • Firefly Health is building a revolutionary new type of comprehensive health "care and coverage,” powered by a relationship-driven care team, a trusted virtual and in-person clinical network, and our proprietary technology platform. • Founded by experienced clinicians and technology leaders, Firefly Health is on a mission to deliver clinical and financial health through joyful, always there care. • We are flipping the script on what it means to be a health plan and actually providing a true health benefit to members. • We are intensely focused on optimizing the physical + mental + financial wellbeing of those who want (and deserve) something better than the status quo. • We’re seeking a dynamic and creative Benefit Design Strategist to develop and implement cutting-edge benefit strategies that align with our mission of delivering value-driven care. • You will report directly to the Senior Vice President of Product. • Your key responsibilities include: • Expertise: Be the in-house expert on benefit design, and develop a holistic re-design for our existing plans, as well as prospective plan designs for new segments like fully insured. • Benefit Design & Innovation: Develop and refine innovative benefits that drive improved outcomes while reducing total cost of care via various mechanisms including through our in house care solutions. • Cost Analysis & Optimization: Leverage data analytics to identify cost drivers and design solutions that address those challenges without compromising quality of care. • Research & Trends: Stay current on market trends, regulatory requirements, and emerging healthcare technologies to ensure benefit designs remain ahead of the curve. • Sales Support: - Support sales efforts as SME. Present proposed plan design details to current and potential customers. • Stakeholder Collaboration: Work closely with internal teams (e.g., actuarial, clinical,  operations, sales & marketing) and external partners (e.g., clients, prospects and consultants) to evaluate and implement strategies. • Member-Centric Approach: Focus on improving member experiences by creating accessible, transparent, and easy-to-use benefits. • Education & Communication: Develop materials and deliver presentations to educate clients and stakeholders on the value and impact of innovative benefit solutions. • Performance Monitoring: Track the performance of benefit designs post-implementation and adjust as necessary to achieve optimal results.

🎯 Requirements

• Minimum of 7 years of experience in benefits design, healthcare consulting, actuarial analysis or a related field with deep understanding of employer-sponsored health plans and cost drivers. • Proven track record of implementing innovative benefit solutions that reduce costs and improve care outcomes via various member incentive structures. • Bachelor’s degree in healthcare management, business, public health, or a related field; Master’s degree preferred. • Strong analytical skills with experience interpreting healthcare data (e.g., claims data, utilization trends). • Excellent communication and presentation skills. • Creative thinker with the ability to challenge traditional benefit design models. • Strong project management skills, including the ability to manage multiple initiatives simultaneously. • Knowledge of self-funded health plans and value-based care principles. • It’d be nice if you have: • Experience working with pricing / care quality vendor data (e.g., Talon) to inform benefit design and incentives. • Knowledge of fully insured health plans.