Benefit Design Strategist

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. If you are ready to roll up your sleeves and take on our audacious mission, we would love to hear from you.

Your Role

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.

You’d be a good fit if you have the following:

• Education: Bachelor’s degree in healthcare management, business, public health, or a related field; Master’s degree preferred.
• Experience:
• 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.
• Skills:
• 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.

Our office is in Watertown, Massachusetts, but we’ve developed a robust remote working structure to give us more geographical flexibility while hiring for many positions. This role can be done largely remotely, there are several times a year when staff come together onsite for planning and team building.  

Firefly is an equal opportunity employer. We value diverse backgrounds and perspectives. We're committed to building and sustaining an inclusive workplace culture where individuals are treated with dignity and respect. All employment is decided on the basis of qualifications, merit, and business need. Firefly is an E-Verify employer.

We are always looking for valuable talent to add to our growing team. Even if you’re not sure this role is the one for you, don’t let that stop you. We’d love to have a conversation to see where you could fit.