Harbor Health

Role Description Harbor Health is seeking a compassionate, detail-oriented, and protocol-driven LVN to support our centralized nurse triage team. This position will follow approved protocol-based workflows and support triage calls through focused data collection, patient case preparation, callback coordination, scheduling support, documentation completion, and closed-loop follow-up. This is a remote position. Key Responsibilities - Protocol Based Triage Workflow Support - Execute approved triage support protocols. - Monitor assigned Athena and Twilio work queues according to priority rules. - Match Twilio calls/tasks to the correct Athena patient case. - Identify duplicate, incomplete, mismatched, or misrouted cases. - Route administrative or protocol-eligible work appropriately. - Escalate cases when hard-stop criteria are met. - Support live queue visibility and workflow stability. - Focused Data Collection - Collect focused patient information according to approved protocols. - Confirm chief complaint, symptom onset, current symptom status, patient location, caller relationship, and callback number as needed. - Document patient-reported information accurately and objectively. - Confirm whether emergency instructions were already provided. - Identify worsening, severe, unclear, or high-risk symptoms and escalate appropriately. - Avoid independent final disposition or unsupported clinical interpretation. - Scheduling and Care Coordination - Schedule Express Care, PCP visits, or follow-up appointments per protocol. - Complete assigned closed-loop follow-up tasks. - Support after-hours follow-up workflows and coordination with care teams. - Documentation and Data Management - Document protocol-based actions accurately in Athena. - Use approved macros, workflow tags, and standardized documentation fields. - Document contact attempts, scheduling outcomes, escalation, and follow-up completion. - Maintain confidentiality and comply with Harbor Health policies and privacy regulations. - Escalate documentation uncertainty appropriately. - Escalation and Patient Safety - Escalate immediately when: - Symptoms are new, worsening, severe, unclear, or high-risk. - Patients decline recommended care or follow-up. - Patients cannot be reached after urgent symptom concerns. - Safety cannot be confirmed. - Concerns fall outside approved LVN protocols. - High-risk symptoms are reported, including chest pain, shortness of breath, neurologic symptoms, severe bleeding, syncope, altered mental status, suicidal ideation, abuse, neglect, or safety threats. - Patients request clinical advice outside protocol scope. - Quality Improvement and Workflow Support - Participate in workflow, escalation, and documentation training. - Identify workflow barriers, duplicate cases, scheduling gaps, and patient access concerns. - Support operational improvements that enhance patient access, quality, and closed-loop care. Qualifications - Active Texas LVN license or compact state privilege. - Experience in ambulatory care, primary care, urgent care, call center, care coordination, population health, or similar healthcare settings preferred. - Strong attention to detail and organizational skills. - Strong verbal and written communication skills. - Ability to work effectively in a fast-paced, queue-based environment. - Proficiency with EHR systems and basic computer skills. Preferred Qualifications - Experience with Athena, Twilio, centralized triage workflows, or triage support models. - Bilingual skills preferred based on patient population needs. - Flexibility to support varied shifts, weekends, holidays, or after-hours workflows as needed.

Role Description The Contact Center Escalation Specialist is responsible for investigating, documenting, and resolving complex member and provider complaints within Harbor Health's contact center. This role requires strong analytical skills, deep knowledge of health insurance processes, and a commitment to delivering thorough, compliant resolutions. The Escalation Specialist collaborates closely with Legal, QA, and Operations teams to address systemic issues and ensure outstanding member outcomes. - Conduct research and analysis of incoming member and provider complaints to determine root causes and appropriate corrective actions. - Implement resolution strategies for complex member issues, ensuring consistent and compliant outcomes in line with Harbor Health policies and regulatory requirements. - Document all complaint details, investigation steps, resolutions, and follow-up activities with meticulous accuracy in the designated tracking system. - Ensure complaint handling procedures and resolutions adhere to internal policies and applicable regulations (HIPAA, CMS, TDI). - Execute timely, proactive follow-up with members and internal stakeholders to confirm resolution satisfaction and mitigate recurrence or further escalation. - Collaborate cross-functionally with Legal, Quality Assurance, and Operations to address systemic issues identified through the complaints process. Qualifications - 1–2 years of experience in member services or provider services within a healthcare environment. - Comprehensive understanding of health insurance plan processes: claims, appeals, grievances, and prior authorizations. - Proficiency in healthcare compliance standards and internal policies related to complaint management (HIPAA, CMS, TDI). - Proven experience with compliance procedures and medical group plan operations. - Exceptional written and verbal communication; ability to manage sensitive member issues with professionalism. - Strong research, analysis, and problem-solving skills to identify root causes and implement effective resolutions. - Competency maintaining records in CRM or complaint management software. - Ability to collaborate effectively with Legal, QA, and Operations teams. Requirements - Prior experience in a primary care or value-based care setting. - Familiarity with payvider, ACO, or managed Medicaid/Medicare environments. - Experience with Athena or similar EHR/practice management systems. - Bilingual: English / Spanish. - Understanding of HEDIS or Star Ratings quality measures. Benefits - Opportunity to shape how Harbor Health resolves member issues and builds trust in a first-of-its-kind payvider model in Texas. - Collaborative and dynamic work environment where your effort and voice are visible. - An organization of people passionate about transforming healthcare for underserved communities. - Competitive salary and benefits package. - Professional development and growth opportunities as the team scales. - A transparent startup culture with direct access to leadership.

Company Overview At Harbor Health, we’re transforming healthcare in Texas through collaboration and innovation. We’re seeking passionate individuals to help us create a member-centered experience that connects comprehensive care with a modern payment model. If you’re ready to make a meaningful impact in a dynamic environment where your contributions are valued, please bring your talents to our team! The Mission At Harbor Health, we are on a mission to build the future of healthcare, and I’m so happy you’re looking at potentially joining us. We are building the infrastructure for a high-growth benefits company that truly puts members first. Our philosophy is simple and close to our hearts: we provide our members with health, not just clinic or insurance . You will be helping us build systems that cater for overall consumer health, power clinical outcomes, and the financial foundation of a next-generation "payvider”, with the mandate to build a unicorn. The Culture (How We Operate) At Harbor Health, our engineering culture is built on technical depth, relentless execution, and profound empathy. We are a deeply collaborative, engineering-led organization where the best idea wins, regardless of title. - Data Over Dogma: We love to ask, "How do we know that?" We don't make decisions based on the loudest voice in the room or institutional momentum; we act on objectively verifiable data. - High Velocity, Low Ego: We are building a psychologically safe, supportive environment where rigorous debate is expected and welcomed, but brilliant jerks are not tolerated. We want engineers who are a force of nature, but who measure their success by how much they elevate, mentor, and unblock the rest of the pod. - Total Context, Constructive Collaboration:We believe in a “one-team” mindset between technology & business functions. Leadership will work with you to foster transparent, respectful, and direct collaboration with our stakeholders. We ensure you have the raw business context and strategic alignment necessary to architect the right solutions and take full, proud ownership of the outcomes. What You Will Do - Architect the Foundation: Define and drive the technical vision for our systems, including cloud infrastructure, backend architecture, and dip into full-stack development. You will partner with as well as pioneer secure systems designed for the compliance-heavy healthcare ecosystem. - Build the Bridges: We need you to design the fault-tolerant distributed systems that connect the disparate parts of the healthcare ecosystem (TPAs, clearinghouses, Healthcare.gov). More importantly, you will build bridges internally. You will serve as a fierce advocate for our benefits operations team - listening to their pain points, partnering with them on solutions, and bringing them directly into the system design process so we can leverage their incredible domain expertise. - Lead from the Trenches: This is a highly hands-on role. You will be writing code, designing core schemas, and proving out the most difficult technical concepts before passing the baton to the team. - Force Multiply: Mentor a wonderful pod of dedicated engineers. You will set the gold standard for system design, CI/CD, and code quality. The true measure of your success will be building systems so well-documented and clean that the team can operate them flawlessly. What We Need - The Crucible Experience: You have been at the tiller during the 0-to-1 or 1-to-scale phase of a high-growth startup or successful exit. You know what it feels like when the architecture buckles under scale, and you have the battle scars (and the triumphs!) of rewriting the engine mid-flight. - Uncompromising Technical Depth: We want to geek out with you over the physics of the system! We believe that AI augments expertise rather than replaces it, and we need you to have lots. - AI-Augmented Engineering: You have force-multiplied yourself and your teams using advanced AI coding tools (Claude, Copilot, Codex). We are looking for true proficiency in agentic workflows, using AI to aggressively scale code generation, architectural boilerplate, and test coverage. - Polyglot & Full-Stack Capable: Our core stack spans Python, Typescript, Go, and Java. We’re in the AWS ecosystem. While your absolute mastery will be in backend distributed systems and deep infrastructure, you aren't afraid to traverse the entire stack to unblock a feature and help the team out. - Database Mastery: Deep, pragmatic experience with both relational (PostgreSQL) and NoSQL databases. You know exactly when to denormalize for read-performance and when to enforce strict relational integrity to avoid write throttling. - Grit & Persistence: You genuinely enjoy solving the "how do we even connect this?" problems. You have the tenacity to take a high-level vision and pull it into reality. What We Offer - Opportunity to shape the financial foundation of an innovative healthcare model - Collaborative and dynamic work environment - An organization made of people who are passionate about changing the healthcare landscape - Competitive salary, company equity and robust benefits package - Professional development and growth opportunities - A transparent and unique culture Harbor Health is an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic protected by law. We are committed to creating an inclusive environment for all clinicians and teammates and actively encourage applications from people of all backgrounds.

COMPANY OVERVIEW At Harbor Health, we’re transforming healthcare in Texas through collaboration and innovation. We’re seeking passionate individuals to help us create a member-centered experience that connects comprehensive care with a modern payment model. If you’re ready to make a meaningful impact in a dynamic environment where your contributions are valued, please bring your talents to our team! POSITION OVERVIEW Harbor Health is rebuilding the operating system of healthcare. The HDS team contributes to this by building "HarborOS", the central nervous system of our clinical operations, tying together information from different clinical sources to drive optimal outcomes for our members. Data is our product. We are looking for Analytics Engineers to build and our data ingestion layer to bring in the data that will help us transform healthcare. You will not just move data, you will convert it into actionable insights to help our clinic network change lives. You will take raw chaos (claims, ADT, clinical data) and architect the trusted data marts that power out patient care, risk adjustment, and financial decisions. WHAT YOU WILL DO - Build the Semantic Layer: Design and implement production-grade dbt models that transform raw source data into clean, documented, and tested Data Marts. - Enforce Data Quality: Move beyond basic NOT NULL checks. Implement semantic validation rules (using dbt tests or Great Expectations) that catch business logic failures before they hit the dashboard. - Own the Pipeline: Manage the lifecycle of your data models from IDE to production, including code review, CI/CD integration, and performance tuning in Snowflake. - Bridge the Gap: Collaborate with Platform Engineers to understand upstream ingestion patterns (Python/Fivetran) and debug data issues at the source. - Design the core Star Schemas and data models that define our business. You will decide how we model complex concepts like "Attribution," "Risk," and "Claims Adjudication" to ensure historical accuracy and query performance. - Act as the primary interface between Clinical Operations and Engineering. You will interview stakeholders to uncover the "Why" behind their requests and translate vague business needs into precise technical specifications. - Mentorship & Standards: Set the standard for SQL style, dbt macro usage, and testing rigor. Mentor intermediate engineers on healthcare domain nuances (e.g., why a reversal claim behaves differently than a void). WHAT WE NEED - SQL Mastery: You can write performant, readable, and complex SQL. You understand window functions, CTEs, and the difference between a LEFT JOIN and a CROSS JOIN intuitively. - dbt Fluency: You have used dbt in production. You understand incremental models, snapshots, and how to structure a project for scale. - Python Literacy: You can read and understand Python scripts. You may not build the ingestion framework from scratch, but you can debug a transformation script if needed. - Data Warehouse Fundamentals: You understand how column-oriented databases (Snowflake) work and how to write queries that prune partitions effectively. STRONGLY PREFERRED - You bring deep subject matter expertise in healthcare data domains. You are fluent in processing 837 files, modeling the claim lifecycle (Adjudication, Reversal, Denial), and handling provider data nuances (NPI vs. TIN). - Proven experience designing Dimensional Models (Kimball/Star Schema) from scratch. You know when to denormalize for performance and when to normalize for integrity. OUR STACK - Transformation: dbt (Core/Cloud) - Warehouse: Snowflake - Ingestion: Fivetran, Python (Custom) - Orchestration: Airflow / Dagster - BI/Semantic Layer: Omni WHAT WE OFFER - Opportunity to shape the financial foundation of an innovative healthcare model - Collaborative and dynamic work environment - An organization made of people who are passionate about changing the healthcare landscape - Competitive salary, company equity and robust benefits package - Professional development and growth opportunities - A transparent and unique culture Harbor Health is an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic protected by law. We are committed to creating an inclusive environment for all clinicians and teammates and actively encourage applications from people of all backgrounds.

About Harbor Health Harbor Health is on a mission to disrupt the outdated US healthcare system. Leveraging a revolutionary payvidor model, we are creating an entirely new approach to care—one that delivers improved quality, reduced cost, greater access, and an exceptional experience. Our vision is supported by intelligent, anticipatory clinical systems and aligned benefits that place the member at the center. If you're inspired by the opportunity to rebuild healthcare from the ground up with cutting-edge technology and a member-focused mindset, we want to hear from you! The Role Harbor Health is seeking an Integration Engineer to design and deliver healthcare integration solutions that directly impact patient access and clinical operations. This is a hands-on engineering role focused on connecting patient intake workflows, contact center platforms, AI-enabled services, and electronic health record systems into cohesive, scalable solutions. You will operate in a dynamic, problem-solving environment where requirements evolve, integrations span multiple systems, and your engineering decisions have a direct effect on how patients experience care. This role blends deep technical ownership with close cross-functional collaboration — working alongside product, clinical, and operational teams to modernize healthcare workflows while maintaining the highest standards of reliability, security, and compliance. Key Responsibilities - Design and build integrations connecting patient intake, referral workflows, and clinical platforms with AthenaHealth via RESTful and FHIR-based APIs - Ensure data integrity, HIPAA compliance, and auditability across all EHR integration touchpoints - Build and maintain production-grade integrations between Twilio Flex and core systems (EHR, CRM, AI services) - Develop custom Twilio Flex plugins and serverless functions for patient-facing call and messaging workflows - Optimize call routing, inbound/outbound flows, and real-time data exchange in collaboration with clinical operations - Integrate AI-driven voice agents, automation tools, and emerging healthcare services into the core platform stack - Design event-driven and real-time data pipelines to keep patient and operational data synchronized across systems - Build and maintain analytics integrations and reporting pipelines to surface operational insights for clinical and administrative teams - Triage and resolve integration issues, manage platform configurations, and support IT escalations across healthcare technology tools - Leverage AI-augmented engineering practices to accelerate CI/CD pipelines, QA automation, and UAT workflows - Independently own technical workstreams and drive integration solutions forward with minimal direction - Partner with security, compliance, and cross-functional teams to meet healthcare regulatory requirements - Champion integration quality, documentation, and engineering best practices Required Skills & Experience - 3+ years of engineering experience with a strong focus on system integrations - Proven experience designing and working with APIs and disparate systems in production environments - Demonstrated ownership of end-to-end vendor integrations using APIs, webhooks, and streaming architectures in production environments. - 2+ years of experience working with scripting and programming in languages like Python, Typescript or similar. - Working knowledge of cloud platforms such as AWS or similar - Ability to independently own technical workstreams and drive solutions forward in ambiguous environments - Strong communication skills and comfort collaborating with cross-functional, remote teams Nice to Have - Experience with CRM platforms such as Salesforce Health Cloud or similar - Experience building and supporting integrations with communication platforms across channels like voice & messaging. - Familiarity with voice AI platforms and clinical workflow automation tools - Hands-on experience with AthenaHealth APIs and EHR integration patterns (HL7 v2, FHIR R4, ADT) - Background working in community health, primary care, or value-based care settings - Comfort balancing speed, pragmatism, and long-term maintainability in fast-moving environments - Exposure to patient intake systems, referral workflows, or care coordination platforms - Solid understanding of HIPAA, healthcare data privacy, and security compliance expectations Technologies You'll Work With - EHR: AthenaHealth (REST / FHIR R4 / HL7 v2 / SMART on FHIR) - Contact Center: Twilio Flex, Twilio Serverless, Zoom Phones - AI Services: Voice agents, LLM APIs, clinical automation tools - Languages: JavaScript / TypeScript, Python (or equivalent) - Cloud: AWS, CI/CD pipelines, containerized deployments Why Harbor Health - Transformational Impact: Be at the forefront of reimagining healthcare operations and payment models. - Collaborative Culture: Join a team that values innovation, integrity, and collective success. - Competitive Compensation & Benefits: We reward top talent with robust pay, benefits, and growth opportunities. - Remote Flexibility: Work from anywhere while staying closely connected to a mission-driven team. - Inclusive Environment: We celebrate diverse perspectives and are committed to creating an equitable workplace. Harbor Health is an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic protected by law. We are committed to creating an inclusive environment for all clinicians and teammates and actively encourage applications from people of all backgrounds.

COMPANY OVERVIEW At Harbor Health, we’re transforming healthcare in Austin through collaboration and innovation. We’re seeking passionate individuals to help us create a member-centered experience that connects comprehensive care with a modern payment model. If you’re ready to make a meaningful impact in a dynamic environment where your contributions are valued, please bring your talents to our team! POSITION OVERVIEW The Sr. Financial Analyst will play a crucial role in Harbor Health's financial strategy as we transform healthcare delivery both in Austin, and Texas. This position will be responsible for analyzing financial data, developing models, and providing actionable insights to support decision-making across the organization. The ideal candidate will combine strong analytical skills with healthcare industry knowledge to help Harbor Health optimize its payvider model that connects comprehensive care with a modern payment approach. POSITION DUTIES & RESPONSIBILITIES - Build and maintain driver-based financial models, prepare regional financial reporting, and analyze KPI trends across different markets and service lines - Analyze profitability and unit economics by region, payor mix, and other segmentations to identify opportunities for growth and operational improvements - Lead physician/provider compensation analytics, including: - Modeling and forecasting compensation plans (base + productivity + incentive components), tracking productivity metrics such as wRVUs, panel size, visit volumes, and quality incentives - Evaluating compensation structures for alignment with fair market value (FMV) and regulatory considerations - Supporting compensation plan design, benchmarking, and contract analysis - Drive critical decision-making through data-driven storytelling, collaborating with Clinical Operations, Growth, and Product teams to support business case development, KPI tracking, and performance management - Support core FP&A processes and improve operating cadence, including monthly forecasting, annual budgeting, and variance analysis across the P&L - Partner closely with Accounting to support the monthly close process: reviewing actuals vs. forecast and explaining key drivers of variance and supporting accruals, reclasses, and financial statement accuracy **This is a fully remote position DESIRED PROFESSIONAL SKILLS & EXPERIENCE - Bachelor's degree in Finance, Accounting, Economics, or related field - 5+ years of progressive experience in FP&A, consulting, private equity, or investment banking, preferably in healthcare - Strong understanding of healthcare economics, reimbursement models, and revenue cycle - Experience with value-based care models and/or payvider organizations highly desired - Proficiency in financial modeling, forecasting, and scenario analysis - Advanced Excel skills and experience with financial analysis tools - Strong analytical thinking and problem-solving abilities - Excellent communication skills with the ability to translate complex financial concepts to non-financial stakeholders - Experience working in a fast-paced, startup environment preferred - Knowledge of healthcare industry trends and regulations WHAT WE OFFER - Opportunity to shape the financial foundation of an innovative healthcare model - Collaborative and dynamic work environment - An organization made of people who are passionate about changing the healthcare landscape - Competitive salary and benefits package - Professional development and growth opportunities - A transparent and unique culture At Harbor Health, we're transforming healthcare in Austin through collaboration and innovation. We're seeking passionate individuals to help us create a member-centered experience that connects comprehensive care with a modern payment model. If you're ready to make a meaningful impact in a dynamic environment where your contributions are valued, please bring your talents to our team! Harbor Health is an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic protected by law. We are committed to creating an inclusive environment for all clinicians and teammates and actively encourage applications from people of all backgrounds.

Position Summary The Actuarial Director will serve as a key resource within Harbor Health's Actuarial team, leading development, pricing, reserving, risk adjustment, and financial forecasting for individual products. This role requires deep expertise in the ACA market, including the ability to navigate the legal, regulatory, and strategic landscape with innovative plans and care models. Effective collaboration with key stakeholders in Finance, Product, Health Plan Operations, and others across the organization is critical. Key Responsibilities Pricing & Rate Development - Develop, maintain, and refine actuarial pricing models for Individual/ACA and other health plan lines of business, including rate filings - Analyze claims experience, utilization patterns, demographic trends, and market developments to inform pricing strategy - Monitor and model the impact of federal and state legal and regulatory developments Reserving & Financial Forecasting - Establish and maintain IBNR (Incurred But Not Reported) reserve estimates and loss ratio projections - Prepare monthly, quarterly, and annual actuarial accruals to support financial close processes - Provide variance analysis comparing actual results to prior projections and communicate drivers to leadership Risk Adjustment - Develop and lead risk adjustment accrual modeling and forecasting - Support ACA risk score reconciliations and RADV audits Product & Strategy Support - Collaborate with Product and Benefit Design teams on benefit configuration, plan design analysis, and network adequacy modeling - Provide actuarial support for market expansion decisions, product launches, and strategic initiatives - Review public filings to understand competitor product and pricing strategies - Develop scenario analyses and sensitivity testing to quantify financial risk and opportunity Stakeholder Communication - Present actuarial findings and recommendations clearly to non-actuarial audiences including Finance, Executive Leadership, and the Board - Serve as a subject matter expert on Individual/ACA market dynamics, industry trends, and emerging actuarial methods Qualifications Required - Minimum 5-10 years of actuarial experience in health insurance or managed care - Demonstrated expertise in Individual/ACA lines of business, including ACA pricing, risk adjustment, and regulatory compliance - Proficiency in actuarial and data analysis tools (Excel, SQL, Python, and other statistical and modeling software) - Strong understanding of ACA market structure, regulatory framework (APTC, CSR, risk adjustment, MLR), and CMS reporting requirements - Ability to manage multiple priorities and deliver under tight deadlines Preferred - Experience at an integrated payvider, health plan, or managed care organization - Experience with Small Group and Level Funded products Education - Bachelor's degree in Actuarial Science, Mathematics, Statistics, Data Science, or a related quantitative field - Fellow of the Society of Actuaries (FSA) or Associate of the Society of Actuaries (ASA) with progression toward Fellowship - Member of the American Academy of Actuaries (MAAA) and compliant with USQS requirements for issuing Statements of Actuarial Opinion (SAOs) for ACA plans Competencies - Analytical rigor and attention to detail - Clear written and verbal communication skills - Intellectual curiosity and continuous learning mindset - Collaborative approach across cross-functional teams - Ability to operate independently in a fast-paced, growth-oriented environment Harbor Health is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.

COMPANY OVERVIEW Harbor Health is on a mission to disrupt the outdated US healthcare system. Leveraging a revolutionary payvidor model, we are creating an entirely new approach to care—one that delivers improved quality, reduced cost, greater access, and an exceptional experience. Our vision is supported by intelligent, anticipatory clinical systems and aligned benefits that place the member at the center. If youʼre inspired by the opportunity to rebuild healthcare from the ground up with cutting-edge technology and a member-focused mindset, we want to hear from you! POSITION OVERVIEW Harbor Health is seeking a Product Manager, Care Ops to lead the development of tools and systems that power our care delivery engine. In this role, you’ll own the strategy and execution for care operations and build platforms to enable clinicians and care teams to deliver high quality care. You’ll partner closely with Clinical, Operations, and Engineering teams to turn care models into intuitive products, simplify complex workflows, and reduce friction across the care journey. Your work will play a key role in lowering administrative burden, improving care coordination, and helping patients receive the right care at the right time. This role is ideal for a product manager who thrives in ambiguity, loves tackling operational complexity, and is motivated by the opportunity to fundamentally improve how healthcare works. POSITION DUTIES & RESPONSIBILITIES - Own the product roadmap for care operations tooling, including care management platforms, referral workflows, task management, and clinical documentation systems - Define requirements for provider- and care team-facing products that support CareTrack enrollment, monitoring, and transitions of care - Partner with Clinical leadership to translate care model designs (e.g., primary care pathways, centralized programs, care navigation) into operational product requirements - Collaborate with Engineering to prioritize, scope, and deliver features that improve care team efficiency, reduce administrative burden, and support clinical quality - Work with Operations to identify workflow bottlenecks, gaps in data handoffs, and opportunities to automate manual processes across the care delivery lifecycle - Define and track KPIs for care operations products, including task completion rates, time-to-action on clinical alerts, care gap closure rates, and care team utilization - Support the design and implementation of data feeds and information flows between Harbor's health plan systems, EHR, and care management platforms - Manage stakeholder communication across Clinical, Network, and Operations teams, ensuring alignment on product priorities and release timelines - Contribute to vendor evaluation and build-vs-buy decisions for care operations technology DESIRED PROFESSIONAL SKILLS & EXPERIENCE - 3-5 years of product management experience, with at least 1year in healthcare, health tech, or health plan operations - Familiarity with care management workflows, utilization management, or clinical operations in a payer, provider, or integrated delivery system setting - Experience writing product requirements, user stories, and acceptance criteria for internal tools or B2B healthcare products - Exposure to healthcare data standards (claims, clinical, eligibility) and how they flow between payer and provider systems - Strong analytical skills; comfortable working with data to identify problems, measure outcomes, and prioritize work - Ability to communicate effectively with both clinical and technical stakeholders - Bonus: experience with EHR systems, care management platforms, or health plan core admin systems - Interest and understanding in Harbor Healthʼs “payvidorˮ business model, and the enormous impacts it will have on the American healthcare system WHAT WE OFFER - Transformational Impact: Be at the forefront of reimagining healthcare operations and payment models. - Leadership & Ownership: Shape operational strategies in a dynamic, fast-paced environment with high autonomy. - Collaborative Culture: Join a team that values innovation, integrity, and collective success. - Competitive Compensation & Benefits: We reward top talent with robust pay, benefits, and growth opportunities. - Remote Flexibility: Work from anywhere while staying closely connected to a mission-driven team. - Inclusive Environment: We celebrate diverse perspectives and are committed to creating an equitable workplace. Harbor Health is an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic protected by law. We are committed to creating an inclusive environment for all clinicians and teammates and actively encourage applications from people of all backgrounds.

COMPANY OVERVIEW Harbor Health is on a mission to disrupt the outdated US healthcare system. Leveraging a revolutionary payvidor model, we are creating an entirely new approach to care—one that delivers improved quality, reduced cost, greater access, and an exceptional experience. Our vision is supported by intelligent, anticipatory clinical systems and aligned benefits that place the member at the center. If youʼre inspired by the opportunity to rebuild healthcare from the ground up with cutting-edge technology and a member-focused mindset, we want to hear from you! POSITION OVERVIEW Harbor Health is seeking a Product Manager, Benefits to help design and build the foundation of our next-generation health plan. In this role, you will own the systems and structures that define how care is paid for. This means shaping benefit design, claims logic, and member cost experiences from the ground up. This is a high-impact role for someone who is excited to tackle deeply complex, often opaque parts of the healthcare system and turn them into intuitive, efficient, and member-friendly experiences. You’ll operate at the intersection of product, healthcare economics and operations to redefine how health plans work at a fundamental level. If you’re motivated by translating complex benefit designs into scalable, tech-enabled systems, this role offers a rare opportunity to build from first principles. POSITION DUTIES & RESPONSIBILITIES - Own the product definition and ongoing evolution of Harbor's benefit structures, including adjudication frameworks for our value-based insurance design, tiered networks, member financial incentives, etc. - Translate benefit design decisions into detailed product requirements across our benefits stack (e.g., claims adjudication systems), ensuring accurate implementation - Contribute to building health plan operations & architecture in a tech-forward manner (e.g., claims routing, eligibility & enrollment) - Work with, deeply understand, and evaluate our TPA partner & other vendors that are required to service our health plan operations - Collaborate with Engineering to prioritize, scope, and deliver features across the Benefits pod - Work with Compliance and Legal to ensure benefit product build meet regulatory requirements across markets DESIRED PROFESSIONAL SKILLS & EXPERIENCE - 3-5 years of product management experience, with at least 1-2 years in healthcare, health tech, or health plan operations - Understanding of health plan benefit design concepts—including cost-sharing structures, network tiering, claims adjudication, and plan documents SOBs, SPDs) - Experience translating business rules into system requirements for claims or benefits administration platform - Familiarity with how claims are adjudicated and how benefit configuration impacts member cost-sharing outcomes - Strong analytical skills; comfortable working with claims data, utilization metrics, and financial models - Ability to manage complexity across multiple stakeholders Operations, Clinical, Compliance, Engineering) while maintaining clear documentation - Bonus: experience with TPA or core admin platforms, benefits configuration tools, or value-based benefit design - Bonus: familiarity with CMS regulatory requirements for plan benefit design - Interest and understanding in Harbor Healthʼs “payvidorˮ business model, and the enormous impacts it will have on the American healthcare system WHAT WE OFFER - Transformational Impact: Be at the forefront of reimagining healthcare operations and payment models. - Leadership & Ownership: Shape operational strategies in a dynamic, fast-paced environment with high autonomy. - Collaborative Culture: Join a team that values innovation, integrity, and collective success. - Competitive Compensation & Benefits: We reward top talent with robust pay, benefits, and growth opportunities. - Remote Flexibility: Work from anywhere while staying closely connected to a mission-driven team. - Inclusive Environment: We celebrate diverse perspectives and are committed to creating an equitable workplace. Harbor Health is an Equal Opportunity Employer. We do not discriminate on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic protected by law. We are committed to creating an inclusive environment for all clinicians and teammates and actively encourage applications from people of all backgrounds.