Hybrid Director of Health Plan Operations and Growth at EPIC Health
EPIC Health · Southfield, United States Of America · Hybrid
- Professional
- Office in Southfield
Director of Health Plan Operations & Growth
Location: Southfield, MI (Fully On-site Position)
Overview:
We’re launching a new healthcare insurance venture—and we're looking for a dynamic, entrepreneurial professional to join our founding team. This role will support the full lifecycle of developing and operationalizing a healthcare benefits plan from the ground up. You’ll play a hands-on role in designing, building, and scaling the internal operations of the plan while also collaborating with business development teams to promote and sell the plan to employer groups with 50+ employees.
Key Responsibilities:
- Support the end-to-end development of a new health insurance plan, including:
- Benefits design
- Network development
- Claims operations
- Customer service infrastructure
- Compliance and regulatory submissions
- Work cross-functionally with leadership, actuaries, legal, tech, and marketing teams to launch and scale operations.
- Coordinate project timelines and ensure delivery of critical startup milestones (filings, licenses, systems implementation, etc.).
- Partner with the business development team to identify, engage, and close employer group prospects.
- Participate in sales meetings and provide technical or operational expertise during client discussions.
- Develop sales collateral, benefit summaries, and operational presentations for prospective clients.
- Represent the health plan at industry events, employer forums, and strategic partnership meetings.
- Monitor and improve processes, KPIs, and overall plan performance.
Qualifications:
- 3–7 years of experience in health insurance, healthcare operations, startup environments, or benefits consulting.
- Strong understanding of insurance operations, including underwriting, claims, provider networks, and regulatory filings (ACA, ERISA, etc.).
- Business development, B2B sales, or employer group benefits sales experience is highly preferred.
- Ability to work in a fast-paced, ambiguous environment and wear multiple hats.
- Excellent communication, presentation, and relationship-building skills.
- Passion for improving the healthcare system and building something from the ground up.
Preferred:
- Experience working in a health plan or TPA environment
- Familiarity with self-funded vs fully-insured plan designs
- Startup experience or strong entrepreneurial mindset
Why Join EPIC Health?
At EPIC Health, we’re building and launching innovative business ventures to transform healthcare access and delivery across Michigan. As a physician-led organization, we are expanding beyond traditional care by creating scalable, mission-driven solutions that meet the evolving needs of the populations we serve. Whether launching a new health plan, specialty services, and tech-enabled platforms, we need visionary leaders like you to help drive the operational excellence and entrepreneurial execution that bring these ventures to life.
What We Offer:
- Competitive salary with performance-based incentives
- Comprehensive health benefits (medical, dental, vision, life, disability)
- 401(k) retirement plan.
- Generous PTO and holiday package
- Professional development and leadership advancement
- Supportive, mission-driven leadership team
Apply Today
If you’re ready to drive impact at the intersection of insurance strategy and healthcare delivery, join a team that’s all-in on better care for every community we serve.
Learn more and apply at www.epichs.org
Background check required for this position.