Responsibilities

The Health Plan General Manager will serve as the executive sponsor for health plan clients, ensuring seamless onboarding, integration, and long-term success; oversee all aspects of health plan operations, including benefit design, claims administration, formulary strategy, and compliance; collaborate with internal teams to ensure delivery excellence, regulatory adherence, and member satisfaction; continuously improve processes and workflows to support scalable, high-quality service delivery; monitor and report on key client KPIs and performance metrics; lead the sales and marketing teams to develop and execute a targeted go-to-market strategy focused on health plans; cultivate relationships with PBM consultants, brokers, and industry influencers; lead RFP responses, client pitches, and product demonstrations; identify and develop strategic partnerships; work closely with product and clinical teams to align offerings with evolving health plan needs and regulations; oversee account expansion and renewals; and serve as the voice of the client internally, championing innovation and service excellence.