Plan Design Specialist
Imagine360 is seeking a Plan Design Specialist to join the team! The Plan Design Specialist supports the development, modeling, and execution of health plan designs for self‑funded employer groups. The output of this role is critical to our ability to meet the needs of our sales efforts and the success of our client's health plan designs that make healthcare more affordable. This role partners closely with the Director of Plan Design, Sales, Account Management, and Implementation teams to support proposals, renewals, and plan builds.
This role is designed to build foundational expertise in plan design strategy, alternative health plan models, and operational execution while taking ownership of defined, repeatable components of the plan design process.
Position Location: 100% remote
Responsibilities include but are not limited to:
Plan Design Support
Support the creation and review of plan designs under the guidance of senior team members, including:
Reference‑Based Pricing (RBP) designs
PPO, narrow network, and hybrid plans
Incentive and steerage‑based benefit structures
Assist with setting up plan design options, differentials, and benefit comparisons.
Apply established plan design standards, templates, and guardrails consistently.
Prepare plan design summaries and supporting materials for proposals and renewals.
Aid in the development of solutions that help us scale this function to manage increasing volumes.
Modeling & Analysis
Run plan design scenarios and savings comparisons using approved tools and spreadsheets.
Assist in evaluating:
Cost impact
Member disruption
Competitive positioning
Build foundational knowledge of:
Self‑funded plan structures, including Stop Loss.
Alternative cost containment strategies
Regulatory considerations impacting plan design
Contribute to process documentation, templates, and checklists.
Required Experience/Education:
1-3 years of experience in healthcare, benefits administration, insurance, analytics, or related fields (relevant internships or entry‑level roles acceptable)
Skills and Abilities:
Strong analytical and problem‑solving skills
Proficiency in Excel and comfort working with data
High attention to detail and quality
Ability to manage multiple tasks in a deadline‑driven environment
Strong written and verbal communication skills
Familiarity with Salesforce.com
What can Imagine360 offer you?
Multiple Health plan options
Company paid employee premiums for disability and life insurance
Parental Leave Policy
20 days PTO to start / 10 Paid Holidays
Tuition reimbursement
401k Company contribution
Company paid Short & Long term Disability plus Life Insurance
Professional development initiatives / continuous learning opportunities
Opportunities to participate in and support the company's diversity and inclusion initiatives
Want to see our latest job opportunities? Follow us on LinkedIn
Imagine360 is a health plan solution company that combines 50+ years of self-funding healthcare expertise. Over the years, we've helped thousands of employers save billions on healthcare. Our breakthrough total health plan solution is fixing today's one-size-fits-none PPO insurance problems with powerful, customized, member-focused solutions.
Imagine360 is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.
**RECRUITMENT AGENCIES PLEASE NOTE: Imagine360 will only accept applications from agencies/business partners that have been invited to work on a specific role. Candidate Resumes/CV's submitted without permission or directly to Hiring Managers will be considered unsolicited and no fee will be payable. Thank you for your cooperation**
This role is designed to build foundational expertise in plan design strategy, alternative health plan models, and operational execution while taking ownership of defined, repeatable components of the plan design process.
Position Location: 100% remote
Responsibilities include but are not limited to:
Plan Design Support
Support the creation and review of plan designs under the guidance of senior team members, including:
Reference‑Based Pricing (RBP) designs
PPO, narrow network, and hybrid plans
Incentive and steerage‑based benefit structures
Assist with setting up plan design options, differentials, and benefit comparisons.
Apply established plan design standards, templates, and guardrails consistently.
Prepare plan design summaries and supporting materials for proposals and renewals.
Aid in the development of solutions that help us scale this function to manage increasing volumes.
Modeling & Analysis
Run plan design scenarios and savings comparisons using approved tools and spreadsheets.
Assist in evaluating:
Cost impact
Member disruption
Competitive positioning
Build foundational knowledge of:
Self‑funded plan structures, including Stop Loss.
Alternative cost containment strategies
Regulatory considerations impacting plan design
Contribute to process documentation, templates, and checklists.
Required Experience/Education:
1-3 years of experience in healthcare, benefits administration, insurance, analytics, or related fields (relevant internships or entry‑level roles acceptable)
Skills and Abilities:
Strong analytical and problem‑solving skills
Proficiency in Excel and comfort working with data
High attention to detail and quality
Ability to manage multiple tasks in a deadline‑driven environment
Strong written and verbal communication skills
Familiarity with Salesforce.com
What can Imagine360 offer you?
Multiple Health plan options
Company paid employee premiums for disability and life insurance
Parental Leave Policy
20 days PTO to start / 10 Paid Holidays
Tuition reimbursement
401k Company contribution
Company paid Short & Long term Disability plus Life Insurance
Professional development initiatives / continuous learning opportunities
Opportunities to participate in and support the company's diversity and inclusion initiatives
Want to see our latest job opportunities? Follow us on LinkedIn
Imagine360 is a health plan solution company that combines 50+ years of self-funding healthcare expertise. Over the years, we've helped thousands of employers save billions on healthcare. Our breakthrough total health plan solution is fixing today's one-size-fits-none PPO insurance problems with powerful, customized, member-focused solutions.
Imagine360 is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.
**RECRUITMENT AGENCIES PLEASE NOTE: Imagine360 will only accept applications from agencies/business partners that have been invited to work on a specific role. Candidate Resumes/CV's submitted without permission or directly to Hiring Managers will be considered unsolicited and no fee will be payable. Thank you for your cooperation**