Director of Health Plan Operations and Growth at EPIC Health System LLC

Job DescriptionJob DescriptionDirector of Health Plan Operations & GrowthLocation: 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 designNetwork developmentClaims operationsCustomer service infrastructureCompliance and regulatory submissionsWork 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 environmentFamiliarity with self-funded vs fully-insured plan designsStartup experience or strong entrepreneurial mindsetWhy 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 TodayIf 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.orgBackground check required for this position.