Director of Health Plan Operations and Growth

EPIC Health System LLC
Southfield, MI

Job Description

Job Description

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
Background check required for this position.

Posted 2025-08-31

Recommended Jobs

Family Medicine Physician Opening in Eastern Michigan - Loan Repay & Sign-On

Enterprise Medical Recruiting
Michigan

One of the largest medical groups in Michigan, with more than 500 physicians, is adding Family Medicine Physicians. Our organization of 4400 employees is dedicated to physician training and education…

View Details
Posted 2025-07-26

Glazier (glass installer)

Skip's Petoskey Glass, Inc.
Petoskey, MI

Job Description Job Description Benefits: ~ Paid time off Glass installer needed for immediate opening. Looking for a reliable and hardworking individual. Experience preferred but will tra…

View Details
Posted 2025-07-26

Hybrid Individual fully licensed Therapist (LMSW, LPC, Psy D)

Anchor Point Of Hope Counseling Services
Brighton, MI

Job Description Job Description Management shouldn’t be more stressful than treating clients. We put therapists first so you can put clients first. Anchor Point of Hope Counseling Services is …

View Details
Posted 2025-07-25

Sales Estimator

Beech & Rich
Battle Creek, MI

Job Description Job Description We are seeking a Sales Estimator to join our team! You will resolve customer questions and offer solutions to drive company revenue. Responsibilities: Pres…

View Details
Posted 2025-08-09

Insurance Sales or Service Agent

S R SMITH FINANCIAL INC
Macomb, MI

Job Description Job Description Insurance Sales or Service Agent needed; Two Locations Sterling Heights & Shelby Township; looking for friendly organized individuals to join our team. Health Plan…

View Details
Posted 2025-08-18

Civil Engineer

Grand Traverse County Road Commission
Traverse City, MI

Job Description Job Description Live and work in beautiful Northern Michigan! The Grand Traverse County Road Commission (GTCRC) is seeking an experienced Civil Engineer with a background in road…

View Details
Posted 2025-08-23

Quality Assurance Spec (QAS)

SKF
Muskegon, MI

Job Description Quality Assurance Spec (QAS) Remember to check your CV before applying Also, ensure you read through all the requirements related to this role. Location: Muskegon, Mi Salary …

View Details
Posted 2025-09-05

Home Health and Hospice Sales Professional

AdvisaCare
Grand Rapids, MI

AdvisaCare has a need for a strong Home Health and Hospice Sales Professional! **Salary Position with Top Notch Benefits Included!** As a Home Healthcare and Hospice Consultant, a typical day mi…

View Details
Posted 2025-07-25

Insurance Customer Service Representative

ROBERT J ROLL AGENCY
Michigan

Job Description Job Description Farm Bureau Insurance Agency located in Riverview, MI is seeking an outgoing, career-oriented professional to Join their team. As a Farm Bureau team member for the…

View Details
Posted 2025-08-06