Health Plan Operations Lead

Who We Are

We asked ourselves — What if better care didn’t cost more?

That’s why we built Vitable: the health benefits platform making healthcare better for employers of everyday workers. We bring accessible, high-quality care to over 85 million uninsured and underinsured Americans. Unlike traditional options, our suite of health benefits is designed with real people at the center.

Vitable empowers businesses to become better employers by making it easy to offer healthcare benefits to their teams. It's a better experience for employees and a smarter solution for employers.

The Health Plan Operations Lead will own and lead the day-to-day operations of Vitable Health’s self-funded and level-funded health plans. This role is critical to ensuring seamless coordination across our external partners—including TPAs, PBMs, stop-loss carriers, and other insurance vendors—while maintaining an excellent experience for employer clients and members.

Key Responsibilities

• Lead end-to-end health plan operations for self-funded and level-funded plans

• Serve as the primary operational contact for TPAs, PBMs, stop-loss providers, and vendors

• Oversee plan setup, implementation, renewals, and administration

• Ensure accurate eligibility, claims operations, billing, and reconciliation

• Monitor vendor performance and resolve issues proactively

• Collaborate with internal teams across product, finance, and client success

• Ensure regulatory compliance

• Identify operational efficiencies and improvements

• Support reporting, audits, and data reviews

Required Qualifications

• 5+ years experience in health plan operations

• Experience working at a TPA or closely with TPAs, PBMs, and stop-loss carriers

• Strong understanding of self-funded and level-funded plans

• Experience managing multiple vendor relationships

• Knowledge of claims processing and benefits administration

• Strong organizational and communication skills

Preferred Qualifications

• Experience supporting small to mid-sized employer plans

• Familiarity with modern health benefits models

• Startup or high-growth healthcare experience

Benefits and Perks

• 100% Silver Plan + Full Medical Coverage

• Dental and Vision Coverage

• 401(k) and Life Insurance

• Access to Vitable’s Primary Care membership

• Unlimited PTO

• Remote-first culture with a supportive team

• MacBook and any other gear you need

• Home office setup stipend

• Competitive equity package

Who Thrives Here

You care—about people, about purpose, about doing work that truly matters.

You’re the kind of person who sees a broken system and asks, “How can I fix this?” Challenges don’t intimidate you—they energize you. You move quickly, but with intention. You don’t just get things done—you get the right things done.

At Vitable, we thrive on both autonomy and collaboration. You’ll have the space to own your work, make smart decisions, and lead with initiative—while knowing when to pull others in, ask questions, and build together as a team.

You’ll fit right in if you’re:

• Mission-driven and motivated by impact

• Someone who gets sh*t done (and does it well)

• Curious, thoughtful, and clear on your “why”

• A self-starter who figures things out

• Empathetic, honest, and genuinely cares about others

• Collaborative, but confident working independently

• Hungry for change—and ready to help make it happen

We care deeply about the people we serve, and we care just as much about our team. We support each other, show up with heart, and find joy in the work we do.

No egos. No jerks. Just good humans doing great work.

Inclusion at Vitable

Vitable is an equal opportunity employer. We celebrate diverse backgrounds, perspectives, and experiences—and we’re committed to building a team that reflects the people we serve.

If you’re excited about this role but your background doesn’t match every requirement, we still encourage you to apply. We care more about potential and passion than checking every box.