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

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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**