Note: The job is a remote job and is open to candidates in USA. Palmdale Regional Medical Center is seeking a Senior Manager of Product Development to guide health plan product strategy and development. The role coordinates with business, technical, actuarial, and external stakeholders; manages product implementation, regulatory filings, vendor initiatives, market analysis, and commercial and Medicare Advantage product optimization.
Responsibilities
- Program Delivery
- Bid and AEP Project Management
- Product Analysis
- Product Insights and Market Intelligence
- Tracking financial and growth impact of benefit changes
- CMS/Regulatory Deliverables
- Regulatory Submissions
- SNP Model of care management
- Support to the organizational business teams in the development, implementation, and compliance of new and renewing commercial and Medicare clients, products, and vendors
- Play a vital role in the development and production of required plan documents and the entry of plan filing documents into SERFF, HPMS, and CMS Bid tools
- Work directly with internal and external customers to initiate, plan, execute and manage product development and implementation initiatives to accomplish overall business, client, and vendor objectives
- Working with Sales and our executive team on competitive positioning, growth objectives, and plan optimization
- Assist in training and education for new products, opportunities, and related topics as needed
- Ensuring deliverables from all teams (as they relate to Commercial and MA product objectives) are being met
Skills
- Strong understanding of the health insurance industry, with a focus on fully-insured and self-funded commercial health insurance products
- Five (5) years of experience in the health insurance industry (e.g., underwriting, product management, actuarial support, claims processing), with a focus on commercial health insurance. Equivalent experience in other related fields (e.g., financial services, consulting) may be considered
- Minimum two (2) years of experience in managing the lifecycle of health insurance products, including product development, pricing, and compliance
- Ability to effectively communicate in English, both verbally and in writing
- Proficiency in gathering and interpreting empirical evidence, formulating recommendations, action plans and interventions to improve the overall organizational strategy
- Simultaneous action at varying stages—initiation, follow through, and completion—on a number of different projects
- Demonstrated ability to research, analyze and interpret state/federal regulations related to health insurance and healthcare
- Demonstrated ability to communicate verbally and with technical writing in a way that effectively conveys project background, objectives, activities, evaluations, conclusions, and recommendations
- Demonstrated skills in critical thinking, problem solving, and the analysis, interpretation and evaluation of complex information
- Demonstrated ability to work independently with minimal supervision
- Demonstrated ability to maintain effective collaborative working relationships with staff
- Resourceful, detail-oriented, and able to assimilate and analyze a wide variety of information, often working under deadline pressure with a variety of levels of staff
- Strong project management skills
- Computer Skills: Health Plan Management System (HPMS), System for Electronic Rates & Form Filings (SERFF), Smartsheet, SharePoint, Microsoft Office (Word, Excel, PowerPoint), and database software
- Familiarity with continuous quality and performance improvement methodologies
- Bachelor's degree in healthcare administration, communications or business preferred
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