Product Strategy Manager, Medicare

Point32Health

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profile Job Location:

Canton, OH - USA

profile Monthly Salary: $ 94363 - 141545
Posted on: Yesterday
Vacancies: 1 Vacancy

Job Summary

Who We Are

Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality affordable healthcare. Serving nearly 2 million members Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. Weve had a long-standing commitment to inclusion and equal healthcare access and outcomes regardless of background; its at the core of who we are. We value the rich mix of backgrounds perspectives and experiences of all of our colleagues which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve live and work.

We enjoy the important work we do every day in service to our members partners colleagues and communities. Learn more about who we are at Point32Health.

Job Summary

The Product Strategy Manager Medicare is responsible for supporting product strategy design planning and end-to-end performance management for Point32Healths Medicare products inclusive of Medicare Advantage (HMO PPO) & Medicare Supplement.

The Manager leads Medicare Products key processes associated with the product performance management plan across a highly matrixed organization and a broad set of external stakeholders. This role works closely with a cross-section of division and enterprise business and functional teams (operations clinical services network management finance and actuarial etc.) to ensure appropriate product management and successful performance tracking and performance improvement.

The Manager is responsible for supporting the development of key performance targets the completion of required analytical initiatives and the creation of action-oriented performance improvement recommendations based on analytic findings.

Under the direction of the Director of Product Strategy (Medicare) the Manager contributes to building presentations of key business cases and updates to the senior leadership team to facilitate strategic decision-making.

Job Description

Key Responsibilities/Duties what you will be doing (top five):

  • Support the Director and Senior Manager of Product Strategy working collaboratively with the Performance Manager of Product Strategy to develop recommendations which optimize product performance and delivery ensuring alignment with contractual needs and regulatory and policy landscape.
  • Support ongoing product policy and market assessment including consumer research competitor assessment and assessment of industry leaders
  • Collaborate closely with key internal and external stakeholders serving as a subject matter expert on the strategic priorities of the Duals products
  • Engage internal stakeholders to assess legal compliance operational consumer and network considerations and business requirements relative to strategic goals
  • Support the implementation of critical operational initiatives and best-practice solutions to ensure sustainable product management including Requests for Procurement (RFPs) care management strategies and integration of regulatory policy objectives and contract compliance
  • Conduct regular policy and market scans to ensure product delivery and strategy is responsive to and reflective of policy landscape
  • Serve as subject matter expert to all enterprise functions when questions arise regarding benefit delivery product contracts and state programs and policies
  • Serve as the key product liaison for Government Affairs Compliance Product Administration Marketing and Community Engagement amongst others
  • Other duties and projects as assigned.

Qualifications what you need to perform the job

Certification and Licensure

Education

  • Required: (minimum) Bachelors degree in a related field
  • Preferred: Masters degree: MPH MBA

Experience

  • Required: (minimum) 5-7 years of professional experience
  • Preferred: 5-7 years of management experience

Skill Requirements

  • Must possess maturity and a high degree of professionalism
  • Must be able to operate in an environment that includes significant complexity and uncertainty
  • Exceptional project management and stakeholder management skills
  • Exceptional organizational and communication skills
  • Must be a self-starter be able to think creatively take responsibility be extremely resourceful and have a high energy level
  • Must be able to work cooperatively as a team member
  • Quantitative and Qualitative data analysis experience
  • Strong understanding of the managed care industry community-based care management or the dual eligible product market
  • Familiarity in working with government-funded products or state and federal policy analysis
  • Experience with applicable software and database programs including Access Excel Word PowerPoint

Working Conditions and Additional Requirements (include special requirements e.g. lifting travel):

  • Must be able to work under normal office conditions and work from home as required.
  • Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations.
  • May be required to work additional hours beyond standard work schedule.

Disclaimer

The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities duties and skills required of employees assigned to this position. Management retains the discretion to add to or change the duties of the position at any time.

Salary Range

$94363.70 -$141545.54

Compensation & Total Rewards Overview

The annual base salary range provided for this position represents a range of salaries for this role and similar roles across the organization. The actual salary for this position will be determined by several factors including the scope and complexity of the role; the skills education training credentials and experience of the candidate; as well as internal equity. As part of our comprehensive total rewards program colleagues are also eligible for variable pay. Eligibility for any bonus commission benefits or any other form of compensation andbenefits remains in the Companys sole discretion and maybe modified at the Companys sole discretion consistent with the law.

Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes:

  • Medical dental and vision coverage

  • Retirement plans

  • Paid time off

  • Employer-paid life and disability insurance with additional buy-up coverage options

  • Tuition program

  • Well-being benefits

  • Full suite of benefits to support career development individual & family health and financial health

For more details on our total rewards programs visit welcome all
All applicants are welcome and will receive consideration for employment without regard to race color religion gender gender identity or expression sexual orientation national origin genetics disability age or veteran status.

Scam Alert: Point32Health has recently become aware of job posting scams where unauthorized individuals posing as Point32Health recruiters have placed job advertisements and reached out to potential candidates. These advertisements or individuals may ask the applicant to make a payment. Point32Health would never ask an applicant to make a payment related to a job application or job offer or to pay for workplace equipment. If you have any concerns about the legitimacy of a job posting or recruiting contact you may contact


Required Experience:

Manager

Who We ArePoint32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality affordable healthcare. Serving nearly 2 million members Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and em...
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Key Skills

  • Marketing
  • Data Visualization
  • Tableau
  • Customer Segmentation
  • Microsoft Powerpoint
  • Investment Banking
  • Strategic Planning
  • Financial Modeling
  • Customer relationship management
  • Management Consulting
  • Google Suite
  • Analytics

About Company

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Learn more about Point32Health, a not-for-profit health and well-being company based in New England. You’ll also find more information on company achievements, health equity initiatives andPoint32Health’s family of companies, including Harvard Pilgrim Health Care and Tufts Health Plan ... View more

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