Senior Manager, Dual Eligible Markets Product Strategy

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

Job Description

Key Responsibilities/Duties what you will be doing:

• Develop strategies to support growth and financial performance of the Government Markets Division including
  • Establishing key performance objectives monitoring results and providing data-driven strategic recommendations across a variety of domains including medical trend financial and operational performance member/provider experience care management network management and quality.
  • Evaluating new product opportunities and growth initiatives (e.g. new products partnerships sales/marketing initiatives new markets) for the business using qualitative and quantitative analyses of competitor consumer provider regulatory and financial information
  • Leading cross-functional assessments to understand strategic implications and operational requirements associated with new opportunities and initiatives by working closely with sales marketing network development product administration health plan operations clinical services and IT
  • Developing recommendations inclusive of business cases to optimize ongoing product positioning based on market data business and competitive intelligence data (e.g. IRR NPV)
  • Presenting findings to and facilitate strategic decision making with senior leaders and external stakeholders (e.g. government agencies provider groups)
• Perform ongoing analysis of Tufts Health Direct products performance and maintain a pulse on the market and other industry leaders to inform strategic initiatives
• Support the ongoing iteration of existing strategic plans to ensure long-term success in the market
• Monitor competitive and consumer landscape using public and proprietary sources of quantitative and qualitative data to identify and understand emerging trends and business opportunities e.g. membership trend data regulatory and financial filings consumer research. Synthesize data of multiple types (quantitative and qualitative) and sources to produce consumer and market insights to drive product strategy (product price placement) sales and marketing strategy innovation and growth initiatives
• Develop collaborative relationships with the internal stakeholders to assess legal compliance operational clinical/care model consumer and network considerations and business requirements. Build alignment with how their function-specific strategic goals tie to the products overall strategy
• Develop productive working relationships with a wide variety of external stakeholders including providers regulators and advocates
• Serve as product subject matter expert to enterprise
• Manage relationships with vendors and external consultants including solicitation of proposals vendor selection and project oversight.
• Serve as business lead and subject matter expert for implementation of product opportunities and growth strategies Lead the collaboration process with PMO and other key stakeholders to develop implementation plans for product opportunities.
• Lead the implementation of mission-critical operational initiatives including the management of strategic partner relationships and/or internal performance improvement projects.
• Manage department manager coordinators and analysts as assigned to support responsibilities outlined above.

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 or other masters degree with healthcare or financial focus

Experience (minimum years required):

• Required: 8-10 years of professional experience
• Preferred: 8-10 years of experience in strategy product development management consulting or project management with demonstrated execution of business case development and leadership of strategic initiatives. Prior health industry experience is essential. Health insurance experience.

Skill Requirements

• 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 collaboratively across a highly matrixed organization and drive progress through influence
• Exceptional problem solving across a wide range of business situations including areas of high complexity and uncertainty
• Strategy development including market assessment competitive analysis and business case development
• Superior analytical skills including significant experience designing quantitative and qualitative data analyses and financial management
• Ability to understand interpret and help drive the divisions end-to-end business model
• Excellent written and oral communication skills
• Strong project management and organizational skills including prioritization and simultaneous management of multiple high-profile projects
• Strong stakeholder management skills and proven ability to develop relationships with cross-functional stakeholders inclusive of external and clinical stakeholders Demonstrated ability to play a leadership role within an organization
• Familiarity with community-based care management the managed care industry and the dual eligible market
• Experience with applicable software and database programs including Access Excel Word PowerPoint Experience in product management Agile LEAN performance improvement human centered design or related techniques

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

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.

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