View all jobs
Director, Medicare Strategy and Product Development - (GSG8457)
Los Angeles, CA · HealthcareJob Title: Director, Medicare Strategy and Product Development - (GSG8457)
Location: Los Angeles, CA. 90017
Employment Type: Permanent
Duration: N/A
Posting Date: 6/22/2022
Notes: Only qualified candidates need apply.
3 Key Consulting is recruiting for a Director, Medicare Strategy and Product Development for a permanent, full-time position with our direct client, a leading government funded managed care organization.
Job Description:
Position reports to Executive Director of Medicare Team and has 3-4 direct reports. The Director, Medicare Strategy and Product Development provides leadership and drives for the end-to-end lifecycle for the Medicare (CMC, D-SNP, etc.) product lines. Responsible for leading strategic initiatives and projects, ensures deliverables are on time and in alignment with company’s strategic initiatives. As an industry expert in Medicare managed care and duals products, leads the development of new product lines and enhancements to existing products. Engages key stakeholders to ensure continuity of product lines and impact of a new product line to the communities served and company’s Care Strategic Initiatives. This individual will lead a team responsible for the day-to-day activities to ensure the delivery of products and services to the market are competitive, sustainable, and consistent.
Why is the Position Open?
Backfill.
Top Must-Have Skill Sets:
Day to Day Responsibilities:
Basic Qualifications:
Preferred Qualifications:
Employee Value Proposition:
Interview process:
Video Skype Panel Interview:
We invite qualified candidates to send your resume to resumes@3keyconsulting.com You are also welcome to share this opportunity with anyone you think might be interested in applying for this role.
Location: Los Angeles, CA. 90017
Employment Type: Permanent
Duration: N/A
Posting Date: 6/22/2022
Notes: Only qualified candidates need apply.
3 Key Consulting is recruiting for a Director, Medicare Strategy and Product Development for a permanent, full-time position with our direct client, a leading government funded managed care organization.
Job Description:
Position reports to Executive Director of Medicare Team and has 3-4 direct reports. The Director, Medicare Strategy and Product Development provides leadership and drives for the end-to-end lifecycle for the Medicare (CMC, D-SNP, etc.) product lines. Responsible for leading strategic initiatives and projects, ensures deliverables are on time and in alignment with company’s strategic initiatives. As an industry expert in Medicare managed care and duals products, leads the development of new product lines and enhancements to existing products. Engages key stakeholders to ensure continuity of product lines and impact of a new product line to the communities served and company’s Care Strategic Initiatives. This individual will lead a team responsible for the day-to-day activities to ensure the delivery of products and services to the market are competitive, sustainable, and consistent.
Why is the Position Open?
Backfill.
Top Must-Have Skill Sets:
- Strong leadership skills
- Subject matter expert in Medicare product strategy and product life cycle
- Strong Managed Care industry experience with understanding of Regulatory changes affecting Medicare Product line.
Day to Day Responsibilities:
- Develops product concepts and strategies for the Medicare segment.
- Solicit input on market needs from business partners across the organization, distribution channels, and members.
- Conduct primary and secondary research regarding competitor's strategies, market opportunities, and product trends.
- Identify trends and patterns, and recommend new or enhanced product concepts and incorporates into plan design process.
- Identifies member insights that drive behavior change.
- Prepares concept white papers and business cases for any proposes plan changes within the constructs of the annual product lifecycle timelines.
- Collaborate with matrix partners across the company to deliver product solutions in a timely and effective manner.
- Lead the Medicare application filing, ensuring all requirements are understood and executed across the enterprise.
- Lead the rate setting strategy, bid pricing and plan benefit package (PBP) development and submission.
- Creates project plans that track and mange bid pricing assumptions and development.
- Manages CMS desk review process and mitigates issues related to CMS approving the bids.
- In coordination with Actuarial Services and Finance, oversee execution of any required changes and resubmission of PBPs and Bids.
- Develop contingency plans for any benefit and premium changes/solves that are prompted via the desk review process.
- In partnership with Sales & Marketing develop annual go to market plan that includes an integrated and differentiated sales and marketing acquisition, conversion and retention strategies that achieve membership growth goals.
- Develops and delivers product trainings, serve as a product expert and a relationship manager to the cross-functional partners.
- Oversees and manages the end-to-end development and fulfillment of required annual materials (ANOC, EOC, SB, etc.) for welcome and sales kits.
- Manages process and timelines from model document population, regulatory approval, design/layout, translation, and print & fulfillment.
- Develop goals, objectives and actions plans for department, teams and individuals.
- Includes full management responsibility for the hiring, performance reviews, salary reviews and disciplinary matters for direct reporting employees.
- Direct and manage team(s) to develop and establish rigor and discipline of Product Lifecycle Management is applied to the annual bid development pricing , benefit designs, member material development, and go-to-market strategy.
- Perform other duties as assigned.
Basic Qualifications:
- Bachelor's Degree in Health Administration or Healthcare Related Field
- In lieu of degree, equivalent education and/or experience may be considered.
- A minimum of 7 years in Medicare Advantage, with experience serving duals population.
- Direct experience in bid and PBP development, and member material development.
- Risk management and mitigating planning experience.
- Minimum of 5-7 years of supervisor/management experience.
Preferred Qualifications:
- Master's Degree.
- Minimum of 10 years of direct experience with duals population and requirements.
Employee Value Proposition:
- Very visible role in the organization in Product.
- Growth opportunities in organization.
- Looking for someone that believes in our Mission to provide the best affordable healthcare to the underserved Los Angeles community which is our member base.
- Benefits including incentive bonus.
Interview process:
Video Skype Panel Interview:
We invite qualified candidates to send your resume to resumes@3keyconsulting.com You are also welcome to share this opportunity with anyone you think might be interested in applying for this role.
Regards,
3KC Talent Acquisition Team