Director, Health Plan Product Management

Inland Empire Health Plan•Rancho Cucamonga, CA

2d•$169,312 - $232,794•Hybrid

About The Position

Reporting to the Vice President, Product and Operations, the Director, Health Plan Product Management leads the development and management of IEHP’s Medicare/D-SNP product(s) by overseeing the full product lifecycle and ensuring alignment with strategy, performance metrics, and regulatory requirements. In addition, this individual supports product implementation and other strategic initiatives to meet IEHP’s strategic Medicare/D-SNP membership growth objectives. This position works closely with division and department leaders in the design of products, relying on industry research, historical product performance, feedback from key IEHP stakeholders, and market trends. The Director, Health Plan Product Management ensures products are aligned with IEHP’s Mission, Core Values, and Strategic Priorities and are in adherence with Federal and State regulations, contractual and licensing requirements, health plan accreditation, and the Plan’s functional departments business requirements. The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.

Requirements

A minimum of eight (8) years of experience leading health benefit plan development / implementation
Experience with health plan operations
Experience working within a matrix structure to deliver results
Product management, strategic planning, and project management experience with demonstrated success of launching products via product lifecycle (concept ideation through launch) while leading cross functional collaborative teams
Bachelor’s degree from an accredited institution required
In lieu of the required degree, a minimum of four (4) years of additional relevant work experience is required for this position. This experience is in addition to the minimum years listed in the Experience Requirements above
Advanced knowledge of: Medicare Advantage, D-SNP, and other government programs, health plans development, management, and implementation principles and practices
Health plan operations and regulatory and compliance requirements for Medicare Advantage & D-SNP, with a strong working knowledge of Covered California and commercial products
All IEHP’s current products
Competitive landscape to develop market strategies
Product development life cycle (PDLC) discipline
Excellent interpersonal and motivational skill
Excellent organizational skills and attention to detail
Excellent communication skills, both verbal and written
Skilled at Microsoft Office programs including, but not limited to, Word, Excel, PowerPoint, Outlook, Access, and Project
Proven ability to: Collect, analyze and recommend solutions using data and experience driven decisions
Work in a complex, rapidly evolving environment which requires high-level initiative
Make quick adjustments to project deadlines or assignments
Work independently and collaboratively within a team environment
Effectively prioritize and manage multiple projects with competing deadlines
Apply knowledge and guide self
Interact effectively at all levels of the organization
Negotiate and resolve complex and sensitive issues with diplomacy and persuasiveness

Nice To Haves

Additional experience working with Covered California products preferred
Master’s degree from an accredited institution preferred
Valid California Driver’s License preferred

Responsibilities

Apply in-depth knowledge of product benefit/coverage and regulatory requirements for Medicare/D-SNP products
Lead the organization through the ideation, planning, and implementation phases of new or enhanced benefits, products, programs, or pilots
Provide research and analysis to IEHP’s Executives and leaders in making decisions regarding the strategic direction of Medicare/D-SNP products
Develop, design, and manage product life cycle activities and specific strategic initiatives
Develop product roadmap, defining scope and prioritization for execution.
Collaborate with key stakeholders in a matrixed environment and work cross functionally on execution
Identify potential execution risks, manage project changes, and scope as necessary to meet business objectives. Recommend appropriate mitigation and contingency plans.
Drive changes to ensure product integrity, service excellence, and efficiency
Leads the annual product launch by providing comprehensive product expertise to internal and external stakeholders. Responsibilities include partnering with sales, marketing, growth, and retention teams; coordinating with delegated vendors and frontline staff; delivering benefit training; explaining benefit design; and overseeing the development and distribution of member materials. This role also directs the creation of sales and marketing collateral, program talking points, product education, and configuration and benefit display requirements
Develop training materials and conduct annual and ongoing product training as required
Work with appropriate divisions and departments for all product modifications and updates, as Medicare/D-SNP product benefits and plan designs may change each year due to regulatory requirements and/or business driven changes
Cultivate and maintain positive working relationships at all levels of the organization to ensure positive collaboration to identify, assess, and prioritize upstream and downstream impacts of the Medicare/D-SNP product initiatives throughout the organization
Build and oversee product manager team, provide training and skills development to support the product strategy and growth strategies
Hire, train, and manage support staff, while monitoring and evaluating outcomes. Conduct performance reviews of each team member within IEHP guidelines
Perform any other duties as required to ensure Health Plan operations and department business needs are successful