Director, Medicare Product Strategy

Point32Health • Canton, MA

1d

About The Position

The Director is responsible for the overall success of Point32Health’s Medicare offerings, including the Medicare Advantage and Medicare Supplement product lines. In addition to managing existing products and markets, the Director will lead or play a key role in the evaluation of potential market expansion opportunities, and subsequent implementation. The Director is accountable for profit and loss results, membership growth and retention, medical and administrative expense targets, and regulatory/compliance requirements. The Director leads a team that establishes, implements, and performance manages product strategies across a highly matrixed organization, and externally, with a broad set of stakeholders (e.g., providers, brokers, vendors, etc.) Key elements of the product strategy include, but are not limited to, product design, margin targets, membership targets (sales and retention), competitive positioning, marketing strategy, care management model, and provider network. The Director is responsible for ensuring identification of the deliverables necessary to achieve the strategy and coordinating with leaders across the organization to facilitate implementation. The Director is responsible for establishing a management structure that monitors the performance of the chosen strategies relative to established targets, including identifying key performance indicators. The Director works closely with a cross-section of functional teams (sales, operations, clinical services, population health, quality, network management, legal, compliance, finance, marketing, etc.) to establish shared accountability for the achievement of these performance objectives. For potential expansion markets, the Director will coordinate a robust evaluation of market potential (growth/financial) including the competitive landscape, provider environment, etc., and develop the product strategy recommendation for senior leadership. Across existing and potential new markets, the Director is responsible for establishing and maintaining productive relationships with senior leaders of strategic partners, including but not limited to providers, regulators, advocates, and vendors.

Requirements

• Accountable for profit and loss results, membership growth and retention, medical and administrative expense targets, and regulatory/compliance requirements.
• Leads a team that establishes, implements, and performance manages product strategies across a highly matrixed organization, and externally, with a broad set of stakeholders (e.g., providers, brokers, vendors, etc.)
• Ensures identification of the deliverables necessary to achieve the strategy and coordinating with leaders across the organization to facilitate implementation.
• Establishes a management structure that monitors the performance of the chosen strategies relative to established targets, including identifying key performance indicators.
• Works closely with a cross-section of functional teams (sales, operations, clinical services, population health, quality, network management, legal, compliance, finance, marketing, etc.) to establish shared accountability for the achievement of these performance objectives.
• Coordinates a robust evaluation of market potential (growth/financial) including the competitive landscape, provider environment, etc., and develop the product strategy recommendation for senior leadership.
• Establishes and maintains productive relationships with senior leaders of strategic partners, including but not limited to providers, regulators, advocates, and vendors.

Responsibilities

• Develop multi-year market strategy.
• Ensure the implementation of initiatives critical to strategic success, including the management of strategic partner relationships and/or internal performance improvement projects.
• Establish key performance objectives, monitor results, and coordinate 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.
• Coordinate closely with enterprise leaders, including medical and care management leadership, actuarial, operations, sales, marketing, network contracting, on the achievement of shared objectives.
• Develop recommendations to optimize ongoing product positioning based on market data, business, and competitive intelligence data.
• Develop productive working relationships with a wide variety of external stakeholders, including providers, regulators, and advocates.
• Communicate product performance to internal stakeholders, including senior leadership.
• Evaluate potential near-term opportunities, including alongside potential strategic partners.
• Develop and present strategic recommendations to senior leadership for feedback and approval.
• Develop cross functional relationships to support the strategy setting and execution.

Benefits

• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Education Level: No Education Listed