Dir Strategy & Product Develop

Amerihealth Caritas•Tinicum Township, PA

11d•Remote

About The Position

Reporting to the President of Exchange Markets, the Director of Strategy & Product Development – Exchange is responsible for the end-to-end strategy, design, development, and lifecycle management of ACA-compliant products offered on and off the Health Insurance Marketplace. This role serves as a leader and subject matter expert on ACA regulations, market dynamics, and consumer needs, translating complex regulatory requirements into competitive, compliant, and consumer-centric products. The director partners cross-functionally with Actuarial, Compliance, Legal, Network, Marketing, Sales, and IS to deliver products that meet regulatory requirements, achieve financial targets, and improve member experience in a rapidly evolving regulatory and competitive landscape. In addition to product development responsibilities, the role plays a critical part in shaping the overall strategic direction of the Exchange segment. The director partners with the President of Exchange Markets to develop and execute segment-level business strategies, including market positioning, growth initiatives, competitive differentiation, and long-term portfolio planning. The director serves as a key advisor in translating strategy into actionable roadmaps, ensuring that product innovation and segment priorities are tightly integrated to drive sustainable growth, profitability, and market relevance.

Requirements

Bachelor’s Degree
5 plus years of experience with ACA/Marketplace
Deep knowledge of ACA regulations, CMS guidance, metal tier requirements, AV modeling concepts, and Marketplace operations
Proven experience leading cross-functional teams and influencing senior stakeholders without direct authority.
Strong analytical skills with the ability to interpret actuarial, financial, and market data to inform product decisions.
Experience with CMS QHP submissions, SERFF filings, and regulatory review cycle
Experience working for a health plan, carrier operating in multiple states.
Familiarity with risk adjustment strategy and its impact on product design.

Nice To Haves

Experience launching products in both Federally Facilitated and State-Based Marketplaces

Responsibilities

Define and execute the product strategy and multi-year roadmap for ACA Marketplace plans, aligned with corporate growth, margin, and membership growth.
Lead product portfolio decisions, including plan design, metal tier strategy, benefit richness, pricing positioning, and growth/contraction considerations.
Monitor and respond to market trends, competitor offerings, broker feedback, regulatory changes, and consumer behavior to ensure products remain competitive and compliant.
Oversee the development of ACA-compliant plan designs, including EHBs, cost-sharing structures, CSR variants, and network configurations.
Partner with Marketing and brokers to ensure clear plan positioning, benefit communication, and Marketplace display accuracy.
Track post-launch performance, including risk mix, retention, and member experience, to lead ongoing product optimization efforts.
Lead, mentor, and develop a team of product managers and foster a culture of accountability, collaboration, and continuous improvement.