Senior Director, Self-Funded & Stop Loss Products
About The Position
Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for. We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration — because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued. The Senior Director of Self-Funded & Stop Loss Products is a leader in driving product strategy, innovation, cross functional collaboration, and subsequent implementation to position Medica’s commercial business segment for success with brokers and employers. The incumbent is responsible for developing Medica’s commercial value proposition while leveraging internal and external capabilities to establish a value story which differentiates Medica from its competitors. The incumbent manages the day-to-day fundamentals of commercial product management including preferred portfolio, benefit capability reviews, benefit coverage policy, and product/benefit filing support. The Senior Director works with commercial communications to drive go- to-market strategies for existing and new products/services. Performs other duties as assigned.
Requirements
- Bachelor's degree or equivalent experience in related field
- 10+ years of work experience beyond degree
- 3+ years of people management and leadership experience
- 3+ years of self-funded, stop loss, sales and / or account management experience
- Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States.
Nice To Haves
- Claims platform migration
- Strategic mindset
- Transformative project experience
Responsibilities
- Introduces forward-looking products and solutions that differentiate Medica from the marketplace and provides value to our employer groups and the brokers who serve them
- Builds cross functional teams to evaluate product concepts as well as develop and execute operational plans to bring new products to market
- Recommends product enhancements and new product development opportunities based on market needs, industry trends, portfolio gaps, and organizational capabilities
- Engages external business/vendor partners to evaluate and implement a best-in-class value added services offering
- Develops short- and long-term product roadmaps of key initiatives which contemplate pricing, marketing, promotion and placement strategies to grow commercial market share
- Drives Commercial ACO strategy with care system partnerships through effective internal collaboration with network management and health services
- Conducts competitive assessments
- Works effectively with marketing/communications to establish go-to- market plans to support product roadmaps. Partners with sales to facilitate internal and external training/educational strategies
- Maintains cross functional and inter-segment relationships to educate the organization on market demands and segment needs. Builds support for segment/product strategy
- Develops and executes implementation plans to drive new product introductions. Works effectively across the organization to secure resources and support as necessary
- Selects, partners and manages vendors to identify opportunities to bring new and unique solutions to market to ensure Medica is continuously the product leader in our service area
- Negotiates contracts to support vendor partnerships as appropriate
- Establishes influential relationships with the external market via customers, industry experts, vendor partners, and consultants to help identify opportunities for innovation
- Participates as a product SME in customer/prospect meetings when necessary
- Provides direction to Product Strategy and Development direct reports and overall leadership to group
- Participates on the Commercial leadership team to develop and execute segment strategy
Benefits
- competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services
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What This Job Offers
Job Type
Full-time
Career Level
Senior
