SVP Medicare
Florida Blue•FL, FL
About The Position
This executive is a strategic leader responsible for the development, implementation, and management of Medicare-related products, services, and business operations across the enterprise. This executive will lead cross-functional teams to drive business growth, improve operational efficiency, and enhance the overall Medicare performance.
Requirements
- 10+ years of experience in healthcare, with a focus on Medicare products and services.
- Proven track record of success in Medicare business development, product management, and operational leadership.
- Strong understanding of Medicare regulations, including CMS guidelines and requirements.
- Strong understanding of healthcare policy and regulatory trends
- Experience with Medicare Advantage, Medicare Supplement, and Medicare Part D products
- Excellent leadership, communication, and analytical skills.
- Ability to navigate complex organizational structures and build effective relationships with stakeholders.
- Enterprise thinker with ability to unify historically siloed functions.
- Strong operator with a bias for execution and measurable outcomes.
- Exceptional communicator with ability to influence at all levels.
- Data-driven decision maker with strong analytical orientation.
- Builder of high-performing teams and scalable operating models.
Nice To Haves
- Master's degree in healthcare administration, public health, business, or related field.
Responsibilities
- Develop and execute a comprehensive Medicare business strategy to drive growth, profitability, and market share.
- Analyze market trends, competitor activity, and regulatory changes to inform business decisions.
- Identify and pursue new business opportunities, including partnerships and collaborations.
- Lead the development, launch, and ongoing management of Medicare Advantage, Medicare Supplement, and Medicare Part D products.
- Collaborate with cross-functional teams to design and implement product features, benefits, and pricing strategies.
- Ensure compliance with regulatory requirements and industry standards.
- Oversee Medicare-related operations, including sales, marketing, underwriting, and customer service.
- Develop and implement process improvements to enhance operational efficiency and customer satisfaction.
- Manage budgets, forecasts, and resource allocation for Medicare-related activities.
- Develop and execute sales and marketing strategies to drive Medicare enrollment and revenue growth.
- Collaborate with external partners, such as agents, brokers, and community organizations, to promote Medicare products.
- Ensure compliance with marketing and sales regulations, including CMS guidelines.
- Partner with stakeholders from across the business to ensure Medicare-related activities are informed by and compliant with regulatory requirements and standards set by CMS, HIPAA, and state-specific regulations.
- Collaborate with cross-functional teams to identify and mitigate regulatory risks and provide input on business strategies and initiatives.
- Partner with stakeholders from across the business to influence and inform customer experience strategies and initiatives, ensuring alignment with business objectives and customer needs.
- Collaborate with cross-functional teams to identify opportunities for improvement and provide input on service enhancements and process improvements that impact the Medicare customer experience.
- Establish and track key performance indicators (KPIs) for Medicare-related activities, including enrollment, revenue, and customer satisfaction.
- Analyze performance data to inform business decisions and drive improvements.
Benefits
- Medical, dental, vision, life and global travel health insurance
- Income protection benefits: life insurance, short- and long-term disability programs
- Leave programs to support personal circumstances
- Retirement Savings Plan including employer match
- Paid time off, volunteer time off, 10 holidays and 2 well-being days
- Additional voluntary benefits available
- A comprehensive wellness program
- Competitive pay
- Opportunities for incentive or commission compensation
- Regular annual reviews with pay for performance considerations for base pay increases
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What This Job Offers
Job Type
Full-time
Career Level
Executive
