Health Plan Product Manager

Job Title: Product Manager

Job Requisition ID: 9307

Position Summary/Position

Under the direction of the Senior Director, Commercial Products, the Product Manager will provide organizational-wide support in the development, implementation, and successful growth of IEHP’s Covered CA, Medicare Advantage & Group Products. This position will work closely with Division and Department Leaders in the design of products, relying on industry research, historical Product performance, feedback from key IEHP stakeholders, and marketplace trends. The Product Manager will ensure 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.

Major Functions (Duties and Responsibilities)

1. Develop and maintain an in-depth knowledge of product requirements and regulations that influence Covered CA, Medicare Advantage & Group development and administration, including application submission requirements and licensing requirements.

2. Coordinate across the organization through the ideation, planning, and implementation phases of new or enhanced benefits, products, programs, or pilots.

3. Provide research and analysis to assist IEHP’s Executives in making decisions regarding the future direction of Covered CA, Medicare Advantage & Group products.

4. Develop, design, and manage product life cycle activities and specific strategic initiatives.

5. Conduct analysis for roadmap creation, scope and execution for cross-functional execution of initiatives. Recognizes opportunities for product enhancements in a matrix environment and collaborative, cross functional execution.

6. Identify potential risks, project charge, and scope. Recommends in design of appropriate mitigation and contingency plans. Supports in identifying best practices to drive product integrity, service excellence, and efficiency.

7. Provide product support to internal and external stakeholders for annual product launch. Including, sales, marketing, growth and retention efforts, delegated vendors and front-line teams including assistance with benefit trainings, explanation of benefit design, member materials development and distribution, sales and marketing collateral, talking points and program education, configuration and benefit display requirements.

8. Develop training materials and conduct annual and ongoing product training as required.

9. Work with appropriate Divisions and Departments for all product modifications. Covered California and DSNP product benefits and plan designs may change each year due to regulatory requirements and/or business driven changes. These changes need to be communicated to all impacted areas who will be implementing the changes.

10. 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 Covered CA, Medicare Advantage & Group product initiatives throughout the organization.

Experience Qualifications

A minimum of eight (8) years of experience in 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.

Education Qualifications

Bachelor’s degree from an accredited institution required.

Drivers License Required

Yes, must have a valid California Driver’s License.

Knowledge Requirement

Advanced knowledge of:

– Covered California, Medicare Advantage, and/or Group markets, health plans development, management, and implementation principles and practices.

– Health plan operations and regulatory and compliance requirements for Covered CA, Medicare Advantage & Group.

– IEHP’s products.

– Competitive landscape to develop market strategies.

– Product development life cycle (PDLC) discipline.

Work Model Location

Hybrid

A reasonable salary expectation is between $118,248.00 and $150,779.20, based upon experience and internal equity.

IEHP