Company :Gateway Health Plan
Job Description :
This job directs all phases of product- related strategic and non strategic projects, product development and distribution within the assigned product line. Provides oversight on several interrelated products on the total process/design from product inception through administration and market implementation. Coordinates all aspects of product management including regulatory compliance, legal considerations, operations, communications, marketing, etc … across the entire organization The incumbent oversees business and system integration. Directs product strategy and assure the product activities are in alignment with product vision and corporate strategy. Products and programs may include but are not limited to medical, pharmacy, clinically based, and wellness and prevention offerings, and non-medical based offerings. Manages initiatives involving internal and external constituents (e.g. vendors, IDN, providers, diversified services) as necessary to ensure successful delivery of new products and programs from ideation through launch. Provides subject matter expertise to the department and enterprise as required.
- Perform research on projects and manage and lead projects to successfully meet business objectives. May manage all size projects (small, medium, large, enterprise)
- Prepare detailed design specifications, coordinate and oversee implementation of new products and changes to existing products.
- Identify needs to develop new and innovative products, perform appropriate research/analyses, and evaluate feasibility of the administration and implementation of product.
- Monitor product performance and make product design changes where appropriate.
- Provide direction and guidance to ensure consistent understanding and implementation of specifications.
- Provide business training on existing products as well as training on product changes. Provide subject matter expertise and consultation for product management.
- Review all campaigns and initiatives and make appropriate recommendations for improvement.
- Provide Subject Matter Expertise consultation for product management.
- Other duties as assigned or required.
- Bachelor's Degree in Business, Marketing, Finance or Healthcare
- Master's Degree
- Work experience in Healthcare, Insurance and/or Product Management and Development
- 3-5 years of Medicare experience (Product, CMS Regulations, and or familiarity with CMS filings (application and or CMS bid))
- Experienced in various operational roles (vendor management, claims, membership, etc.) that will further enhance and identify critical needs for product implementations
- Experience interpreting clinical trends to help design and manage benefits
- Strong presentational skills, ability to articulate, prepare presentations for key messaging and recommendations at executive levels
LICENSES AND CERTIFICATIONS
- Advanced analytic skills consisting of business analysis experience
- Microsoft Office products
Languages (Other than English)
0% - 25%
PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS
Teaches/trains others regularly
Travel regularly from the office to various work sites or from site-to-site
Works primarily out-of-the office selling products/services (sales employees)
Does Not Apply
Physical work site required
Lifting: up to 10 pounds
Lifting: 10 to 25 pounds
Lifting: 25 to 50 pounds
Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.
Compliance Requirement: This position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
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