Gateway Health Plan
Job Description :
This job manages the day to day business operations of assigned products within the line of business. Manages product related strategic and non strategic projects, product development and distribution within the assigned product line. Provides consultation for product development projects and for contract maintenance and problem identification and resolution. Coordination may include multiple areas of the corporation/enterprise. Implements 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 and facilitates 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.
- Perform research on projects and manage and lead projects to completion to successfully meet business objectives. Projects may vary in size including small, medium, large and enterprise situations.
- 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.
- May 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.
- May conduct market and competitor analyses and provide support to strategy development and decision making. Track implementation of key performance indicators and success of company and product strategies.
- Other duties as assigned or requested.
- Bachelor’s degree in Business or Marketing or Finance or, Healthcare administration
- 6 years of experience in lieu of a degree
- 3 – 5 years of relevant, progressive experience in the area of specialization. Grandfathered experience requirements effective August 2016.
- Clinical, Marketing, Fnance, Customer Service or Operations experience
- Healthcare, Insurance and/or Product Management and Development experience
- Professional certification such as HIAA or CEBS is a plus
- Knowledge of company insurance product line.
LICENSES OR CERTIFICATIONS
- PHIAA or CEBS Certification
- Knowledge of the Organization’s insurance product line
- Analytical skills consisting of business analysis experience.
- Experience with Microsoft Office products
- Broad knowledge of insurance industry guidelines and regulations (e.g., state mandates, HIAA and NAIC guidelines) and the healthcare industry
- Ability to apply marketing and product principles such as pricing, demographic and target marketing and competitor analysis
Language (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 up 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.
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