Medicare Advantage Product Development Partner

Ensures positive program outcomes by leading and supporting the implementation of clinical, operational, and financial improvement initiatives. Takes a lateral view across the organization, understands the organizational and external market complexities, and identifies necessary initiatives and interdependencies that must be coordinated to reach program objectives. Directs and guides project and product managers and department leads to ensure proper coordination and alignment of resources. Attends budget meetings and understands financial impact of initiatives.

Ensures assigned product line(s) (or new product) is positioned to meet SelectHealth membership growth goals and NOI targets. This includes management of the entire product life cycle (market intelligence, conceptualization, product development, launch, growth, maturity and retirement). Ensures products meet highest levels of market need, administrative efficiency, customer satisfaction, regulatory compliance, and financial performance. Develops and monitors key performance indicators for product lines.

Develops new medical and ancillary products. Develops, manages, and implements strategic product initiatives. Ensures products address market needs and achieve the overall business objectives. For new products, completes a feasibility analysis and business case; recommendation for the new product or opportunity; and a business plan, including a pro forma and financial projections; sales forecasts; an operational assessment; a marketing plan; and a high-level implementation plan.

Introduces new products to market. Leads sales, marketing, broker relations and other internal departments in developing multi-channel product distribution strategies, ensures effective communication/promotional strategies, develops key messaging for products and key strategic market/regulatory issues, and produces product materials and sales collateral, etc. Directs the launch of new products and services.

Evaluates new product opportunities, geographic/service area expansion, new market entry and potential strategic partnerships to meet growth objectives of SelectHealth.

Ensures insurance market and product education to internal teams as well as brokers/agents, physicians, practice managers, current and potential employer customers, health system partners/affiliates and other constituent groups.

Strategizes with existing or potential risk share partners to ensure mutually beneficial outcomes in strategic partnerships. Maintains partnership relationships and serves as the primary point of contact for relationship as assigned. Resolves significant concerns.

Monitors national carrier and local competitor products, positioning, strategies, networks, as well as local and national industry trends. Identify emerging market trends. Conducts market research (multiple markets/geographies) and analysis; customer research; and concept testing for potential new product opportunities or service area expansions. Ensures customer research and market/competitive intelligence is utilized to ensure optimal product positioning.

Develops affiliations and partnerships as necessary for new product and/or service opportunities. Reviews contracts, SLAs etc., to ensure appropriate execution of such by SelectHealth and contracted entities.

Minimum Qualifications

• Ten years of experience in health care, health insurance, managed care, employee health benefits management or self- insured plan administration experience with a record of progressive and varied responsibilities with at least five years of experience related to the assigned products (e.g., product development, product management, project management, service line management, network development, strategic planning, marketing, and/or business development.)
• Demonstrated understanding of actuarial pricing models, underwriting practices, risk management/mitigation/avoidance strategies, adverse selection, the full continuum of provider payment arrangements, multi-channel insurance product distribution, and the impacts of these on product marketability and performance.
• Experience driving organic growth through product and product initiatives, with an ability to recognize growth opportunities in the revenue streams. Deep understanding of insurance product analytics, its levers and the consumer behaviors needed to develop a strong performing product.

Preferred Qualifications

• Master's degree in healthcare administration, business administration, clinical field, public health, or related field/