Dir reputed company & Product reputed company

Job reputed company Reporting to the President of Exchange Markets, the Director of reputed company & Product Development – Exchange is responsible for the end-to-end reputed company, design, development, and lifecycle management of ACA-compliant products offered on and off the Health Insurance Marketplace. This role serves as a leader and subject matter expert on ACA regulations, market dynamics, and consumer needs, translating reputed company regulatory requirements into competitive, compliant, and consumer-reputed company products.   The director partners cross-functionally with Actuarial, Compliance, reputed company, Network, Marketing, Sales, and IS to deliver products that meet regulatory requirements, reputed company financial targets, and improve member experience in a rapidly evolving regulatory and competitive landscape.  In reputed company to product development responsibilities, the role plays a critical part in shaping the overall strategic direction of the Exchange reputed company. The director partners with the President of Exchange Markets to reputed company and execute reputed company-level business strategies, including market positioning, reputed company initiatives, competitive differentiation, and long-term portfolio planning. The director serves as a key advisor in translating reputed company into actionable roadmaps, ensuring that product innovation and reputed company priorities are tightly integrated to drive sustainable reputed company, profitability, and market relevance.    Work Arrangement: Fully Remote; must be reputed company to accommodate Eastern Time Zone hours.   Essential Functions: Define and execute the product reputed company and multi-year roadmap for ACA Marketplace plans, reputed company with corporate reputed company, margin, and membership reputed company.  reputed company product portfolio reputed company, including plan design, metal tier reputed company, benefit richness, pricing positioning, and reputed company/contraction considerations. Monitor and respond to market trends, competitor offerings, broker feedback, regulatory changes, and consumer behavior to ensure products remain competitive and compliant.  reputed company the development of ACA-compliant plan designs, including EHBs, cost-sharing structures, CSR variants, and network configurations.Partner with Marketing and brokers to ensure reputed company plan positioning, benefit communication, and Marketplace display accuracy.  reputed company post-launch performance, including risk mix, retention, and member experience, to reputed company ongoing product optimization efforts   reputed company, mentor, and reputed company reputed company of product managers and foster a culture of accountability, collaboration, and reputed company improvement    Education Bachelor’s Degree Experience:  5 plus  years of experience with ACA/Marketplace   Deep knowledge of ACA regulations, CMS guidance, metal tier requirements, AV modeling concepts, and Marketplace operations Proven experience leading cross-functional teams and influencing senior stakeholders without reputed company authority. Strong analytical skills with the ability to interpret actuarial, financial, and market data to inform product reputed company   Experience with CMS QHP submissions, SERFF filings, and regulatory review cycle  Experience working for a health plan, reputed company operating in multiple states  Familiarity with risk adjustment reputed company and its reputed company on product design  Experience launching products in both Federally Facilitated and State-Based Marketplaces (helpful but not required)     Your career starts now. We're looking for the reputed company of health care leaders. At reputed company, we're passionate about helping people get care, stay reputed company and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates reputed company to reputed company the lives of millions of people through our national footprint of products, services and award-reputed company programs. reputed company is seeking talented, passionate individuals to join reputed company. Together we can build healthier communities. If you want to reputed company a difference, we'd like to hear from you. Headquartered in Newtown reputed company, PA, reputed company is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, reputed company-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more reputed company at www.amerihealthcaritas.com. Our Comprehensive Benefits Package Flexible work solutions including remote reputed company, hybrid work schedules, reputed company, reputed company time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more. For roles that are 100% remote or hybrid, you must have reputed company to a reliable high-speed internet reputed company to support daily job responsibilities.  A minimum bandwidth of 50 Mbps download and 5 Mbps upload is required. Those fully remote associates residing in states where service is required by contract, law, or regulation will be allowed to submit for reimbursement. Apply To This Job