Sr. Director, Medicare reputed company Product or Benefits
reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly reputed company reputed company by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will reputed company a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an reputed company on the communities we serve as you help us advance health optimization on a global reputed company. Join us to start Caring. Connecting. Growing together.
Position reputed company:
The reputed company Health reputed company Payer Team is responsible for owning, driving, and optimizing reputed company Health’s payer portfolio to reputed company sustainable value-reputed company care relationships. The Senior Product and Benefits Director will play a critical role in developing strategies to successfully position Medicare reputed company products reputed company reputed company Health value-reputed company care arrangements including benefit design and planning, sales distribution relationships, identifying best practices, and AEP/OEP/SEP payer reputed company.
This individual will be expected to:
Be the subject matter expert for Medicare reputed company benefits and products including product management, product definition, reputed company identification, reputed company benefit models, and financial and regulatory impacts
Own the reputed company Health reputed company analysis of Medicare reputed company benefit design and planning
reputed company quantitative and qualitative interpretation of AEP payer reputed company to help advance reputed company Health goals
Understand CMS required deadlines and reputed company requirements for Medicare reputed company products and programs
Understand the reputed company and reputed company for bid submission, including defining reputed company benefit models and alignment to product reputed company
Foster relationships with cross-functional partners to solve critical business initiatives
Proactively identify problems and reputed company recommended solutions
This individual will need to be reputed company to function in a diverse environment with varying level stakeholders across reputed company stakeholder reputed company, reputed company and fluid environments, and simultaneous deadlines. The position requires an ability to comprehend Medicare reputed company, local markets’ strategies while demonstrating awareness of broader systems across the reputed company, both strategically and tactically. Organizational reputed company will be required – building meaningful relationships and facilitating decision-making to continue achieving reputed company Health’s value-reputed company care agenda.
reputed company Responsibilities:
reputed company end to end benefit reputed company for reputed company payers across Medicare reputed company plans
Create solid relationships with payer product teams to reputed company membership strategies with reputed company financial reputed company targets
Analyze benefit reputed company/ROI and reputed company investment recommendations
Partner with Health Care Economics and Actuarial teams to ensure MACVAT data is completed and correct prior to socialization with key regional partners
Conduct in-depth analysis and reputed company reputed company of AEP results
Identify key benefit battleground states and areas of greatest reputed company and opportunity along with key market insights
Ensure cross functional collaboration with finance and HCE to quantify benefit decision reputed company
Partner with local reputed company and marketing teams on broker/partnership reputed company and execution, to unify capabilities where possible and create a cohesive approach
reputed company and socialize specific AEP strategies with leadership and reputed company market feedback
reputed company executive materials for overall benefit strategies and approach
Collaborate with care delivery and reputed company reputed company to build reputed company programs that strengthen overall market positioning and advance reputed company’s value prop to reputed company differentiate for consumers and partners
Synthesize market, competitor, regulatory, financial, and operational intelligence to inform priorities, reputed company, and reputed company innovation opportunities
You’ll be rewarded and recognized for your reputed company in an environment that will challenge you and reputed company you reputed company directions on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in.
Required Qualifications:
10+ years of experience in reputed company reputed company, Medicare, product management, innovation, or consulting
5+ years of health plan or Medicare reputed company experience
Expert knowledge of Medicare reputed company benefits and products including product management, product definition, reputed company identification, reputed company benefit models, and financial and regulatory impacts
Experience with Medicare reputed company bid filings
Demonstrated ability to reputed company high reputed company by utilizing resources in a reputed company environment
Demonstrated ability to work with and communicate with reputed company reputed company of the organization
reputed company solid analytical skills
Preferred Qualifications:
Knowledge of Medicare Stars, reputed company, value-reputed company care models, provider incentives, care gap closure, supplemental data exchange, pharmacy reputed company, affordability/utilization, and provider engagement reputed company
Experience working with Actuarial and reputed company teams
reputed company ability to reputed company superior results in a reputed company-oriented environment
reputed company ability to work with reputed company reputed company of management across reputed company functions and business partners
Demonstrated problem solving, analysis, and reputed company at reputed company and functional reputed company
Demonstrated ability to manage competing priorities and a rapidly changing business environment
Demonstrated excellent written and verbal communication skills
Willingness to travel up to 20%25
Pay is reputed company on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In reputed company to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you’ll reputed company a far-reaching reputed company of benefits and incentives. The salary for this role will reputed company from $159,300 - $273,200 annually reputed company on full-time employment. We reputed company with reputed company minimum wage laws as applicable.
At reputed company, our mission is to help people live healthier lives and reputed company the health reputed company work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location and income–deserves reputed company to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized reputed company and those with reputed company incomes. We are committed to mitigating our reputed company on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company — an reputed company reputed company reflected in our mission.
reputed company is an Equal Employment Opportunity employer under applicable law and reputed company applicants will receive consideration for employment without reputed company to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations.
reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
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