Director of Medicare Advantage Product Development
1 month ago
Job Summary
The Director of Medicare Advantage Product Development for Johns Hopkins HealthCare will lead the development for growth and product strategies for the Medicare Advantage lines of business.
Role Accountabilities Include:
- Responsible for product/benefit strategies, competitive analysis, state and federal regulatory filings, benefit design, and annual filings of benefits (Bid)
- Ensure the product offerings achieve corporate goals and adjust program to drive performance while keeping our Medicare Advantage Product competitive
- Ensure corporate approval for the filings and performance projections
- Collaborate annually with the Actuarial team to develop competitive and financially sound benefit filings.
- Partner with Sales and Marketing to manage and deliver services to include:
- Market segmentation
- Enrollment forecasting
- Go-to-market strategy
- Partner with Health Services and Provider contracting to ensure the program designs and network meet customer expectations and market demands.
- Responsible for vendor relations associated with selecting, contracting, and evaluating benefit vendors
- Responsible for RFP development and response in relation to all products and services incorporated in Medicare Advantage Benefit Plan
Qualifications:
- Bachelor’s degree in health administration, business, or a closely related field required. Advanced coursework and/or Master’s degree desirable
- 10+ years’ experience in Medicare Advantage/Managed Care/Health Insurance understanding Medicare Advantage business and financial drivers, product development, and federal and state regulatory requirements.
- Strong market knowledge of Medicare Advantage/Medicare with solid understanding of Medicare Advantage revenue and cost drivers
- Requires strong knowledge and exposure to Federal and State health care regulations, Medicare Advantage industry and managed care industry, including a working knowledge Medicare.
- Professional level of knowledge of business, administrative, consulting, healthcare marketing and management theory
- Demonstrated leadership and team building skills
- Ability to effectively and professionally interact with diverse groups of people including senior leadership, high level external contacts, members, providers, business related associates and vendors
- Proven project management skills
- Negotiation skills
- Advanced knowledge of standard PC Word, PowerPoint, Excel
-
Hanover, United States Johns Hopkins Medicine Full timeJob Summary The Director of Medicare Advantage Product Development for Johns Hopkins HealthCare will lead the development for growth and product strategies for the Medicare Advantage lines of business. Role Accountabilities Include: Responsible for product/benefit strategies, competitive analysis, state and federal regulatory filings, benefit design, and...
-
Director of Development
2 months ago
East Hanover, United States Students 2 Science Inc Full timeJob DescriptionJob DescriptionOnly NJ residents should applyDirector of DevelopmentResponsible for raising funds and other donations for the organization by researching, developing and managing relationships with funders including corporations, foundations and individualsNature and Background of Position:The Director of Development (DOD) works directly with...
-
Care Manager
1 week ago
Hanover, Illinois, United States Complete Health Full timeJob Title: Care ManagerAbout Complete HealthComplete Health is a leading healthcare organization dedicated to providing exceptional care to our patients with chronic conditions. As a Care Manager, you will be a vital member of our team, working closely with our Director of Value Based Care and other healthcare professionals to ensure that our patients...
-
Business Analyst
3 weeks ago
Hanover, United States Johns Hopkins Medicine Full timeJohns Hopkins Health Plans is a leader in provider-sponsored health plans. If you are interested in improving how healthcare is delivered, and have a passion to be at the forefront of change, JHHP is the place to call home. YOU belong here. What awaits you: Work-life balance - This is a hybrid role requiring you to work 1 day per week in the...
-
Program Director, Process Excellence
5 days ago
Hanover, United States Johns Hopkins Medicine Full timeJohns Hopkins Health Plans is a leader in provider-sponsored health plans. If you are interested in improving how healthcare is delivered, and have a passion to be at the forefront of change, JHHP is the place to call home. YOU belong here. What awaits you: Work-life balance - This is a hybrid role requiring you to work 1 day per week in the Hanover, MD...
-
Call Center Agent-Healthcare
1 week ago
Hanover, United States Johns Hopkins Medicine Full timeWho you are: You are patient. You have excellent listening skills. You are passionate about providing exceptional customer service and you understand the importance of your role as a Customer Care Representative and the impact it has on our Medicare Advantage members. You are flexible and can adapt to change to ensure our members receive the best...
-
Director of Print Operations
3 months ago
Hanover, United States L2 Brands Full timeJob DescriptionJob DescriptionL2 Brands is a leading designer, manufacturer and marketer of high-quality, custom-logo apparel, headwear and home décor serving the large and growing Collegiate, Resort/Destination, Golf and Corporate markets. For over 30 years, L2 Brands, through its League, Legacy, Ouray and Locale lifestyle brands, has created premium...
-
Director of Print Operations
2 weeks ago
Hanover, United States L2 Brands Full timeJob DescriptionJob DescriptionL2 Brands is a leading designer, manufacturer and marketer of high-quality, custom-logo apparel, headwear and home décor serving the large and growing Collegiate, Resort/Destination, Golf and Corporate markets. For over 30 years, L2 Brands, through its League, Legacy, Ouray and Locale lifestyle brands, has created premium...
-
R2R Gross to Net Accounting Associate Director
4 weeks ago
East Hanover, United States Trioptus Full timeJob DescriptionJob DescriptionJob Title: R2R Gross to Net Accounting Associate DirectorLocation: East Hanover, NJJob Purpose:The Associate Director Gross to Net Accounting will handle complex and material dollar areas in Gross to Net such as Medicaid Rebates, Managed Care Rebates, Medicare Rebates, Doughnut Hole, copays, vouchers, chargebacks and/or returns....
-
Product Packaging Specialist
2 weeks ago
Hanover, Pennsylvania, United States Equity Packaging Full timePosition: Product Packaging SpecialistThis is a permanent opportunity with Equity Packaging.Location: We are primarily seeking candidates who can work onsite. However, we are open to considering well-qualified candidates for remote work arrangements.The selected individual will oversee packaging development initiatives from conception to production (launch)....
-
Product Engineer
1 month ago
Hanover, United States System One Full timeDirect hire (permanent) opportunity for a robotics packaging automation company in York, PA. Onsite Position Overview The Product Engineer will work with a leader in primary and secondary packaging machinery for the food manufacturing industry using cutting-edge robotics technology. We have an exceptional customer-focused, problem-solving, and...
-
Program Director PMO
2 months ago
Hanover, United States Johns Hopkins Medicine Full timeJohns Hopkins Health Plans is a leader in provider-sponsored health plans. If you are interested in improving how healthcare is delivered, and have a passion to be at the forefront of change, JHHP is the place to call home. YOU belong here. What awaits you: Work-life balance - This is a hybrid role requiring you to work 1 day per week in the...
-
Mind and Memory Director
3 weeks ago
Hanover, United States Benchmark Senior Living Full timeJoining the Benchmark Senior Living team means putting your passion to work. Our associates feel a sense of belonging with the care that they provide, empowered by the open and reliable team that surrounds them. Our diverse and skilled workforce takes immense pride in a shared commitment: a devotion to providing caring and dedicated service. In our...
-
Actuarial Business Consultant
2 months ago
Hanover, United States Elevance Health Full timeAnticipated End Date:2024-08-26Position Title:Actuarial Business Consultant - Risk AdjustmentJob Description:Location: This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.Preferred Location: Hanover, MD.The Actuarial Business Consultant will complete the...
-
Hanover, United States Johns Hopkins Medicine Full timeJob Summary Under the direction of the Associate Chief Medical Officer, Quality & Transformation, this execution-focused position of the Quality Performance Director, for Medicaid, USFHP & EHP will support quality performance management for the Medicaid line of business, Priority Partners Managed Care organization (PPMCO), TRICARE Prime (USFHP), and...
-
Business Development Director
3 days ago
East Hanover, New Jersey, United States PrideStaff Full timePrideStaff is seeking a seasoned Director of Business Development to join our team in a direct hire position. The ideal candidate will have a strong background in field sales, with a minimum of 10 years of experience in manufacturing companies that service medical device industries.Key Responsibilities:Develop and execute business growth strategies to drive...
-
Healthcare Development Professional
1 month ago
Hanover, United States VISITING NURSE ASSOCIATION OF HANOVER AND SPRING GROVE INC Full timeJob DescriptionJob DescriptionThe Healthcare Development Professional will play a crucial role in the growth and sustainability of our Home Health and Hospice Agency. This individual will be responsible for managing and executing the agency’s development and marketing strategies, focusing on building and maintaining relationships with referral sources,...
-
Director-Talent & Client Onboarding Experience
3 months ago
Hanover, United States Allegis Group Full timeOverview Job Summary: The Director, GEA Talent and Client Onboarding Experience is responsible for several critical business differentiators for Allegis Group: talent onboarding, client onboarding via contract lifecycle management (CLM), and the OpCo Enablement function. In addition, the Front Office shared services of DevOps, Production support,...
-
Production Engineering Team Leader
2 weeks ago
Hanover, Pennsylvania, United States SKF Full timeProduction Engineering Team Leader3rd Shift Location: Hanover, PAAbout SKF:SKF has been a pioneer in engineering since 1907.As a leading manufacturer, SKF fosters a culture of inclusivity, where our workforce thrives in an environment that encourages leadership development and career advancement. Our innovative bearings have been crucial in significant...
-
Traditional Care Director
2 months ago
Hanover, United States Benchmark Senior Living Full timeJoining the Benchmark Senior Living team means putting your passion to work. Our associates feel a sense of belonging with the care that they provide, empowered by the open and reliable team that surrounds them. Our diverse and skilled workforce takes immense pride in a shared commitment: a devotion to providing caring and dedicated service. In our...