Medicare Advantage Product Solutions Manager II

3 weeks ago


Los Angeles CA United States L.A. Care Health Plan Full time
Medicare Advantage Product Solutions Manager II

Job Category: Administrative, HR, Business Professionals

Location: Los Angeles, CA, US, 90017

Position Type: Full Time

Requisition ID: 11567

Salary Range: $88,854.00 (Min.) - $115,509.00 (Mid.) - $142,166.00 (Max.)

Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time.

Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.

The Product Solutions Manager II is responsible for working within the Product Strategy, Sales and Marketing (PSSM) service area to identify and implement projects, programs, and initiatives that support achievement of product and enterprise goals. The position works with management, business owners, and other key stakeholders to develop and manage the product go-to-market planning, prioritization, timelines, metrics/scorecards, budgets, Return of Investment (ROI) analysis, and working agreements for product initiatives.

Duties
  1. Develops, designs, and implements cyclical product life cycle activities and specific strategic initiatives in support of optimizing the member experience while managing the ongoing evolution and strategic direction of the product line.
  2. Supports efforts to identify product management best practices. Identifies impacted parties, business partners, and resources required. Develops and designs processes and product requirements that support business needs.
  3. Conducts analysis for roadmap creation, scope, and execution for cross-functional execution of initiatives.
  4. Orchestrates, plans, and executes end-to-end cycle strategy, development, and implementation efforts for the product line.
  5. Identifies potential risks, project charge, and scope. Recommends in design of appropriate mitigation and contingency plans.
  6. Provides product support to internal and external stakeholders for annual product launch.
  7. Manages daily processes related to the end-to-end development and fulfillment of required annual materials for welcome and sales kits.
  8. Performs other duties as assigned.
Education Required

Bachelor's Degree in Public Administration or Related Field. In lieu of degree, equivalent education and/or experience may be considered.

Education Preferred

Master's Degree in Public Administration or Related Field

Experience

Required: Minimum of 5 years of relevant experience in product management.

Skills

Required:
Requires deep knowledge of product development life cycle (PDLC) discipline. Must be familiar with regulatory guidelines governing product lines; leads regulatory filing process for new/custom product initiatives. Able to use advanced features of MS Office including Excel, PowerPoint, Word, MS Project, Visio. Excellent written and verbal communication and presentation skills. Ability to serve as a member on cross-functional implementation or project teams. Ability to interpret data sets and forecast future revenue streams. Excellent interpersonal, motivational, and communication skills; with success in leading cross-functional collaborative projects. Ability to collect, analyze, and recommend solutions using data and experience-driven decisions. Working knowledge of the company’s healthcare products, functions, and regulatory guidelines.

Licenses/Certifications Required Licenses/Certifications Preferred Required Training Physical Requirements

Light

Additional Information

Department Specifics: Product, Strategy, Sales & Marketing (PSSM): Preferred: Knowledge of healthcare product types inclusive of managed care and insurance products.

Additional duties include: Drives Intra-team development efforts for framework and delivery model ensuring alignment with Intra-team strategic goals and objectives set forward by CPO and Exec Owner.

Medicare: Required Medicare Advantage, with experience serving duals population. Direct experience in Medicare and Duals program administration including stars, quality, financial performance review, operational functions (claims, enrollment, readiness).

Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change.

L.A. Care offers a wide range of benefits including:

  • Paid Time Off (PTO)
  • Tuition Reimbursement
  • Retirement Plans
  • Medical, Dental and Vision
  • Wellness Program

Nearest Major Market: Los Angeles

Job Segment: Medicare, Claims, Healthcare, Insurance

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