Senior Manager, Dual Eligible Markets Product Strategy

Key Responsibilities/Duties – what you will be doing:

• Develop strategies to support growth and performance of the Duals Line of Business, including

  • Identifying operational performance improvement opportunities to drive administrative efficiency, financial management, improved member and provider experience, and quality

  • Developing the provider network strategy for long term services and supports (LTSS), including network management, development of new contracting models, and provider engagement models

  • Evaluating new product opportunities and growth initiatives (e.g., new products, partnerships, sales/marketing initiatives, new markets)

  • Leading cross-functional assessments to understand strategic implications and operational requirements associated with new opportunities and initiatives

  • Presenting findings to and facilitate strategic decision making with senior leaders and external stakeholders (e.g., government agencies, providers)

• Leading the implementation and ongoing monitoring of product requirements and initiatives across a highly-matrixed organization to ensure products are delivered in a manner that is compliant with regulatory requirements and supportive of the growth and performance objectives of the line of business

• Serve as product subject matter expert to enterprise on Duals products

• Lead the collaboration process with PMO, and other key stakeholders to develop implementation plans for product opportunities

• Develop collaborative relationships with the internal stakeholders to assess legal, compliance, operational, clinical/care model, consumer, and network considerations and business requirements. Build alignment with how their function-specific strategic goals tie to the product’s overall strategy

• Develop productive working relationships with a wide variety of external stakeholders, including providers, regulators, and advocates

• Support the ongoing iteration of existing strategic plans to ensure long-term success in the market

• Manage relationships with vendors and external consultants, including solicitation of proposals, vendor selection, and project oversight 

• Support professional development and day-to-day management of Managers and other staff in the department.

Qualifications – what you need to perform the job

Certification and Licensure

•  N/A

Education

• Required: (minimum) Bachelor’s degree in a related field

• Preferred: Master’s degree; MPH, MBA, or other master’s degree with healthcare or financial focus

Experience (minimum years required):

• Required: 8-10 years of professional experience

• Preferred: 8-10 years of experience in strategy, product development, management consulting, or project management with demonstrated execution of business case development and leadership of strategic initiatives.  Prior health industry experience is essential.  Health insurance experience.

Skill Requirements

• Must be a self-starter, be able to think creatively, take responsibility, be extremely resourceful, and have a high energy level.

• Must be able to work collaboratively across a highly matrixed organization, and drive progress through influence

• Exceptional problem solving across a wide range of business situations, including areas of high complexity and uncertainty

• Strategy development, including market assessment, competitive analysis, and business case development

• Superior analytical skills, including significant experience designing quantitative and qualitative data analyses, and financial management 

• Ability to understand, interpret and help drive the division’s end-to-end business model

• Excellent written and oral communication skills

• Strong project management and organizational skills, including prioritization and simultaneous management of multiple high-profile projects

• Strong stakeholder management skills and proven ability to develop relationships with cross-functional stakeholders, inclusive of external and clinical stakeholders Demonstrated ability to play a leadership role within an organization

• Familiarity with community-based care management, long-term services and supports, managed care industry, and dual eligible products and programs

• Experience with applicable software and database programs including Access, Excel, Word, PowerPoint

• Experience in product management, Agile, LEAN, performance improvement, human centered design, or related techniques

Working Conditions and Additional Requirements (include special requirements, e.g., lifting, travel):

• Must be able to work under normal office conditions and work from home as required.

• Work may require simultaneous use of a telephone/headset and PC/keyboard and sitting for extended durations.

• May be required to work additional hours beyond standard work schedule.

The above statements are intended to describe the general nature and level of work being performed by employees assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of employees assigned to this position. Management retains the discretion to add to or change the duties of the position at any time.