Press ENTER to skip to the job's description    

Req. No

88911

Job Title

Manager Health Plans Product Management

Market

CHRISTUS System Office

Category

General Operations

Facility

CHRISTUS Corp Irving Offices 919 and 909 Buildings

Address

919 Hidden Ridge
Irving, TX  75038
USView On A Map View Other Locations

Type

FULL TIME

Manager Health Plans Product Management Job in Irving

Summary:

At the direction of the Vice President of Product Management & Marketing Sales, CHRISTUS Health Plan (CHP), the Manager of Product Management (Manager) will provide a collaborative link between business strategy, operations, and technology teams, by designing, implementing, and maintaining health insurance products that help to achieve overall business objectives and goals. The Manager will work with stakeholders to prioritize and implement product and system enhancements to increase operational efficiencies, maintain compliance and increase the covered lives to the CHRISTUS Health System. The Manager is responsible for providing leadership and direction to the entire Product Management team. The Manager will ensure that roadblocks are removed, and decisions are made related to various tasks associated to the products. 

  • Keeps informed of both federal and state regulatory changes that impact operations, and works with business stakeholders and technology partners to establish the best path to compliance.
  • Represents CHRISTUS Health Plan with the regulatory agencies for the product and performs as the subject matter expert on technical, multi-stakeholder industry collaborations, such as the Health Plan Alliance and other industry groups.
  • Provides leadership, product expertise and support for initiatives related to product development, compliance, operational and process improvements, claims management, vendor management, product documentation, fulfillment, and/or system releases.
  • Collaborates with business stakeholders to establish, support and maintain member-facing functions and tools that enhance the member experience, improve member retention, and reduce operational overhead.
  • Defines, tracks and communicates key product and financial performance indicators as required to track business results.
  • Works with key stakeholders to make frequent and dynamic prioritization decisions based on the latest product information and product team metrics.
  • Works within the product budget established in consultation with business sponsors and product management by balancing resources across the product team, but primarily to sustain product teams to deliver and enhance the product.
  • Performs and assists in designing quantitative studies of trends in the supported products, benefits, plan performance on the Risk Adjustment, HEDIS Measures, CMS’s Five-Star Quality Ratings System, NCQA Plan Rating System, different population performance, and other program strategic initiatives and goals.
  • Ensuring the delivery team is prepared to perform and service the product before and after the launch of a product.
  • Act as the "keeper (and communicator) of the vision" to translate the product strategy and vision developed with business stakeholders into what the operational and technology teams must bear in mind every day to ensure they are fulfilling the requirements of the product.
  • Works closely with product operational and technology teams to ensure product objectives and goals are being meet.
  • Collaborates with other product owners, operational, and technology teams to avoid duplication and manage dependencies.
  • Coordinates with other stakeholders such as ministry leadership, data and IT architects to align product and platform architectures and capabilities according to agreed goals.
  • Performs other tasks as required or assigned.
  • Drives secondary research and qualitative and quantitative analysis to inform product design and development
  • Leads the annual bid cycle, working with Actuary, Pharmacy, Delegated Vendors, other Product teams, and operational stakeholders
  • Identifies critical topics for Medicare product strategy and leads efforts to drive decision-making, bringing clarity to sometimes ambiguous situations
  • Crafts and refines Executive-level presentations
  • Leads and facilitates working sessions for ideation and decision-making with multiple internal stakeholders to develop Medicare product strategy and plan for implementation. This includes preparing agendas, organizing presenters and materials, facilitating discussions, fostering constructive debate to drive to decisions, and identifying and tracking follow-ups.
  • Manage the progress and status of initiatives, including regular team meetings, updates to steering committees, and reporting progress to Health Plan leadership.
  • Build and maintain key internal and external relationships for successful development, implementation and operation of arrangements related to strategic program goals. 
  • Collaborates with business stakeholders to establish, support and maintain member-facing functions and tools that enhance the member experience, improve member retention, and reduce operational overhead. 

Requirements:

  • Bachelor’s degree in Business or related field
  • Master’s Degree Business Administration or related field, preferred
  • 7 or more years in the Health Insurance Industry
  • At least four years' experience working for a national Medicare Advantage organization
  • At least two years' experience with MA product design and strategy
  • Experience in the CMS Medicare bid cycle
  • Familiarity with CMS regulations regarding Medicare Advantage products
  • Demonstrated experience in success with managing large and complex projects
  • A strategic thinker and tactical executer who is able to drive results and organizational improvement through performance outcomes
  • Ability to work with culturally diverse groups
  • Pre-employment background check
  • Work independently. Accountable for decisions that impact the entire business

Work Type: 

Full Time

Apply Now
Current Associate? Click here to apply
Not ready to apply? Join our Talent Pool

Manager Health Plans Product Management