Marketplace Program Director

Position Summary :

Responsible for developing and implementing Individual Marketplace products that result in achieving membership and margin targets for a purpose driven, integrated health plan.

Identify opportunities and challenges in the market while evaluating advancements and innovation to mitigate impediments, drive success and generate revenue.

This leader will work with internal partners (Sales and Marketing, Actuarial / Finance, Operations, Strategy) to launch profitable Marketplace products and initiatives.

Initially an individual contributor that will progress to managing and leading a team.

Essential Duties and Responsibilities :

• Own the product vision and roadmap, and communicate with C-level, board members, and other stakeholders. Single point of accountability on product portfolio development.
• Key responsibilities include product design, member communication, and conversion. Negotiate new and existing business relationships with vendors and oversee the execution, implementation and oversight of the terms of the contracts, including assigning resources and meeting budget.
• Lead cross-functional meetings with internal business areas and vendor partners to seek innovative solutions to business concerns and identify efficiencies.
• Identify, and assist in the targeted recruitment of, key staff members to enable timely and effective implementation of plan product in compliance with operational, financial, and regulatory requirements.
• Ensure timely submission of rate and policy bid and form filings to CMS and DOI.
• Demonstrate excellent oral and written communications through organizing, running, and participating in meetings and work teams, analysis and report generation, correspondence, and preparing and delivering presentations.
• Define and implement clear success metrics and Objectives and Key Results to measure product performance and team efficiency.

Conduct analysis of Marketplace data sources, including presentation of findings.

• Implement prioritization processes based on business ROI analysis in collaboration with business stakeholders to deliver impactful product solutions.
• Utilize data-driven insights for continual product improvement and innovation, staying ahead of market trends and user expectations.
• Provide ongoing management direction, feedback and coaching to staff on vision, priorities, projects, and individual performance and development.

Continuously train organization on new products and CMS requirements.

This job description in no way states or implies that these are the only duties performed by the employee occupying this position.

Employees will be required to perform any other job-related duties assigned by their supervisor or management.

Skills and Abilities :

• Strategic planning and vision
• Operational management
• Leadership and team development
• Stakeholder engagement and communication
• Performance measurement and evaluation

Physical Demands :

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit, use hands, reach with hands and arms, and talk or hear.

The employee is frequently required to stand, walk, and sit. The employee may occasionally be required to stoop, kneel, crouch or crawl.

The employee may occasionally lift and / or move up to 15 pounds.

Work Schedule :

As a continued effort to provide a safe and productive work environment, Community Care Plan is currently following a hybrid work schedule.

Staff are able to work from home 3 days a week and will report to the office 2 days a week. The company reserves the right to change the work schedules based on the company needs.

Work Environment :

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of the job.

The environment includes work inside / outside the office, travel to other offices, as well as domestic travel. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is usually moderate.

We are an equal opportunity employer who recruits, employs, trains, compensates and promotes regardless of age, color, disability, ethnicity, family or marital status, gender identity or expression, language, national origin, physical and mental ability, political affiliation, race, religion, sexual orientation, socio-economic status, veteran status, and other characteristics that make our employees unique.

We are committed to fostering, cultivating, and preserving a culture of diversity, equity, and inclusion.

Qualifications

• Proven capabilities in strategic planning and large-scale project management including developing, planning, executing, and measuring program results.
• Strong operational knowledge of and experience in ACA Marketplace products.
• Strong ability to lead through influence and build key organizational relationships. Experience working with and communicating with cross functional stakeholders to drive alignment across multiple departments.
• Advanced degree preferred plus 7+ years of health care leadership experience, preferably including 5 years of business experience in Marketplace Product Development, Operations, and / or Management.
• Able to think strategically, develop innovative and novel approaches to meet market needs and drive differentiation and new products.
30+ days ago