Manager of Product Commercial Large

MEDICA HEALTH PLANS • Madison, WI • 2w ago

JOB REQUIREMENTS: Description Medica is a nonprofit health plan with
more than a million members that serves communities in Minnesota,
Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized
health care experiences and partner closely with providers to ensure
members are genuinely cared for. We\'re a team that owns our work with
accountability, makes data-driven decisions, embraces continuous
learning, and celebrates collaboration - because success is a team
sport. It\'s our mission to be there in the moments that matter most for
our members and employees. Join us in creating a community of connected
care, where coordinated, quality service is the norm and every member
feels valued. The Manager of Product is responsible for development,
implementation and ongoing management of a broad portfolio of Large
Group Fully Insured (LGFI) products, across four or more states (in
addition to possible expansion areas), within the Commercial Market
Division Segment, as well as management of direct report(s). This
Manager works with numerous Medica functional areas to determine the
market need and feasibility for development of new products,
enhancements to existing products, and all aspects of regulatory filings
at both the state and federal level. The Manager is responsible for
overall market success of the products, oversight of policy document
development, timely and accurate CMS and state submissions (and meeting
of requirements), and benefit structure. The Manager will set, maintain,
document and preserve intent of product and plan design. The Manager
works closely with segment leadership, sales, operations, compliance,
legal, network, finance, pharmacy, underwriting and actuarial, to
continuously improve market competitiveness and market position as
applicable, communicate and train staff on product details, and ensure
proper administration and understanding of product intent. The Manager
is subject matter expert on assigned product plan performance, including
membership, income, medical loss ratio (MLR) and operating margin, and
will work directly with internal leadership on strategies to improve
product performance. The incumbent contributes to the strategic planning
process for Medica\'s Commercial\'s product portfolio by identifying,
implementing and managing strategic partnerships and external vendors.
The Manager collaborates extensively with legal and governmental
agencies such as CMS, MN Department of Commerce and regulators in
multiple states. Performs other duties as assigned. Key Accountabilities
Product Strategy and Development (40%) Product Strategy and Project
Leadership: Leads product strategy and project teams to develop and
deliver Large Group Fully Insured (LGFI) product solutions. Collaborates
with segment leadership and functional leaders to address
product-related issues and identify opportunities for... For full info
follow application link. Equal Opportunity Employer including Veterans
and Disabled Individuals *** APPLICATION INSTRUCTIONS: Apply
Online: ipc.us/t/C16986BC95D246AE

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