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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates extensive experience in leading health benefit plan development and implementation, with a strong focus on Medicare Advantage and D-SNP products. Capable of managing product lifecycles, strategic planning, and cross-functional collaboration to drive membership growth and operational success.
Highest-signal resume keywords
Product ManagementStrategic PlanningProject ManagementMedicare Advantage KnowledgeHealth Plan Operations
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Product Development Life CycleData AnalysisMarket Strategy DevelopmentRegulatory ComplianceBenefit Design
Soft Skills
Interpersonal SkillsOrganizational SkillsCommunication SkillsNegotiation SkillsTeam Leadership
Tools & Technologies
Microsoft Office SuiteProject Management Software
Industry Keywords
Medicare/D-SNP ProductsHealth Plan DevelopmentAccreditation StandardsContractual RequirementsStakeholder Feedback
About the role
Key responsibilities & impact- Lead development and management of IEHP’s Medicare/D-SNP products across the full product lifecycle
- Ensure product alignment with strategy, performance metrics, regulatory requirements, contractual and licensing requirements, accreditation standards, and business requirements
- Support product implementation and strategic initiatives supporting Medicare/D-SNP membership growth objectives
- Work with division and department leaders to design products using industry research, historical performance, stakeholder feedback, and market trends
- Apply in-depth knowledge of product benefits, coverage, and regulatory requirements
- Lead ideation, planning, and implementation of new or enhanced benefits, products, programs, and pilots
- Provide research and analysis to executives and leaders on the strategic direction of Medicare/D-SNP products
- Develop and manage product lifecycle activities and strategic initiatives
- Develop product roadmaps, define scope and prioritization, and collaborate cross-functionally in a matrixed environment
- Identify execution risks, manage project changes and scope, and recommend mitigation and contingency plans
- Lead annual product launches, partnering with sales, marketing, growth, retention teams, delegated vendors, and frontline staff
- Deliver benefit training, explain benefit design, and oversee development and distribution of member materials
- Direct creation of sales and marketing collateral, program talking points, product education, and configuration and benefit display requirements
- Develop training materials and conduct annual and ongoing product training
- Coordinate product modifications and updates with divisions and departments
- Cultivate cross-organizational relationships to assess and prioritize upstream and downstream impacts
- Build and oversee the product manager team and provide training and skills development
- Hire, train, manage, and evaluate support staff and conduct performance reviews
- Perform other duties required for successful health plan operations and department business needs
Requirements
What you’ll need- A minimum of eight (8) years of experience leading health benefit plan development / implementation
- Experience with health plan operations
- Experience working within a matrix structure to deliver results
- Product management, strategic planning, and project management experience
- Demonstrated success launching products through the product lifecycle from concept ideation through launch while leading cross-functional collaborative teams
- Bachelor’s degree from an accredited institution required; in lieu of the required degree, a minimum of four (4) years of additional relevant work experience is required, in addition to the minimum experience requirements
- Master’s degree from an accredited institution preferred
- Advanced knowledge of Medicare Advantage, D-SNP, and other government programs
- Knowledge of health plan development, management, and implementation principles and practices
- Knowledge of health plan operations and regulatory and compliance requirements for Medicare Advantage and D-SNP
- Strong working knowledge of Covered California and commercial products
- Knowledge of IEHP’s current products
- Knowledge of competitive landscapes for developing market strategies
- Product development life cycle (PDLC) discipline
- Excellent interpersonal and motivational skills
- Excellent organizational skills and attention to detail
- Excellent verbal and written communication skills
- Skilled in Microsoft Office programs including Word, Excel, PowerPoint, Outlook, Access, and Project
- Ability to collect, analyze, and recommend solutions using data- and experience-driven decisions
- Ability to work in a complex, rapidly evolving environment requiring high-level initiative
- Ability to quickly adjust project deadlines or assignments
- Ability to work independently and collaboratively within a team environment
- Ability to effectively prioritize and manage multiple projects with competing deadlines
- Ability to apply knowledge and guide self
- Ability to interact effectively at all levels of the organization
- Ability to negotiate and resolve complex and sensitive issues with diplomacy and persuasiveness
Benefits
Comp & perks- Competitive salary
- State of the art fitness center on-site
- Medical Insurance with Dental and Vision
- Life, short-term, and long-term disability options
- Career advancement opportunities and professional development
- Wellness programs that promote a healthy work-life balance
- Flexible Spending Account – Health Care/Childcare
- CalPERS retirement
- 457(b) option with a contribution match
- Paid life insurance for employees
- Pet care insurance
- Hybrid work schedule: Monday and Friday remote