Vice President Jobs

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This senior level position works with multiple cross-organizational teams and is responsible for developing and managing healthcare products within government programs lines of business (i.e. Medicare Advantage HMO, Special Needs Plans) to meet members needs and ensure product growth and profitability. This includes leading product development and product management activities including defining, developing and implementing the strategic product direction and promotion for both existing and next generation product offerings. This is accomplished through setting long-term product strategy and roadmap, conducting market research, competitive analysis, developing product plans and pricing, directing their implementation, monitoring results, and taking corrective actions. Direct and hands-on involvement with driving current product solutions may be needed. Creating and driving offerings that meet the needs of all Medicare beneficiaries including curation of supplemental benefits while ensuring compliance with State and Federal regulations. Responsible for supplemental benefit vendor relations and operational management.

What’s in it for you?

1. A competitive compensation and benefits program
2. Stock options
3. Flexibility to work remotely
4. 15% Annual Incentive Plan bonus
5. Generous 17 days of paid-time-off (PTO)
6. Eleven (11) paid holidays per year
7. Excellent 401k saving plan, employer provides up to 4% match and employer contribution match is 100% immediately vested

Functions & Job Responsibilities

• Lead and supervise product development, including the market research, competitive analysis, product and compliance requirements, review of materials for accuracy and consistency, and the data and research to support decisions in collaboration with Sales, Compliance, Marketing and Provider Network.
• Provide leadership and guidance in analyzing sales areas and opportunities in collaboration with the Sales, Actuarial, Underwriting, Analytics, Provider Network, and Compliance teams in the design and analysis of plan designs and networks, relying on industry research, historical product performance and market trends.
• Responsible for supplemental benefit vendor relations and operational management.
• Ensure business requirements are accurately identified in alignment with current product framework and capabilities; including the identification of new product opportunities
• Prepare and deliver presentations to management, members, brokers and external audiences to solicit support in the development, implementation or continued monitoring of products
• Identify opportunities for enhancement, efficiency, or standardization within the business, managing the long-term success and sustainability of those initiatives, and directing continuous improvement of the business.
• Develop benefit reports for key stakeholders such as IPAs
• Provide consultation to all internal areas with regard to product designs, and internal and vendor partner capabilities.
• Proactively identify opportunities for lines of business performance improvement and risk mitigation, with the support of Finance and other cross-functional teams, along with supporting analytics, action plans, and KPIs.
• Develop and execute Medicare product strategy, product development and multi-year product roadmap for all Medicare products to achieve product and line of business goals, and effectively promote senior products and services.
• Drives the annual bid process. Ensures bids are accurately filed, data and source files for the organization are clean and consistent.
• Develop and maintain subject matter expertise related to Medicare Advantage service area expansions, notice of intent to apply, bid and implementation planning.
• Lead and facilitate cross-functional teams to meet overall stakeholder expectations and plan's objectives. Responsible for planning and scheduling project goals, milestones, deliverables, and reporting progress as well as risks to management stakeholders.
• Responsible for implementation of new capabilities and services offered through incremental supplemental benefits
• Communicate complex strategies, analyses, and opportunities in digestible, actionable, and audience appropriate forms that drive expected results.
• Other duties as assigned

Leadership Expectations

By way of leadership approach, mobilize others to create extraordinary results, and unite people to turn challenges into successes by championing the following:

1. Model the Way:

• Set the example by aligning actions with shared values
• Clarify values by finding your voice and affirming shared values

2. Inspire a Shared Vision

• Envision the future by imagining and sharing exciting possibilities
• Enlist others in a common vision by appealing to shared ambitions

3. Challenge the Process

• Search for opportunities by seizing the initiative and looking outward for innovative ways to improve
• Experiment and take risks by consistently generating small wins and learning from experience

4. Enable Others to Act

• Foster collaboration by building trust and facilitating relationships
• Strengthen others by increasing self-determination and developing competence

5. Encourage the Heart

• Celebrate the values and victories by creating a spirit of community
• Recognize contributions by showing appreciation for individual excellence

#LI-Remote

Qualifications

Required Qualifications

Education and Experience:

• Seven (7) years’ experience with the development, delivery and administration of Medicare products and programs
• Ten (10) years’ leadership experience working with Medicare programs, preferably in health insurance or health services
• Minimum of five (5) years’ experience in managing overall performance of Medicare product delivery including but not limited to P&L, growth, and operational excellence
• Bachelor’s degree or advanced degree in Healthcare, Business Administration or related field

Skills:

• Ability to quantify impact and ROI of initiatives
• Strong skills in listening, oral, and written communications
• Ability to work independently as well as collaborate in groups
• Strong analytical skills; ability to synthesize information and report on trends
• Knowledge of health payer operations and customer operations
• Ability to effectively communicate in multiple formats to varied audiences on a variety of complex topics
• Effectively able to communicate and influence at all levels of the organization and with vendors
• Ability to develop, distribute and administer Medicare programs in a compliant manner
• Advanced knowledge of federal, state, CMS and other legislative and regulatory requirements
• Experience in creating an effective team environment and building strong cross-functional relationships
• Advanced knowledge of Medicare within the health insurance industry
• Ability to think innovatively and creatively solve complex problems while motivating others to do the same

Physical & Working Environment.

Physical requirements needed to perform the essential functions of the job, with or without reasonable accommodation:

• Ability to operate a keyboard, mouse, phone and perform repetitive motion (keyboard); writing (note-taking)
• Must be able to travel when needed or required
• Ability to sit for long periods; stand, sit, reach, bend, lift up to fifteen (15) lbs.

Ability to express or exchange ideas to impart information to the public and to convey detailed instructions to staff accurately and quickly.

Work is performed in an office environment and/or remotely. The job involves frequent contact with staff and public. May occasionally be required to work irregular hours based on the needs of the business.

Clever Care Health Plan is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.

Salary ranges posted on the job posting are based on California wages. Salary may be higher or lower depending on the candidate’s state residency.