The business problem Independent Health is looking to solve is the development and maintenance of Medicare products, including assessing market needs, considering future technology, competitor products/services, and the regulatory environment.
Requirements
- Strong understanding of Medicare guidelines, benefit design, and regulatory filing processes
- Ability to synthesize data into useful information and provide recommendations for action
- Strong analytical skills, attention to detail and organizational skills
- Successful project management experience with the ability to develop and execute project plans, manage time effectively and stay organized
- Excellent written and public speaking/group presentation skills for all levels
- Ability to present persuasive arguments related to product recommendations both verbally and in writing
- Experience working with government or regulatory agencies such as Centers for Medicare and Medicaid Services (CMS), Department of Health (DOH), Office of Mental Health (OMH), Office of Health Insurance Programs (OHIP), or Office of Medicaid Inspector General (OMIG)
Responsibilities
- Lead and/or participate in development and documentation of repeatable product development processes
- Evaluate current products, pricing, membership, financial performance, competitor information, and game theory in the development of an individual, small group, and large group product strategy
- Identify risks and opportunities in a timely manner, take initiative and respond quickly to take corrective action and/or maximize opportunities
- Ensure robust QA process is implemented and performed using available resources for regulatory filings
- Ensure operational efficiency through utilization of available systems and software to ensure accurate data management and oversight to downstream processes
- Function as subject matter expert in the review of proposed laws/regulations, providing interpretation and understanding of implications for the industry and Independent Health
- Manage development and maintenance efforts for Medicare policies and procedures to ensure compliance with requirements
Other
- Bachelor’s degree required
- Four (4) years of operational healthcare experience with a focus on Medicare programs
- Immigration or work visa sponsorship will not be provided for this position
- Excellent written and public speaking/group presentation skills for all levels
- Proven examples of displaying the IH values: Passionate, Caring, Respectful, Trustworthy, Collaborative and Accountable
