HealthPartners is looking to hire a Senior Product Consultant to support the strategic and market-facing aspects of product lifecycle management and lead the tactical implementation of Individual products, ensuring compliance with ACA standards and facilitating smooth product operations.
Requirements
- Knowledge and experience using personal computers and Microsoft products.
- Experience with ACA regulations, including QHP filing.
Responsibilities
- developing all forms, templates, and other materials that support annual Qualified Health Plan (QHP) filings, and internal implementation of Individual on and off-exchange products.
- leads the implementation process for product initiatives and coordinates and oversees development of processes that support assigned products and programs in concert with the Product Operations team.
- Ensures HealthPartners Commercial Individual products meet the ACA standards for certification as a Qualified Health Plan (QHP) as defined under the Affordable Care Act (ACA) and the Centers for Medicare & Medicaid Services (CMS).
- Leads and coordinates internal processes to ensure the timeliness and compliance with state and federal annual QHP product filing requirements in all applicable states and markets.
- Maintain existing commercial medical products and implement changes to commercial medical products in internal systems, supporting documents and forms, and external websites (purchaser portals and member portal).
- Annually review and update related policies and procedures, including state and federal regulatory and compliance updates/requirements/issues as it pertains to benefits and networks.
- Development of dashboard reports related to existing commercial products.
Other
- Bachelor’s degree Business, Marketing, or other related field.
- Minimum five years managed care or insurance product experience.
- Excellent organizational skills and ability to work independently.
- Excellent verbal and written communication skills.
- Excellent problem identification/solving skills.
