Product Development Manager - Health Plan

Responsibilities

Prominence Health is a value-based care organization bridging the gap between affiliated health systems and independent providers, building trust and collaboration between the two. Prominence Health creates value for populations and providers to strengthen integrated partnership, advance market opportunities, and improve outcomes for our patients and members. Founded in 1993, Prominence Health started as a health maintenance organization (HMO) and was acquired by a subsidiary of Universal Health Services, Inc. (UHS) in 2014. Prominence Health serves members, physicians, and health systems across Medicare, Medicare Advantage, Accountable Care Organizations, and commercial payer partnerships. Prominence Health is committed to transforming healthcare delivery by improving health outcomes while controlling costs and enhancing the patient experience.

Learn more at: https://prominence-health.com/

Job Summary: 

The Senior Manager of Product Development is pivotal to guiding our product strategy by orchestrating collaboration with business leaders, technical teams, actuarial stakeholders, and external partners. The role demands expertise in advancing product design based on market analysis, aligning with the company’s strategic goals, ensuring adherence to regulatory timelines for product filings, and staying updated with ever-evolving industry trends.

This role calls for development, organization, and facilitation of Prominence Health Plan's commercial and Medicare Advantage products, system and infrastructure improvements, and vendor selection and implementation. Reporting directly to the Chief Revenue Officer, the Senior Manager will provide essential support to the organizational business teams in the development, implementation, and compliance of new and renewing commercial and Medicare clients, products, and vendors. Responsibilities encompass three core components of the job:

• Program Delivery

• Bid and AEP Project Management

• Product Analysis

• Product Insights and Market Intelligence
• Tracking financial and growth impact of benefit changes

• CMS/Regulatory Deliverables

• Regulatory Submissions
• SNP Model of care management

This role will provide crucial support to the organizational business teams in the development, implementation, and compliance of new and renewing commercial and Medicare clients, products, and vendors. Additionally, you will play a vital role in the development and production of required plan documents and the entry of plan filing documents into SERFF, HPMS, and CMS Bid tools.

The Senior Manager of Product Development is expected to live at both the tactical layer, as well as the strategic layer. In the tactical layer, this role will work directly with internal and external customers to initiate, plan, execute and manage product development and implementation initiatives to accomplish overall business, client, and vendor objectives. In the strategic layer, the Senior Manager is responsible for working with Sales and our executive team on competitive positioning, growth objectives, and plan optimization. The Senior Manager will also assist in training and education for new products, opportunities, and related topics as needed. It requires skillful engagement of stakeholders across the organization, and ensuring deliverables from all teams (as they relate to Commercial and MA product objectives) are being met.

Benefit Highlights:

• Loan Forgiveness Program 
• Challenging and rewarding work environment
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(K) with company match and discounted stock plan
• SoFi Student Loan Refinancing Program
• Career development opportunities within UHS and its 300+ Subsidiaries! · More information is available on our Benefits Guest Website: benefits.uhsguest.com

About Universal Health Services:

One of the nation’s largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World’s Most Admired Companies by Fortune; and listed in Forbes ranking of America’s Largest Public Companies. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. States, Washington, D.C., Puerto Rico and the United Kingdom. www.uhs.com

Qualifications

Qualifications and Requirements:

• Strong understanding of the health insurance industry, with a focus on fully-insured and self-funded commercial health insurance products.

Education:

• Bachelor's degree in healthcare administration, communications or business preferred. 

Experience:

• Five (5) years of experience in the health insurance industry (e.g., underwriting, product management, actuarial support, claims processing), with a focus on commercial health insurance. Equivalent experience in other related fields (e.g., financial services, consulting) may be considered.
• Minimum two (2) years of experience in managing the lifecycle of health insurance products, including product development, pricing, and compliance.

Knowledge, Skills and Abilities:

• Proficiency in gathering and interpreting empirical evidence, formulating recommendations, action plans and interventions to improve the overall organizational strategy.
• Simultaneous action at varying stages—initiation, follow through, and completion—on a number of different projects.
• Demonstrated ability to research, analyze and interpret state/federal regulations related to health insurance and healthcare.
• Demonstrated ability to communicate verbally and with technical writing in a way that effectively conveys project background, objectives, activities, evaluations, conclusions, and recommendations.
• Demonstrated skills in critical thinking, problem solving, and the analysis, interpretation and evaluation of complex information.
• Demonstrated ability to work independently with minimal supervision.
• Demonstrated ability to maintain effective collaborative working relationships with staff.
• Resourceful, detail-oriented, and able to assimilate and analyze a wide variety of information, often working under deadline pressure with a variety of levels of staff. 
• Strong project management skills.
• Computer Skills: Health Plan Management System (HPMS), System for Electronic Rates & Form Filings (SERFF), Smartsheet, SharePoint, Microsoft Office (Word, Excel, PowerPoint), and database software.
• Familiarity with continuous quality and performance improvement methodologies.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

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and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

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