Health Plan Market Performance Leader

Jobskey ConsultancyHealth insurance

United States; PERMANENT WORK FROM HOMEFull-TimeManager

Salary not disclosed

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Job Details

Experience: 7 years in a market management, product management or segment strategy role, with at least 3 years in Qualified Health Plan / Individual and Family Plans, Medicaid, or Medicare. 2 years owning and managing P&L in healthcare (IFP preferred). 2 years market leadership within assigned market(s), strongly preferred in IFP business.
Required Skills: Product ManagementNegotiation

Hold a bachelor’s degree in business, healthcare, or a related field, or have equivalent experience; a master’s degree is preferred.
Have at least 7 years of experience in market management, product management, or segment strategy.
Have at least 3 years of experience in Qualified Health Plan / Individual and Family Plans, Medicaid, or Medicare.
Have 2 years of experience owning and managing healthcare P&L; IFP experience is preferred.
Have 2 years of market leadership experience within assigned markets; IFP experience is strongly preferred.
Demonstrate a track record of delivering bottom-line results through strategic plans.
Have experience executing membership and financial forecasting.
Understand contracting, product, provider relations, and medical management sufficiently to leverage support for customer solutions.
Be able to analyze competitors’ products, distribution systems, administrative and service capabilities, and marketing strategies.
Demonstrate experience creating and executing strategies for membership growth and targeted financial results.
Demonstrate leadership, influencing, and negotiation skills in a highly matrixed environment.
Have strong analytical skills, including the ability to assess data and formulate a business case.

Develop short- and long-term strategic plans for assigned markets to identify opportunities and support growth.
Own and proactively manage P&L for assigned markets, monitoring performance and driving corrective actions to meet targets.
Lead multi-year strategy and annual performance improvement plans for assigned markets.
Represent the IFP business in the market and build relationships with regulators, navigators, enrollment assistors, and nonprofit organizations.
Lead expansion into new rating areas within assigned markets, as applicable.
Develop annual and long-term membership and financial projections with Finance.
Assess local market dynamics, competition, and legislative developments.
Partner with marketing, advertising, and distribution partners to promote the brand in local markets.
Build partnerships and collaborate with internal stakeholders across network, contracting, medical management, distribution, risk management, pricing, product, and strategy.

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