Product Solutions Manager III

Nexlogica; Remote; IDR 1.333.555.000 - 1.666.945.000; Full time

Job summary

A healthcare solutions company is seeking a Product Solutions Manager III to support product strategy and manage regulatory requirements. The ideal candidate has over 5 years of experience in product development or management and must possess deep knowledge of regulatory guidelines in the healthcare space. You will lead initiatives, conduct training, and implement strategies for ongoing product lines, ensuring alignment with organizational goals and enhancing operational efficiency.

Qualifications

• 5-7 years of relevant experience in product development/management.
• Experience with healthcare regulatory guidelines.
• Experience in Medicare Advantage and duals population.

Responsibilities

• Lead product strategy and support various operational functions.
• Evaluate and implement regulatory changes.
• Develop and design processes that align business needs.

Skills

Deep knowledge of product development life cycle

Advanced MS Office skills

Excellent communication skills

Ability to interpret data sets

Education

Bachelor’s Degree in Public Administration or Related Field

Tools

MS Excel

MS PowerPoint

MS Project

MS Visio

Job description

Job ID# 18222 – Posted 9/14/22 – Remote, CA

Position Description

The Product Solutions Manager III is responsible for assisting the product leadership team within the Product Strategy, Sales and Marketing (PSSM) service area and the enterprise. The Product Solutions Manager III leads in supporting ongoing operations of the assigned product lines in bridging the gap between state requirements and required transformation of future state alternatives. The position will navigate the regulatory/legislative and market environment to drive desired performance levels to balance short-term business needs with long-term innovative solutions to ensure achievement of enterprise strategic goals. Work with management to identify and lead products, programs and initiatives that support achievement of organizational goals and objectives that align with and support enterprise strategic directions. Acts as a Subject Matter Expert, serves as a resource and mentor for other staff.

Duties

• Supports the assigned product lines in policy and regulatory efforts.
• Evaluates policy and regulatory changes to identify impacts to current processes and supports implementation initiatives.
• Assesses market strategy white papers, Legal memos, legislation/mandate language, regulatory changes and/or regulator model contracts and provides impact recommendations, feasibility and execution plan.
• Responsible for defining product strategy and positioning.
• Drives design, feasibility and definition of new innovations and manages the ongoing evolution, growth, and strategic direction of the assigned PSSM unit and its portfolio.
• Conducts cost/benefit analyses, needs assessment and data analysis in order to align strategy, design and business solutions with business objectives.
• Leads and documents requirement sessions/JAD sessions.
• Manages cross-functional partnerships with stakeholders responsible for quality measures and policy initiatives.
• Reviews data to monitor product performance and identifies areas for cost containment initiatives and develops improvement plans.
• Develops and designs processes and product requirements that support business needs.
• Designs methods for integrating function and process including improvement opportunities and development performance improvement plans with business units.
• Supports business units on developing and executing process improvement plans, monitoring programs and enhancements to promote efficiency, quality, and compliance.
• Partners with functional areas to involve day-to-day issues impacting product performance.
• Orchestrates, plans and executes end-to-end cycle strategy, including complex development and implementation efforts for the assigned line of business and their products (on/off exchange).
• Identifies gaps in operational processes that impact quality scores, enrollment, revenue and member retention.
• Designs appropriate mitigation and contingency plans.
• Leads efforts to identify best practices to drive product integrity and efficiency.
• Validates functional area readiness for effective administration of benefits and transactions for the upcoming plan year, including creation, scope and execution for enhancements and/or product cycle implementations.
• Develops and conducts training on unit processes for lower-tiered positions.

Skills Required

• Must have deep knowledge and ability to apply principles of the product development life cycle (PDLC) discipline and process for development and implementation of new products and/or enhancements.
• Requires deep knowledge of product development life cycle discipline.
• Knowledge of product management and strategic planning concepts.
• Able to use advanced features of MS Office including Excel, PowerPoint, Word, MS Project, Visio.
• Ability to manage risk through change control and/or escalation protocols if necessary.
• Excellent interpersonal, motivational, and communication skills.
• Excellent written and verbal communication and presentation skills.
• Ability to serve as member on or lead cross-functional implementation or project teams.
• Ability to interpret data sets and forecast future revenue streams.

Experience Required

• At least 5-7 years of relevant experience in product development/management.
• Risk management and mitigating planning experience.
• Must have experience and knowledge with regulatory guidelines governing product lines; leads regulatory filing process for new/custom product initiatives.
• Working knowledge of the company’s healthcare products, functions and regulatory guidelines.
• Experience and knowledge in CMC / D-SNP policy and product lines of business.
• Experience in improving Stars and Quality Measures.
• Experience in Medicare Advantage, with experience serving duals population.
• Direct experience in Medicare and Duals program administration including stars, quality, financial performance review, operational functions (claims, enrollment, readiness).
• Experience serving Medi-Cal population.
• Experience working in Commercial and Group Product Health Plans.

Education Required

Bachelor’s Degree in Public Administration or Related Field

Please send your resume and any additional information to our recruitment team at [e-mail]