Commercial Product Programs Manager I

IEHP; Rancho Cucamonga (CA); On-site; USD 80,059 - 106,059; Full time

Benefits offered by this job

Competitive salary

On-site fitness center

Medical insurance with dental and vis

Life, short-term, and long-termdisabil

Career advancement opportunities

Wellness programs

Flexible Spending Account – HealthCare

CalPERS retirement

457(b) plan with match

Paid life insurance

Pet care insurance

Job summary

IEHP is seeking a Special Programs Manager I - Commercial Products to advance its commercial product initiatives within the Medicare & Commercial domain. The role drives development, implementation, and regulatory compliance for Individual products through the Covered California marketplace and coordinates with multiple internal and external stakeholders.

As a liaison among Compliance, Finance, Actuarial, Sales, Enrollment, Operations, Claims, Provider Network, Marketing, and Covered California,

Qualifications

• Three years of experience in health plan product management, health insurance operations, regulatory affairs, or related healthcare field.
• Experience with Covered California, ACA products, or Individual Marketplace products preferred.
• Experience coordinating cross-functional healthcare projects preferred.
• Experience with benefit design, enrollment operations, or healthcare analytics preferred.
• Project Management certification or equivalent experience preferred.
• Bachelor’s degree in relevant field required.
• Master’s degree preferred.

Responsibilities

• Support development, implementation, maintenance, and regulatory compliance of Individual products offered through the Covered California marketplace.
• Serve as liaison between internal departments and external stakeholders to ensure product filings and regulatory compliance.
• Collaborate with Compliance, Finance, Actuarial, Sales, Enrollment, Operations, Claims, Provider Network, Marketing, and Covered California representatives to support annual product renewals, regulatory changes, and strategic initiatives.
• Align product performance with IEHP’s Mission, Core Values and Strategic Priorities as defined by IEHP Executives and Leadership.

Skills

Project management

LEAN methodologies

Managed care knowledge

CMS/Covered California knowledge

Interpersonal skills

Communication

Microsoft Office

Education

Bachelor’s degree in Business Administration / Healthcare Administration / Public Health / Finance or related field

Master’s degree preferred

Tools

Microsoft Office

Microsoft Project

Job description

IEHP is seeking a Special Programs Manager I - Commercial Products to advance its commercial product initiatives within the Medicare & Commercial domain. The role drives development, implementation, and regulatory compliance for Individual products through the Covered California marketplace and coordinates with multiple internal and external stakeholders.

As a liaison among Compliance, Finance, Actuarial, Sales, Enrollment, Operations, Claims, Provider Network, Marketing, and Covered California,