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Product Development Specialist (Commercial)

Prominence Health

Reno (NV)

Remote

USD 60,000 - 100,000

Full time

30+ days ago

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Job summary

An established industry player is seeking a Product Development Specialist to enhance and innovate commercial health insurance products. This role is pivotal in managing the product lifecycle, from market analysis to compliance, ensuring that the offerings meet the needs of both providers and patients. With a commitment to transforming healthcare delivery, this position offers the flexibility of remote work, allowing you to contribute to meaningful change in the healthcare landscape. Join a forward-thinking organization that values collaboration and provides ample opportunities for career growth while making a significant impact on healthcare outcomes.

Benefits

Loan Forgiveness Program
Competitive Compensation
Generous Paid Time Off
Excellent Medical, Dental, Vision Plans
401(K) with company match
SoFi Student Loan Refinancing Program
Career development opportunities

Qualifications

  • 5+ years of experience in health insurance, focusing on product management.
  • Bachelor's degree preferred; relevant experience may substitute.

Responsibilities

  • Develop and implement commercial health insurance products.
  • Collaborate with stakeholders to ensure compliance with regulations.

Skills

Health Insurance Knowledge
Analytical Skills
Communication Skills
Problem-Solving Skills
Organizational Skills

Education

Bachelor's degree in Healthcare Administration
Bachelor's degree in Business Administration
Bachelor's degree in Economics
Bachelor's degree in Finance

Tools

Microsoft Office Suite
System for Electronic Rates & Form Filings (SERFF)
Health Plan Management System (HPMS)

Job description

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 Product Development Specialist – Commercial plays a crucial role in the development and implementation of new and existing fully-insured and self-funded commercial health insurance products. This position collaborates with internal and external stakeholders to ensure compliance with all relevant regulations. The Specialist will be responsible for various aspects of the product lifecycle, including market analysis, product filings, document development, and project management. This position offers flexibility and can be performed remotely from anywhere in the United States or from one of our office locations in Nevada or Texas.

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!

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, Business Administration, Economics, Finance, or a related field is preferred. Candidates with significant relevant work experience may be considered in lieu of a formal degree.

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.

Language Skills:

  • Excellent written and verbal communication skills in English.

Knowledge, Skills and Abilities:

  • Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint).
  • Experience with System for Electronic Rates & Form Filings (SERFF) and Health Plan Management System (HPMS).
  • Strong analytical and problem-solving skills; Ability to analyze data, identify trends, and draw meaningful conclusions.
  • Ability to effectively communicate with internal and external stakeholders.
  • Strong organizational and time-management skills. Ability to prioritize tasks, meet deadlines, and manage multiple projects simultaneously.
  • Proficiency in gathering and interpreting empirical evidence, formulating recommendations, action plans and interventions to improve the overall organizational strategy.
  • Demonstrated ability to work remotely with minimal supervision.
  • Demonstrated ability to maintain effective collaborative working relationships with staff.

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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