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Product Manager, Marketplace Products

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Metroplus Health PlanNewark, NJ
  • About NYC Health Hospitals MetroPlus Health Plan provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc.
  • As a wholly-owned subsidiary of NYC Health Hospitals, the largest public health system in the United States, MetroPlus' network includes over 27,000 primary care providers, specialists and participating clinics.
  • For more than 30 years, MetroPlus has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life.
  • Position Overview Reporting to the Head of Product, the Product Manager is responsible for the development, implementation & ongoing oversight of all Marketplace products (including Qualified Health Plans & Essential Plans) offered by MetroPlus Health.
  • The Product Manager will support key analytical activities to support the Plan's strategic position.
  • The Product Manager will be accountable for & own the full spectrum of product strategy & operations, remaining proactive in identifying opportunities for improvement.
  • Salary commensurate with experience and education Job Description
  • Manage the annual product filing process from start to finish including SERFF filings, completion & submission of the NYSoH invitation, and other regulatory requirements.
  • Provide oversight of plan & vendor operations as they relate to the Marketplace lines of business aligning outcomes to strategic goals & requirements.
  • Develop & track reports to ensure operational effectiveness.
  • Partner with operational departments including Claims, Customer Service, Finance, Enrollment, Vendor Management, & Medical Management to design processes/procedures ensuring effective & efficient operations.
  • Support key stakeholders in driving initiatives to meet operational, quality & customer satisfaction goals.
  • Maintain customer focus throughout Plan operations to ensure a seamless & excellent customer experience.
  • Partner with stakeholders at key regulatory agencies including DFS & NYSoH to ensure successful completion of all requirements including annual product filings & day to day enrollment/billing processes.
  • Identify & integrate operational best practices, partnering with key departments to optimize processes across the organization such as benefits administration, marketing & communications, customer experience.
  • Partner with internal & external stakeholders on key strategic, regulatory, & operational projects.
  • Perform competitive & market analysis & forecasting to inform product design to achieve optimal positioning & performance, partner with Marketing & communications to develop strategies to achieve goals.
  • Bachelor's degree from an accredited college or university in business, the sciences, humanities, public health/policy required.
  • Master's degree in business, healthcare or public administration strongly preferred.
  • Minimum 3 years experience at a Health Plan offering Marketplace coverage in a product management, compliance, regulatory, or operational role.
  • Experience working in cross-functional teams.
  • Demonstrated experience with SERFF filings in NYS, RADV, & interfacing with NYSoH.
  • Demonstrated experience developing & implementing sales & marketing strategies.
  • Demonstrated ability to develop workflows, policies, procedures.
  • Demonstrated ability to identify opportunities for improvement & implement solutions.
  • Excellent written & verbal communication skills.
  • Excellent analytical skills demonstrated by an ability to use actionable data to support decision-making, and to proactively identify opportunities.
  • Highly collaborative, and demonstrating good judgment in seeking consensus & input from multiple stakeholders to drive decision-making.
  • Ability to take initiative & think independently
  • Demonstrate understanding & acceptance of the MetroPlus Mission, Vision, & Values Professional Competencies
  • Ability to work effectively in a fast-paced & constantly evolving

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