Intermountain Health · 10 hours ago
Director Product Development - Medicare Advantage
SelectHealth - Broomfield
Full-time
Hybrid
Director/Executive
$77.50/hr - $119.68/hr
8+ years expIntermountain Health is a healthcare organization seeking a Director of Medicare Advantage Product Development. This role is responsible for the strategic design and lifecycle management of Medicare Advantage products, ensuring they are financially viable, compliant, and competitive.
Health Care
Responsibilities
Lead the end-to-end development of Medicare Advantage products, including HMO and Special Needs Plans (SNPs)
Define product strategy based on market analysis, member needs, competitive intelligence, and organizational goals to ensure sustainability and profitability
Design benefit packages, supplemental benefits, and value-added offerings that differentiate products in the marketplace
With the actuarial and finance teams, lead and support CMS bid development, including benefit design, pricing inputs, and documentation
Partner with compliance, legal, and regulatory teams to address audits, inquiries, and regulatory changes
Collaborate with actuarial and finance teams to develop pricing strategies, evaluate product profitability, and manage medical cost trends in partnership with the clinical organization
Identify opportunities to improve financial and quality performance through benefit design and operational enhancements
Qualification
Required
Bachelor's degree in business, healthcare administration, public health, or a related field
8–10+ years of experience in Medicare Advantage product development, product management, or related roles
Demonstrated experience leading MA bid development and product strategy
Experience working within a health plan, managed care organization, or payer environment
Proven track record of successfully launching and managing Medicare Advantage product
Bid development
Medicare regulations
Risk adjustment knowledge
Medicare Stars knowledge
Strategic planning
Financial modeling
Leadership
Communication: Written and Verbal
Project management
Analytical skills
Problem solving skills
Preferred
Master's degree (MBA, MHA, MPH, or equivalent)
Experience with Special Needs Plans (DSNP, CSNP, ISNP)
Experience in value-based care models and provider partnerships including former experience with provider engagement models and incentives
Benefits
Sign-on and relocation bonus
Annual Pay for Performance (AP4P) Plan
Company
Intermountain Health
Intermountain Health is a Health Care cantre.
10001+ employees
H1B Sponsorship
Intermountain Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2024 (1)
Funding
Current Stage
Late StageLeadership Team
Brandon Plewe
Director of Development - Wasatch Back
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