Director, Medicare Strategy and Development

Location
Richmond, VA
Salary
Competitive
Posted
Oct 27, 2020
Closes
Oct 30, 2020
Ref
140074BR
Function
Management
Industry
Healthcare
Hours
Full Time
Reporting to the Vice President of Medicare, the Director of Medicare Strategy and Development position will lead multiple cross-organizational teams through the product development process within Medicare lines of business, including but not limited to Medicare Advantage and Prescription Drug Plans, Value-Based Insurance Design (VBID) model participation, Special Needs Plans, and Medicare Supplement plans. Medicare Programs is seeking an accountable individual to work within Program Management and with the operational areas (Sales, Marketing, Finance, Claims, Provider Network, Member Services etc.) to develop and implement appropriate strategies and tactics to achieve our financial and membership goals. This individual would serve as the advocate for Medicare Programs when requesting financial resources shared services resources. This individual would also focus on achieving Medicare Program financial and membership outcomes.The ideal candidate has a strong understanding of health care market dynamics, competitive analysis and strategy, as well as a solid background in interpreting proposed and final regulations and rules that impact Medicare products.

Qualifications

Education Level
Bachelor's Level Degree OR
Bachelor's Level Degree - BUSINESS ADMINISTRATION OR
Bachelor's Level Degree - PUBLIC HEALTH OR
Master's Level Degree - Experience in lieu of education: Yes

Experience
Required: Managed Care - 5 years, Medicare - 5 years

Preferred: None, unless noted in the "Other" section below

License
None, unless noted in the "Other" section below

Skills
Required:

Preferred: None, unless noted in the "Other" section below

Other
Key Responsibilities-Demonstrates successful execution of business strategies for Optima Health Medicare products and services.-Participates in strategic partnerships and other growth activities to support Optima Health's business objectives.-Follows the latest industry developments and assist in the development of new products to support market opportunities and innovative services to drive growth, profitability and customer satisfaction. -Develops and monitors performance metrics to develop performance improvement tools and techniques. -Routinely analyzes data trends to inform the selection of product designs and benefit enhancements. -Provides leadership within multi-functional work groups for Medicare related initiatives in various stages of development.-Provides staff support and leadership to Medicare Development and Performance Program Managers and Analysts. -Demonstrates successful execution of business strategies for Optima Health Medicare products and services.-Participates in strategic partnerships and other growth activities to support Optima Health's business objectives.Education-A Master's Degree in Health Administration, Public Health, Business Administration or a related educational field is preferredCertification of Project Management Preferrred

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