Overview
What you can expect!
Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!
Reporting to the Chief Operating Officer, the Senior Director of Commercial Products is responsible for the quality, compliance, and operational performance of IEHP's Health Exchanges (called Covered CA in California) and any new commercial products. This position ensures products and services brought to the market are competitive and financially sustainable. The Senior Director serves as a subject matter expert, thought leader, and internal consultant for IEHP Executives and Departments. The incumbent delivers best-in-class performance while driving IEHP's Commercial products, pricing, and growth strategies, ensuring that product initiatives are aligned with IEHP's Mission, Core Values, and strategic priorities.
Commitment to Quality: The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.
Additional Benefits
Perks
IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more.
- Competitive salary
- Hybrid schedule
- State of the art fitness center on-site
- Medical Insurance with Dental and Vision
- Life, short-term, and long-term disability options
- Career advancement opportunities and professional development
- Wellness programs that promote a healthy work-life balance
- Flexible Spending Account – Health Care/Childcare
- CalPERS retirement
- 457(b) option with a contribution match
- Paid life insurance for employees
- Pet care insurance
Key Responsibilities
Lead the product development, management, and implementation of the California Health Benefit Exchange and other commercial products. Partner with the Executive Leadership Team to ensure product and pricing strategies meet the organization’s strategic priorities. This includes collaboration with IEHP leaders to meet Quality, risk adjustment, retention, Network, Member Experience, etc. objectives.
In collaboration with the Vice President of Strategy, determine the overall growth goals, short-term and long-term strategies and roadmaps of the California Health Benefit Exchange and other commercial products.
Define and monitor product and operational KPIs/performance metrics, drive problem solving and root-cause analysis to systematically improve and sustain efficient operations. Spearhead continuous process and product performance improvements to meet changing regulatory, market, consumer, and provider demands. Ensure rigor and discipline in product lifecycle management, successfully completing the annual re-certification process.
Provide exemplary health care industry expertise, successfully integrate new growth opportunities into the organization and its operations, identify key areas of risks in product initiatives, build mitigation plans and drive results. When required, drive end-to-end product lifecycle for new products, program and/or service offerings for the California Health Benefit Exchange and other commercial products.
Provide technical guidance, consultation, and recommendations for improvement of the organization's policies, procedures, and practices for the California Health Benefit Exchange and other commercial products. Ensure appropriate and timely implementation of requirements through the continuous review of current industry trends, practices, regulations, applicable laws, and legislation.
Interface and serve as the organization's liaison with regulatory agencies and governmental agencies for the organization's California Health Benefit Exchange and other commercial products.
Provide regular updates and feedback on the status of product initiatives to Executives Leadership and impacted Team Members. Facilitate quarterly meetings with Executives and Leadership to ensure adequate understanding of accomplishments, risks, and barriers of current and newly identified initiatives.
Meet and communicate regularly with functional teams to resolve issues and manage negative trends with particular emphasis on Marketing, Sales, Enrollment, Member Services, Care Management, Provider Services, and Claims.
Provide direct leadership, oversight, and accountability for the annual renewal and implementation projects for the California Health Benefit Exchange and other commercial products. Develop a consolidated annual workplan including, but not limited to, key project m