Senior Manager, Dual Eligible Markets Product Strategy

Who We Are

Point32Health is a leading not-for-profit health and well-being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point32Health builds on the legacy of Harvard Pilgrim Health Care and Tufts Health Plan to provide access to care and empower healthier lives for everyone. Our culture revolves around being a community of care and having shared values that guide our behaviors and decisions. We’ve had a long-standing commitment to inclusion and equal healthcare access and outcomes, regardless of background; it’s at the core of who we are. We value the rich mix of backgrounds, perspectives, and experiences of all of our colleagues, which helps us to provide service with empathy and better understand and meet the needs of the communities where we serve, live, and work. 

We enjoy the important work we do every day in service to our members, partners, colleagues and communities. Learn more about who we are at Point32Health.

Job Summary

The Senior Manager, Product Strategy works closely with the Director, Product Strategy to contribute to the development and execution of product strategy for Point32Health's dual eligible products, within the Government Markets division. The Senior Manager, working closely with the Director of Product Strategy, leads the ongoing iteration and operationalization of product strategy to drive growth and performance of the Duals Line of Business. The Senior Manager drives implementation of key strategic initiatives with internal and external stakeholders by collaborating with the Duals Product Team Managers and by working closely with with colleagues in Marketing, Finance, Actuarial, Network Contracting, Clinical Services, Compliance IT, and Operations to develop, implement and analyze the impact of potential product initiatives. The Senior Manager is responsible for managing relationships with any strategic partners necessary to achieve the chosen strategy, and/or project managing the implementation of any material performance improvement initiatives. The Senior Manager is responsible for the ongoing performance tracking and improvement of the chosen strategy, including identifying key performance indicators. The Senior Manager leads required analytical initiatives, develops action-oriented performance improvement recommendations, and ensures their implementation. Key elements of the product strategy include LTSS management, provider partnerships, product development, and general performance improvement of the existing portfolio.

Job Description

Key Responsibilities/Duties – what you will be doing:

• Develop strategies to support growth and financial performance of the Government Markets Division, including
  • Establishing key performance objectives, monitoring results, and providing data-driven strategic recommendations across a variety of domains including medical trend, financial and operational performance, member/provider experience, care management, network management and quality.
  • Evaluating new product opportunities and growth initiatives (e.g., new products, partnerships, sales/marketing initiatives, new markets) for the business using qualitative and quantitative analyses of competitor, consumer, provider, regulatory, and financial information
  • Leading cross-functional assessments to understand strategic implications and operational requirements associated with new opportunities and initiatives by working closely with sales, marketing, network development, product administration, health plan operations, clinical services, and IT
  • Developing recommendations, inclusive of business cases, to optimize ongoing product positioning based on market data, business, and competitive intelligence data (e.g., IRR, NPV)
  • Presenting findings to and facilitate strategic decision making with senior leaders and external stakeholders (e.g., government agencies, provider groups)
• Perform ongoing analysis of Tufts Health Direct products performance and maintain a pulse on the market and other industry leaders to inform strategic initiatives
• Support the ongoing iteration of existing strategic plans to ensure long-term success in the market
• Monitor competitive and consumer landscape using public and proprietary sources of quantitative and qualitative data to identify and understand emerging trends and business opportunities, e.g., membership trend data, regulatory and financial filings, consumer research. Synthesize data of multiple types (quantitative and qualitative) and sources to produce consumer and market insights to drive product strategy (product, price, placement), sales and marketing strategy, innovation, and growth initiatives
• Develop collaborative rel