Product Strategy Manager, Medicare

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 Product Strategy Manager, Medicare is responsible for supporting product strategy design, planning, and end-to-end performance management for Point32Health’s Medicare products, inclusive of Medicare Advantage (HMO, PPO) & Medicare Supplement.

The Manager leads Medicare Product’s key processes associated with the product performance management plan across a highly matrixed organization and a broad set of external stakeholders. This role works closely with a cross-section of division and enterprise business and functional teams (operations, clinical services, network management, finance, and actuarial, etc.) to ensure appropriate product management and successful performance tracking and performance improvement.

The Manager is responsible for supporting the development of key performance targets, the completion of required analytical initiatives and the creation of action-oriented performance improvement recommendations based on analytic findings.

Under the direction of the Director of Product Strategy (Medicare), the Manager contributes to building presentations of key business cases and updates to the senior leadership team to facilitate strategic decision-making.

Job Description

Key Responsibilities/Duties – what you will be doing (top five):

• Support the Director and Senior Manager of Product Strategy, working collaboratively with the Performance Manager of Product Strategy to develop recommendations which optimize product performance and delivery, ensuring alignment with contractual needs, and regulatory and policy landscape.
• Support ongoing product, policy, and market assessment, including consumer research, competitor assessment, and assessment of industry leaders
• Collaborate closely with key internal and external stakeholders, serving as a subject matter expert on the strategic priorities of the Duals products
• Engage internal stakeholders to assess legal, compliance, operational, consumer, and network considerations and business requirements relative to strategic goals
• Support the implementation of critical operational initiatives and best-practice solutions to ensure sustainable product management including Requests for Procurement (RFPs), care management strategies and integration of regulatory policy objectives and contract compliance
• Conduct regular policy and market scans to ensure product delivery and strategy is responsive to and reflective of policy landscape
• Serve as subject matter expert to all enterprise functions when questions arise regarding benefit delivery, product contracts, and state programs and policies
• Serve as the key product liaison for Government Affairs, Compliance, Product Administration, Marketing, and Community Engagement amongst others
• Other duties and projects as assigned.

Qualifications – what you need to perform the job

Certification and Licensure

Education

• Required: (minimum) Bachelor’s degree in a related field
• Preferred: Master’s degree: MPH, MBA

Experience

• Required: (minimum) 5-7 years of professional experience
• Preferred: 5-7 years of management experience

Skill Requirements

• Must possess maturity and a high degree of professionalism
• Must be able to operate in an environment that includes significant complexity and uncertainty
• Exceptional project management and stakeholder management skills
• Exceptional organizational and communication skills
• Must be a self-starter, be able to think creatively, take responsibility, be extremely resourceful, and have a high energy level
• Must be able to work cooperatively as a team member
• Quantita