Dual Eligible Markets Manager, Product strategy; P&L Manager

Duals Performance Manager, Product strategy

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Health

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Point
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Health is a leading not-for-profit health and well‑being organization dedicated to delivering high-quality, affordable healthcare. Serving nearly 2 million members, Point
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Health 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.

The Performance Manager (Product Strategy) is responsible for supporting product strategy design, planning, and end-to-end performance management for Point
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Health’s dual-eligible products, inclusive of products serving under and over 65 members in Massachusetts ("One Care" and "Senior Care Options"). The Performance Manager leads Duals Products performance 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, the Manager contributes to building presentations of key business cases and updates to the senior leadership team to facilitate strategic decision-making.

• Support ongoing product and market assessment, including analysis of product performance and competitors
• Monitor product performance throughout the year and provide data-driven performance improvement recommendations across a variety of domains including medical trend, financial and operational performance, member/provider experience, care management, network development and compliance
• Assess and support performance management of vendors as applicable (for new services and product enhancements)
• Develop and maintain oversight of product dashboard and necessary reporting for the product performance
• Drive analysis and reporting standardization, where applicable, across Duals products
• Support ad hoc analytical initiatives required to evaluate and improve product performance
• Communicate product performance to internal and external stakeholders, including senior leadership

• Support the Director of Product Strategy, working collaboratively with the Policy and Strategy Manager to develop recommendations to optimize product performance in alignment with strategic aims of the products
• Develop recommendations for annual product design changes in bid process
• Implement key elements of the product performance management approach including financial targets, growth targets, and key performance indicators for key initiatives
• Serve as the key liaison for Actuarial, Finance, Risk Adjustment, Corporate Data and Analytics, Medical Cost Management, and Pharmacy amongst others
• Serve as liaison with key external vendors impacting product performance, e.g., Cityblock
• Build product competencies, in collaboration with the Policy and Strategy manager of Product Strategy to ensure analysis design, assessment and performance takeaways are rooted in product operations and regulatory and policy…