Senior Manager, Dual Eligible Markets Product Strategy

Senior Manager, Duals Product Strategy

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.

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 Point
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Health.

The Senior Manager, Duals Product Strategy works closely with the Director, Product Strategy to contribute to the development and execution of product strategy for Point
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Health's Dual Eligible Line of Business, within the Government Markets division. The Senior Manager is responsible for identifying and implementing strategic initiatives for Point
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Health's dual eligible products, which currently include the Tufts Health Plan Senior Care Options (FIDE SNP) and Tufts Health One Care (FIDE SNP). The Senior Manager, working closely with the Director of Product Strategy, leads the ongoing iteration and operationalization of product strategy to achieve the growth and performance goals established by the enterprise for the line of business. The Senior Manager is responsible for ensuring the strategy is successfully implemented internally, across a highly matrixed organization, and externally, with a broad set of stakeholders (e.g., providers, vendors, regulatory agencies, etc.).The

Senior Manager drives implementation of strategies by serving as the subject matter expert to the rest of the business with the support of the Manager of Product Performance and the Manager of Policy and Strategy. The Senior Manager works with colleagues in Marketing, Finance, Actuarial, Network Contracting, Clinical Services, Compliance, IT, and Operations to develop, implement and analyze the impact of 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.

Key elements of the product strategy include product design, care model, provider network, marketing strategy, and competitive positioning. In addition, the Senior Manager is responsible for understanding marketplace trends (consumer, competitor, provider) and assessing new product opportunities (products, services, partnerships, markets) and other growth initiatives in collaboration with the Director for Product Strategy.

• Develop strategies to support growth and performance of the Duals Line of Business, including

  • Identifying operational performance improvement opportunities to drive administrative efficiency, financial management, improved member and provider experience, and quality

  • Developing the provider network strategy for long term services and supports (LTSS), including network management, development of new contracting models, and provider engagement models

  • Evaluating new product opportunities and growth initiatives (e.g., new products, partnerships, sales/marketing initiatives, new markets)

  • Leading cross-functional assessments to understand strategic implications and operational requirements associated with new opportunities and initiatives

  • Presenting findings to and facilitate strategic decision making with senior leaders and external stakeholders (e.g., government agencies, providers)

• Leading the implementation and ongoing monitoring of product requirements and initiatives across a highly-matrixed organization to ensure products are delivered in a manner that is compliant with regulatory requirements and supportive of the growth and performance objectives of the line of business

• Serve as product subject matter expert to enterprise on Duals products

• Lead the collaboration process with PMO, and other key stakeholders to develop implementation plans for product opportunities

• Develop collaborative relationships with the internal stakeholders to assess legal, compliance, operational, clinical/care model, consumer, and network considerations and business requirements. Build alignment with how their function-specific strategic goals tie to the product's overall strategy

• Develop productive…