Product Development Manager - Health Plan

Responsibilities

Prominence Health is a value-based care organization bridging the gap between affiliated health systems and independent providers, building trust and collaboration between the two. Prominence Health creates value for populations and providers to strengthen integrated partnership, advance market opportunities, and improve outcomes for our patients and members. Founded in 1993, Prominence Health started as a health maintenance organization (HMO) and was acquired by a subsidiary of Universal Health Services, Inc.

(UHS) in 2014. Prominence Health serves members, physicians, and health systems across Medicare, Medicare Advantage, Accountable Care Organizations, and commercial payer partnerships. Prominence Health is committed to transforming healthcare delivery by improving health outcomes while controlling costs and enhancing the patient experience.

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The Senior Manager of Product Development is pivotal to guiding our product strategy by orchestrating collaboration with business leaders, technical teams, actuarial stakeholders, and external partners. The role demands expertise in advancing product design based on market analysis, aligning with the company’s strategic goals, ensuring adherence to regulatory timelines for product filings, and staying updated with ever-evolving industry trends.

This role calls for development, organization, and facilitation of Prominence Health Plan's commercial and Medicare Advantage products, system and infrastructure improvements, and vendor selection and implementation. Reporting directly to the Chief Revenue Officer, the Senior Manager will provide essential support to the organizational business teams in the development, implementation, and compliance of new and renewing commercial and Medicare clients, products, and vendors.

Responsibilities encompass three core components of the job:

• Program Delivery
• Bid and AEP Project Management
• Product Analysis
• Product Insights and Market Intelligence
• Tracking financial and growth impact of benefit changes
• CMS/Regulatory Deliverables
• Regulatory Submissions
• SNP Model of care management

This role will provide crucial support to the organizational business teams in the development, implementation, and compliance of new and renewing commercial and Medicare clients, products, and vendors. Additionally, you will play a vital role in the development and production of required plan documents and the entry of plan filing documents into SERFF, HPMS, and CMS Bid tools.

The Senior Manager of Product Development is expected to live at both the tactical layer, as well as the strategic layer. In the tactical layer, this role will work directly with internal and external customers to initiate, plan, execute and manage product development and implementation initiatives to accomplish overall business, client, and vendor objectives. In the strategic layer, the Senior Manager is responsible for working with Sales and our executive team on competitive positioning, growth objectives, and plan optimization.

The Senior Manager will also assist in training and education for new products, opportunities, and related topics as needed. It requires skillful engagement of stakeholders across the organization, and ensuring deliverables from all teams (as they relate to Commercial and MA product objectives) are being met.

• Loan Forgiveness Program
• Challenging and rewarding work environment
• Competitive Compensation & Generous Paid Time Off
• Excellent Medical, Dental, Vision and Prescription Drug Plans
• 401(K) with company match and discounted stock plan
• SoFi Student Loan Refinancing Program
• Career development opportunities within UHS and its 300+ Subsidiaries! More information is available on our Benefits Guest Website:

One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies.…