Manages the development and management of Medicaid, Medicare, Part D and/or products, including the identification, evaluation, design, and rollout of new product offerings and product enhancements. Works through the organization as a product champion to measure and optimize product performance.
Serves as a product subject matter expert (SME), understanding all aspects of the product benefit design, administration, regulation (state and federal, as applicable), marketing requirements/restrictions, materials/communications, related financials, competitive landscape, etc.
Prepares strategic analysis of potential business and/or operational opportunities, including geographic expansion and new products.
Gathers and analyzes product intelligence, including key competitors, market trends, and industry innovations.
Drives the benefit design/product development process in coordination with Actuarial Services, National Contracting/Ancillary, Finance, and local market leadership., and other identified business partners.
Manages multiple product-related projects from end-to-end, including developing project plans, establishing deliverables and timelines, assigning responsibilities, facilitating meetings with impacted teams, holding team members accountable, and providing status reports.
Promotes product information to cross-functional teams to ensure each impacted area understands how the product functions and any related nuances.
Supports cross-functional teams with the necessary product knowledge and operational expertise to help achieve product-related goals for development, implementation, management, and growth of the product.
Helps with the development of training tools to support product design, regulatory filing, training, and execution.
Champions product performance excellence by active monitoring of product's performance, identifying issues and process improvements (financial, regulatory, and/or operational in nature) and working cross-functionally to assess impact, develop a remediation plan, and execute the plan.
Represents the team/department in cross-functional meetings and to external customers/business partners.
Provides product-related status reporting to management and stakeholders on a routine and ad hoc basis.
Supports the creation and maintenance of department/team policies and procedures.
Supports manager with the training and professional development of team members.
Performs special projects as assigned.
Required A Bachelor's Degree in a related field Marketing, Public Health or related field
Required or equivalent work experience 2 years of experience leading and/or supporting projects in healthcare and/or health insurance
Required 6 years of experience in Experience in leading projects in the following areas: Benefit Design, Benefit Management and/or Administration, Marketing and Sales, Strategic Planning, Product Management, Marketing Management, and/or Project Management. (Internal WellCare Associate would only require 5 years versus the 6 years)
Advanced Ability to communicate and make recommendations to upper management
Advanced Other Ability to create appropriate presentations based on audience needs
Advanced Ability to drive multiple projects
Advanced Ability to implement process improvements
Advanced Ability to influence internal and external constituents
Advanced Ability to lead/manage others in a matrixed environment
Advanced Ability to proof large bodies of materials
Advanced Ability to work in a fast paced environment with changing priorities
Advanced Ability to work within tight timeframes and meet strict deadlines
Advanced Demonstrated analytical skills
Advanced Demonstrated interpersonal/verbal communication skills
Advanced Demonstrated organizational skills
Advanced Demonstrated project management skills
Advanced Demonstrated time management and priority setting skills
Intermediate Other Strong leadership skills, including the ability to prioritize, delegate, assess risk and make recommendations.
Licenses and Certifications: A license in one of the following is required: Technical Skills:
Required Intermediate Microsoft Excel
Required Intermediate Microsoft Word
Required Intermediate Microsoft PowerPoint
Required Intermediate Microsoft Outlook
Required Advanced Other Knowledge of project planning software sufficient to document project steps and report progress
About us Headquartered in Tampa, Fla., WellCare Health Plans, Inc. (NYSE: WCG) focuses primarily on providing government-sponsored managed care services to families, children, seniors and individuals with complex medical needs primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug Plans, as well as individuals in the Health Insurance Marketplace. WellCare serves approximately 5.5 million members nationwide as of September 30, 2018. WellCare is a Fortune 500 company that employs nearly 12,000 associates across the country and was ranked a "World's Most Admired Company" in 2018 by Fortune magazine. For more information about WellCare, please visit the company's website at www.wellcare.com. EOE: All qualified applicants shall receive consideration for employment without regard to race, color, religion, creed, age, sex, pregnancy, veteran status, marital status, sexual orientation, gender identity or expression, national origin, ancestry, disability, genetic information, childbirth or related medical condition or other legally protected basis protected by applicable federal or state law except where a bona fide occupational qualification applies. Comprehensive Health Management, Inc. is an equal opportunity employer, M/F/D/V/SO.