Director of Medicare Advantage Product Development & Strategy

Job Responsibilities:

The Director of Medicare Advantage Product Development and Strategy for the Johns Hopkins Health Plan leads the development for growth and product strategies for the Medicare Advantage line of business. Business acumen with Medicare Advantage and Medicare is the foundation to understand drivers that deliver competitive products and drive growth while meeting corporate financial goals and objectives.

Role Accountabilities:

• Responsible for product and benefit strategies, competitive analysis, state and federal regulatory filings, benefit design, and annual filings for the Medicare Advantage Bid
• Ensure the product offerings achieve corporate goals to drive performance while keeping our Medicare Advantage Product competitive
• Ensure corporate approval for the filings and performance projections
• Collaborate with the Actuarial team to develop competitive and financially sound benefit filings
• Partner with Sales and Marketing, you will manage and deliver services to include:
  • Market segmentation
  • Enrollment forecasting
  • Go-to-market strategy
• Partner with Health Services and Provider contracting to ensure the program designs and network meet customer expectations and market demands
• Responsible for the vendor process associated with selecting, contracting, and evaluating benefit vendors
• Responsible for RFP development and response in relation to all products and services incorporated in Medicare Advantage Benefit Plan

Qualifications

• Bachelor’s degree in health administration, business, or a closely related field required, Advanced coursework and/or Master’s degree desirable
• 10+ years’ experience in Medicare Advantage/Managed Care/Health Insurance
  • Understanding Medicare Advantage business and financial drivers, product development, and federal and state regulatory requirements
• Relationship and project management experience
• Strong market knowledge of Medicare Advantage and Medicare
• Solid understanding of Medicare Advantage revenue and cost drivers
• Requires strong knowledge and exposure to Federal and State health care regulations, Medicare Advantage industry and managed care industry, including a working knowledge Medicare
• Professional level of knowledge of business, administrative, consulting, healthcare marketing and management theory
• Demonstrated leadership and team building skills
• Ability to effectively and professionally interact with diverse groups of people including senior leadership, high level external contacts, members, providers, business related associates and vendors
• Proven project management skills
• Negotiation skills
• Advanced knowledge of standard PC Word, PowerPoint, Excel

Salary Range: $165,000 to $190,000 per year. Compensation will be commensurate with equity and experience for roles of similar scope and responsibility.

We are committed to creating a welcoming and inclusive environment, where we embrace and celebrate our differences, where all employees feel valued, contribute to our mission of serving the community, and engage in equitable healthcare delivery and workforce practices.

Johns Hopkins Health System and its affiliates are drug-free workplace employers.