Administration & Executive Job In Irving, Texas
Manager Health Plans Product Management - Health Plan Admin
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Irving, Texas 75039 Type of Facility: Hospital
Summary:
At the direction of the Vice President of Product Management & Marketing Sales, CHRISTUS Health Plan (CHP), the Manager of Product Management (Manager) will provide a collaborative link between business strategy, operations, and technology teams, by designing, implementing, and maintaining health insurance products that help to achieve overall business objectives and goals. The Manager will work with stakeholders to prioritize and implement product and system enhancements to increase operational efficiencies, maintain compliance and increase the covered lives to the CHRISTUS Health System. The Manager is responsible for providing leadership and direction to the entire Product Management team. The Manager will ensure that roadblocks are removed, and decisions are made related to various tasks associated to the products.
Responsibilities:
- Keeps informed of both federal and state regulatory changes that impact operations and works with business stakeholders and technology partners to establish the best path to compliance.
- Represents CHRISTUS Health Plan with the regulatory agencies for the product and performs as the subject matter expert on technical, multi-stakeholder industry collaborations, such as the Health Plan Alliance and other industry groups.
- Provides leadership, product expertise and support for initiatives related to product development, compliance, operational and process improvements, claims management, vendor management, product documentation, fulfillment, and/or system releases.
- Collaborates with business stakeholders to establish, support and maintain member-facing functions and tools that enhance the member experience, improve member retention, and reduce operational overhead.
- Defines, tracks and communicates key product and financial performance indicators as required to track business results.
- Works with key stakeholders to make frequent and dynamic prioritization decisions based on the latest product information and product team metrics.
- Works within the product budget established in consultation with business sponsors and product management by balancing resources across the product team, but primarily to sustain product teams to deliver and enhance the product.
- Performs and assists in designing quantitative studies of trends in the supported products, benefits, plan performance on the Risk Adjustment, HEDIS Measures, CMS’s Five-Star Quality Ratings System, NCQA Plan Rating System, different population performance, and other program strategic initiatives and goals.
- Ensuring the delivery team is prepared to perform and service the product before and after the launch of a product.
- Act as the "keeper (and communicator) of the vision" to translate the product strategy and vision developed with business stakeholders into what the operational and technology teams must bear in mind every day to ensure they are fulfilling the requirements of the product.
- Works closely with product operational and technology teams to ensure product objectives and goals are being meet.
- Collaborates with other product owners, operational, and technology teams to avoid duplication and manage dependencies.
- Coordinates with other stakeholders such as ministry leadership, data and IT architects to align product and platform architectures and capabilities according to agreed goals.
- Performs other tasks as required or assigned.
Requirements:
- Bachelor’s Degree
- A strategic thinker and tactical executor who is able to drive results and organizational improvement through performance outcomes
- Accountable for decisions that impact the entire business
- Ability to work independently and with culturally diverse groups
- 7 or more years in the Health Insurance Industry
Work Type:
Full Time
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CHRISTUS Health is an international Catholic, faith-based, not-for-profit health system comprised of more than 600 services and facilities, including more than 60 hospitals and long-term care facilities, 350 clinics and outpatient centers, and dozens of other health ministries and ventures.
Sponsored by the Sisters of Charity of the Incarnate Word in Houston and San Antonio and the Sisters of the Holy Family of Nazareth, the mission of CHRISTUS Health is to extend the healing ministry of Jesus Christ.
To support our healthcare ministry, CHRISTUS Health employs approximately 45,000 Associates and has more than 15,000 physicians on staff who provide care and support for patients. CHRISTUS Health is listed among the top ten largest Catholic health systems in the United States.
EXTENDING THE HEALING MINISTRY OF JESUS CHRIST
We are inspired by our mission, vision and core values to deliver compassionate, high quality health care, improving the health of the communities we serve. Above all, we are committed to providing our customers and their family members with a truly unique healing experience, one that embodies our values and respects the dignity and worth of each person. Creating a health care system that is truly excellent in all areas is an ongoing effort.