Senior Director, Products
Rancho Cucamonga, California
What you can expect!
Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!
Reporting to the Chief Operating Officer, the Senior Director of Products is responsible for the quality, compliance, and operational performance of IEHP's Commercial and Medicare Advantage products, including but not limited to the California Health Benefit Exchange plans and a Dual Eligible Special Needs (DSNP) plan. This position ensures products and services brought to the market are competitive and financially sustainable. The Senior Director serves as a subject matter expert, thought leader, and internal consultant for IEHP Executives and Departments. The incumbent delivers best-in-class performance while driving IEHP's product, pricing, and growth strategies ensuring product initiatives are aligned with IEHP's Mission, Core Values, and strategic priorities.
Commitment to Quality: The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.
Perks
IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more.
- Competitive salary.
- Hybrid schedule.
- State of the art fitness center on-site.
- Medical Insurance with Dental and Vision.
- Life, short-term, and long-term disability options
- Career advancement opportunities and professional development.
- Wellness programs that promote a healthy work-life balance.
- Flexible Spending Account – Health Care/Childcare
- CalPERS retirement
- 457(b) option with a contribution match
- Paid life insurance for employees
- Pet care insurance
Education & Requirements
- A minimum of ten (10) years of progressive experience in a leadership position within a health plan administration function, including a minimum of five (5) years of experience in a leadership role in commercial and Medicare Advantage markets and product development in a managed care setting
- Demonstrated experience with:
- ACA and Medicare Advantage health plan operations
- Covered CA or similar state-based health benefit exchange, both implementation and sustainment
- Taking a commercial or Medicare Advantage product from inception, design concept to market launch and stabilization
- Contracting, implementing, and managing Third Party Administrator or external vendors, including developing and managing service level agreements
- Working with brokers to achieve membership, margin, and market-share targets
- Bachelor’s degree from an accredited institution required
- Master’s degree from an accredited institution preferred
Key Qualifications
- Advanced knowledge and deep understanding of:
- Managed care, government programs, or other product lines
- Healthcare, health plans and/or health plan accreditation principles and practices, in directing operations within the organization
- Regulatory and compliance requirements related to commercial products, including but not limited to the California Knox-Keene Healthcare Service Plan Act and Regulations
- Health plan operations in a commercial plan environment
- Competitive landscape to develop market strategies
- Excellent interpersonal skills with a proven ability to interact effectively at all levels of the organization
- Excellent communication skills; verbal and written
- Excellent organization, process, and project management skills
- Strong organizational skills and attention to detail
- Excellent analytical skills with emphasis on utilization data to drive operational performance and financial performance
- Quantifying impact and ROI of initiatives preferred
- Proven ability to:
- Implement change in a consultative approach and maneuver in a matrix reporting environment
- Work independently and collaboratively within a team environment and matrix management structure to deliver results
- Manage multiple products within a commercial health plan and multiple projects with competing deadlines and changing priorities with proven execution against aggressive objectives
- Partner with external partners to execute goals and initiatives of the organization
- Work in a complex, rapidly evolving environment which requires high-level initiative, and judgment necessary to bring resolution to sensitive issues
- Communicate effectively to a variety of audiences in small or large group settings
Start your journey towards a thriving future with IEHP and apply TODAY!
Pay Range
- $220,043.20 USD Annually - $302,536.00 USD Annually