JOB SUMMARY:

The ACA State Based Exchange (SBE) product management director serves as the general manager for our ACA product offering in states utilizing State Based Exchange models, including our current Massachusetts market.  The director is responsible for managing the product throughout the product life cycle from planning to execution in support of organizational priorities.  The product director is accountable for the strategy, performance, and health of the markets they are assigned as well as leading growth efforts into new markets.  Within the structure of the product portfolio and under the direction of the Product Line Leader (VP), they are part of a team that also includes new product development, product marketing, member/provider communications, sales and insights. They also lead cross-organizational teams that execute on product priorities. To the broader Health Plan, they are the overall subject matter expert on their products and the value the product offers to stakeholder, members, the company, and members.     

KEY FUNCTIONS/RESPONSIBILITIES:

STRATEGY

• Maintains a deep understanding of their market, prospective customers and current members.
• Understands the product’s role in the organization’s mission, vision, strategy and yearly goals.
• Defines the product’s strategy to fit within the overall portfolio’s purpose.
• Maintains a relevant product value proposition and positioning.
• Builds a multi-year product roadmap for growth.
• Submits a yearly product business plan and playbook.
• Conducts yearly PRESTO analysis, product retrospective, competitive position, and SWOT
• Watches for market opportunities from open spaces, disruptions, partnerships and innovations.
• Keeps a close eye on traditional, indirect, and potential competitors to plan, adjust and respond.
• Understands the buyer’s and member’s needs in order to maintain a fair value exchange and promote the member choosing, retaining, deepening and recommending the product.
• Aligns the product strategy with the corporate priorities and integrates with the plans in new product development, marketing, sales, operations, finance, clinical, etc.
• Prepares reports and presentations on their product’s strategy to more senior management and cross-functional teams.
• Identifies, proposes, sponsor’s product growth initiatives necessary to achieve health plan growth goals, maintain the roadmap growth trajectory, and seize industry opportunities.
• Reviews to understand the political and regulatory environment in which the product lives.
• Sets a strategy for working with BMC, partners, and providers to drive growth and profitability.

 PERFORMANCE

• Manages and owns the P&L of the product.
• Manages product performance from a dashboard of KPIs that monitors the product’s past, current, trending performance.
• Plans for the product profitability working closely with actuarial to understand the pricing levers and options before approval of the pricing strategy.
• Reviews and understands product financials in order to drive product changes and inform business decisions.
• Conducts and reviews win/loss analysis to determine why shoppers did not buy or member’s remain to what steps they took in the buying process.
• Determine customer needs and determine effectiveness from an outside-in view by working with insights leaders and external sources.
• Attracts profitable members through segmentation, targeting, consumer marketing and sales by working with marketing and sales leaders.
• Works with performance data around market, usage, sales, service and operations to determine if product objectives are being reached.

HEALTH

• Makes key business decisions for the product resulting in maintaining a healthy condition.
• Provides subject matter expertise on the product to the company on its creation, composition, design, features, relevance, use, and role in the portfolio.
• Develops product impact views on policy positions and advocates for conditions that are favorable for the long term viability of the product by working with public partnerships, government affairs, legal and the regulator.
• Identifies gaps in operational state due to missing or inadequate capabilities, partnerships, internal staffing or processes by working with operations.
• Assesses the adequacy of the processes and platforms on which the product operates by working with technology and operational leaders.
• Works with benefits administration to implement the benefits design that is best for target customers, marketplace competitiveness and the products P&L.
• Works with finance to forecast, set annual product budget, and determine spending vs. realized benefits.
• Works with clinical and pharmacy to assure that our approach is healthy for both the client and KPI for the product.
• Manages and prioritizes the design of the product with internal business areas and external consultants to match market and customer requirements.
• Maintains a healthy MLR through proper assessments and intervention efforts by working with Clinical.
• Working with Marketing and Sales utilizes up-to-date customer segmentation to understand and target prospects and members who are idea customers.
• Working with Marketing and Operations, understands the prospect and customer’s journey to assure that the value provided and experience with the product is satisfactory or better in order to maintain the right levels of sale and retention.
• Keeps a product master book as record of for the organization.
• Working with Provider Networking to assure that the network and current contracted relationships are adequate for the product’s health and growth.
• Determines the product investments needed to keep the product healthy.
• Understands and assures that the product is in good standing and compliant with regulator’s directives.

QUALIFICATIONS:

EDUCATION:

• A Bachelor’s Degree in a related field such as business or marketing.
• Formal Product Management Certification or training preferred.

EXPERIENCE:

• Experience successfully launching and expanding ACA products within markets utilizes SBEs
• 3 years successfully managing a product
• 5 years’ experience working with ACA products / state based exchanges; Preference for experience in the Massachusetts market
• Relevant experience in a health plan environment preferred
• Experience successfully leading and influencing cross functional teams
• Experience working with state and federal regulators and agencies
• Experience influencing stakeholders including medical centers, providers, CHCs and physician partners.

KEY SKILLS, COMPETENCIES, AND ATTRIBUTES:

1. Entrepreneurial spirit
2. High performance mindset
3. Takes initiative and decisive action
4. Emotionally intelligent
5. Adaptive and flexible with ambiguity
6. Strategic thinking and planning
7. Solid Business judgement, decision making, and problem solving
8. Systemic thinking
9. Cross functional influence
10. Product Expertise
11. Customer centricity
12. Attentive listening and active observing

WORKING CONDITIONS AND PHYSICAL EFFORT:

• Remote work with occasional on-sight collaboration efforts

*Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.

Required Skills Required Experience

KNOWLEDGE, SKILLS, & ABILITIES:

• Electronic theory.

• RF propagation and theory.

• Unique combinations of both multi-site RF communications system and computer/networking skills.

• Wide area mobile data networks and equipment.

• Use of various electronic communications test equipment including communications system analyzers, T1 test sets, signal analyzers, network analyzers, RSS software, etc.

• Standards and practices of the installation, repair, and maintenance of Motorola, Kenwood and M/A-COM LMR equipment to ensure effective and efficient operation of such equipment in a mission critical 24/7/365 environment while complying FCC Rules and Regulations.

• FCC rules and regulations governing the use and repair of LMR equipment, including subscriber units and fixed network infrastructure.

• Troubleshoot and repair of electronic communications equipment to component level i.e. microprocessors, IC's, transistors, etc…

• CAD/AVL, mobile digital video recorders, CCTV, telephony and public address systems and equipment.

• Troubleshooting of malfunctioning communications equipment to sufficiently identify, resolve, and/or repair malfunctions, returning equipment to a pre-failure state of operation in the shortest amount of time possible.

• Read schematics, block diagrams, and flow charts in order to maintain or repair all supported electronic systems and equipment.

• Windows, Non-Windows, and/or DOS based operating systems and applications used in an LMR environment.

• In addition to strong electronic and RF skills, a solid Networking background is required, up to and including LAN, WAN, WLAN, configuration management , etc.

• Computer Literacy, i.e.; word processing, spreadsheets, email, and installing and configuring software, etc.

• Tools and equipment used in the repair and maintenance of electronic communications equipment.

• Provide effective direction to others.

• Communicate effectively, both orally and in writing, with groups from diverse backgrounds and technical abilities.

• Participate in teams of technical, professional, and non-management members.

• Understand and follow oral and written directions sufficient to carry out electronic communication equipment installation, maintenance and repair.

• Work independently, set priorities, work under pressure, and adapt to a constantly changing set of priorities.

• Physically lift and carry equipment, supplies, and tools.