The Medicare Advantage Product Director serves as the general manager of the product. The director is responsible for managing the product throughout the product life cycle from planning to execution in support of organizational priorities. They are accountable for the strategy, performance, and health of the products they are assigned. 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 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.

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 approving a pricing strategy. • Reviews and understands product financials in order to drive product changes and inform business decisions.

• Conducts and review win/loss analysis to determine why shoppers did not buy and 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.

• Remote work with occasional on-sight collaboration efforts

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

Experience: • 3 years successfully managing a product. • 2 years’ experience working with Medicare Advantage • Relevant experience in a health plan environment preferred • Relevant experience working with senior products or senior customers preferred • Experience leading and influencing cross functional teams. • Experience working under CMS requirements

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

Required Skills Required Experience

• Provides accurate and timely standard monthly, quarterly and annual financial reports for Bi-State Development operational business units. Presentation format will include both ad-hoc management reports and US General Accepted Accounting Principle presented statements.
• Assist in the preparation of the quarterly financial package for the Board and third parties, including financial information, performance indicators, narratives of business events and variances, etc.
• Report on performance indicators, as needed and required.
• Hold regular meetings with business units to review outstanding invoices and accounts receivable aging issues. Consult/recommend to operations management and report progress to Financial Management (Controller, CFO)
• Develops customized schedules to facilitate the monitoring of specific general ledger accounts for financial managers.
• Helps with the development of an effective internal control environment to ensure proper data collection and reporting.
• Maintain high standards, react to changes in the business environment; ensure compliance with regulations.
• Ensures compliance with all Bi-State Development policies and the U.S. Accepted Accounting Principles.
• Positively represent Bi-State Development externally and internally. Effectively communicate understanding and support the organization goals, and interact effectively with individuals and groups at all levels.
• Assist with audit schedules at year-end, including financial info, footnotes, and supplemental/statistical schedules.
• Provides FINANCE DIVISION Management (for example, CFO, Controller, and Director of Budget/Accounting) with explanations for budget variances in review meetings.
• Posts lockbox receipts as assigned.
• Research unapplied cash receipts.
• Prepare STANDARD AND ROUTINE journal entries and general ledger account reconciliations for review by management.
• Prepare reports and billing for mailing to third parties, including receivable reporting information. Assist Accounts Receivable Manager and Accounting Manager with regular outstanding invoice meetings, as directed.
• Develops customized schedules to facilitate the monitoring of specific general ledger accounts for financial managers.
• Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.