Director, Product Implementation - Medicare & Commercial

Company: Inland Empire Health Plan
Location: Rancho Cucamonga
Posted on: April 22, 2024

Job Description:

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!Under the direction of the Senior Director of Commercial Products, the Director, Product Implementation - Medicare & Commercial, will lead the annual product renewal and implementation projects to support the Medicare D-SNP and Covered California lines of business. Key duties include the development of detailed project plans, oversight of activities from impacted functional areas, and responsible for the delivery of capabilities and products needed for Open Enrollment and targeted Go-Live date. This position will work closely with Division and Department Leaders in the development of product/capability requirements, timeframes, and success measures. The Director, Product Implementation - Medicare and Commercial will ensure products adherence with Federal and State regulations, contractual and licensing requirements, and the Plans functional departments business requirements.PerksIEHP is not only committed to healing and inspiring the human spirit of our Members; we also aim to match our Team Members with the same energy by providing prime benefits and more.CalPERS retirement457(b) option with a contribution matchGenerous paid time off- vacation, holidays, sickState of the art fitness center on-siteMedical Insurance with Dental and VisionPaid life insurance for employees with additional optionsShort-term, and long-term disability optionsPet care insuranceFlexible Spending Account Health Care/ChildcareWellness programs that promote a healthy work-life balanceCareer advancement opportunities and professional developmentCompetitive salary with annual merit increaseTeam bonus opportunitiesEducation & ExperienceA minimum of eight (8) years of experience in managed care and project management. Experience with health plan operations. Experience working within a matrix structure to deliver results. Strategic planning experience with demonstrated success in implementing and managing complex projects, while leading cross functional collaborative teams. Proven leadership experience, mentoring, and developing a team at a leadership level.Bachelors degree from an accredited institution required.Key QualificationsKnowledge of managed care, health plan operations, and regulatory and compliance requirements for Medicare D-SNP and Covered California. Working knowledge of IEHPs D-SNP, Medi-Cal, and Covered California products.Excellent interpersonal and motivational skills. Excellent organizational skills. Excellent communication skills both verbal and written. Project management skills. Microsoft Office programs including, but not limited to, Word, Excel, PowerPoint, and Outlook.Proven ability to:Collect, analyze and recommend solutions using data and experience driven decisions.Work in a complex, rapidly evolving environment which requires high-level initiative.Make quick adjustments to project deadlines or assignments.Work independently and collaboratively within a team environment.Effectively prioritize and manage multiple projects with competing deadlines.Apply knowledge and guide self.Negotiate and resolve complex and sensitive issues with diplomacy and persuasiveness.Interact effectively at all levels of an organization.Possess attention to detail.Start your journey towards a thriving future with IEHP and apply TODAY!by Jobble

Keywords: Inland Empire Health Plan, Rancho Cucamonga , Director, Product Implementation - Medicare & Commercial, Executive , Rancho Cucamonga, California