Product Management Director Sr- Supplemental Health

• New product development across Accident, Critical Illness, and Hospital Indemnity as needed to stay market competitive within our 14 Blue states.
• Competitive intelligence for Supplemental Health products and recommending product and market strategies.
• Benefit additions & enhancements (via filed contract amendments or full filings) per market changes or proactively identifying benefit differentiators.
• Review of product contracts and certificates during state filing process (amendments and full product filings) with Filing team.
• Work with Filing team to address state filing objections along with Actuarial, when necessary.
• State variation tracking by product and review/approve product requirements for proposal & rating tools (UW & Field Sales versions).
• Assess new state mandates and operationalize impacts to new business and renewals
• Compliance attestations for state mandates.
• Work with Actuarial on any pricing issues/assumptions/rate filing items.
• Provide content and final review for Product & Sales marketing brochures, presentations, and training materials.
• Review and complete LIMRA, Eastbridge and Milliman Supplemental Health surveys for subsequent competitive intelligence for participating carriers.
• Maintain and nurture engagement from internal and external product development partners to ensure stage-gates are achieved and state filings are submitted on a timely basis.
• Develops, implements, and maintains a competitive product platform.
• Partners with product managers to achieve superior execution of product strategy in the marketplace.
• Tracks individual product performance by benefit design, market segment, and sub-region.
• Supports the development of short- and long-term strategic product plans in support of market, sales, and profitability objectives.
• Identifies system needs to support short- and long-term product strategy.
• Develops system requirements and ROI.
• May lead efforts or manage project teams in the implementation of complex regional and companywide initiatives, including portfolio repositioning in a market, legislative changes, network/provider changes, medical management programs, and policy initiatives.
• Owns and manages day-to-day vendor relationships
• Claim exceptions/appeals/fraud, waste, and abuse - coordination with vendor, Compliance and Legal (SIU, if needed) on requested exceptions and, more specifically, on specific claim appeals and overall process.

• Masters Degree
  
• Experience creating product strategies for a Supplemental Health product line
  

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act