AVP, Medicare Product Development

  • 37557
  • Health - Actuarial
  • |
  • California, United States
  • |
  • Jun 12, 2020
Insurance
RESPONSIBILITIES
  • Works with the actuarial department to determine the cost of making changes in benefits design for dental, vision, OTC, transportation and other benefits that cater to dual eligible.
  • Engages VPs of government contracts at health plans to obtain feedback and direction on MMP benefits.
  • Coordinates with the national contracting team to ensure vendor contracts are aligned with product design and approved bids and pricing.
  • Reviews vendor contracts for dental, vision, transportation, etc. to ensure optimal rates and service.
  • Leads the development of supplemental rider benefits plans.
  • Leads QA process of Medicare and MMP PBP uploads to ensure accurate filing of intended plan designs.
  • Leads Competitive Analysis function to inform current and future year planning.
QUALIFICATIONS
  • BA/BS or equivalent experience.
  • Seven years + Medicare Advantage product development expertise, including direct experience with product develop and Bids.
  • Graduate degree in related field.
  • Preferred experience in Duals program is desirable.