Director, Product Solutions

This position is responsible for Commercial product portfolio development and management. The Director will design, implement, maintain, document and analyze current Medica and competitor plans, and identify, prioritize and develop new markets for product expansion to continuously improve Medica's market position.

Key Accountabilities Include:

• Leading Commercial strategy and project teams in the initiation, planning, development and successful delivery of product solutions
• Driving product intent and serving as SME on assigned products across the enterprise, including interpretation of regulatory guidance from all states in footprint, market needs in footprint, and administrative capabilities on all platforms in footprint
• Leading business case criteria development for market assessment for identified markets and analyze competitive offerings
• Quantifying market opportunities through financial modeling and collaboration with segment finance and actuarial
• Supporting segment strategic goals and staff through maintaining relationships across Medica segments and identifying opportunities for collaboration

This leader will work closely with Markets segment leadership, product leadership, actuarial, sales, operations, marketing, and physician & health services to develop and communicate product intent and ensure accurate and complete understanding and administration both internally and in the marketplace.

Incumbent must have a proven track record with Commercial products and understand the operational and financial implications of plan designs. This Director serves as a subject matter expert on plan performance including membership, income, and operating margin. Position will also implement and manage strategic partnerships and external vendors.

Qualifications:

• Bachelor's Degree or equivalent combination of education and work experience; Master's degree preferred
• 10+ years' health care experience with a track record of successfully leading growth initiatives
• 5+ years' leadership experience
• Health Insurance Product experience including plan benefit design and operational implementation
• Experience with product lifecycle monitoring & establishing metrics to measure product success
• Experience with regulatory compliance, including and understanding of a health plan regulatory environment
• Health plan operations understanding
• Expertise in project development and implementation management

Skills and Abilities:

• Analytical ability in business planning and financial management
• Demonstrated leadership and influencing skills with the ability to lead and drive change
• Strong communication and presentation skills
• Strong strategic planning skills
• Financial performance measurement skills, accountable for results
• Ability to articulate vision and strategy
• Passionate about member experience and recognized as a positive change agent who can work effectively in creating direction and influence to effective results
• Team player with strong relationship building skills at all levels of the organization and externally
• Creative problem solving skills using innovative approaches
• Ability to handle multiple complex projects with a high degree of engagement
• Strong drive for results and accountability

Medica's commitment to diversity, equity and inclusion (DEI) includes unifying our workforce through learning and development, recruitment and retention. We consistently communicate the importance of DEI, celebrate achievements, and seek out community partnerships and diverse suppliers that are representative of everyone in our community. We are developing sustainable programs and investing time, talent and resources to ensure that we are living our values. We are an Equal Opportunity/Affirmative Action employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)