Develops and maintains consumer-centric product benefits, programs, and services that support optimal health outcomes and member experience, by leveraging insights provided by market research and clinical management, and helping to drive achievement of the organizational strategic objectives. Critical to both day-to-day product design management, as well as development of innovative benefit and program design constructs.
Develops flexible design constructs and product development processes that allow rapid iterative pro-typing and refinement of benefits, programs, and services, in collaboration with the market research team.
Designs consumer-centric benefits, programs, and services that drive improvements in quality measures, overall member experience, and cost trend.
Presents informative reports and recommendations to administrators and various internal and external audiences, concerning product development and strategy.
Understands the process flow of the benefits, marketing communications, and rate filings processes and recommends changes to optimize efficiencies and ensure flexibility and accuracy.
Works collaboratively with other staff and multi-cross-functional teams, and incorporates internal data, metrics and key performance indicators, in product and member experience analyses as appropriate.
Continually monitors, analyzes and interprets market and competitive data in collaboration with the market research team, recognizing changes in market conditions and presenting findings to mid-level and senior management, and uses the information to inform product strategy recommendations.
Provides strategic direction and benefit design development and management, related to state and federal program bid development activities, playing a central role in the cross-functional bid development teams.
Ensures product designs maintain compliance with both state and federal legislation and guidelines.
Manages transfer of design specifications to the benefit configuration and implementation teams, as well as legal, medical management and marketing, to ensure product designs are accurately implemented, administered, and reflected in member and provider materials.
Develops and conveys product strategy, design, target markets, and product performance measures, for presentation to leadership and affected stakeholders across the enterprise.
This includes development of presentation materials and participation in leadership discussions.
Work is typically performed in an office environment. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.
The ideal candidate has experience developing (health plan) insurance benefits and/or be licensed to sell commercial health insurance.
Degree in Business, Finance, Healthcare Administration preferred
-Health Insurance/Managed Care (Required), Minimum of 5 years-Related work experience (Required)
Certification(s) and License(s)
OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners.* Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.
We are an Affirmative Action, Equal Opportunity Employer Women and Minorities are Encouraged to Apply. All qualified applicants will receive consideration for employment and will not be discriminated against on the basis of disability or their protected veteran status.
At Geisinger, our innovative ideas are inspired by the communities we serve – like our Fresh FoodFarmacy, a program that delivers life-saving healthy alternatives to patients with diabetes. With additional tools like our MyCode Community Health Initiative, one of the first health system genome sequencingprograms, and our new asthma app suite that we developed in partnership with AstraZeneca, it’s no wonder we’re ranked one of the Top 5 Most Innovative Healthcare Systems by Becker's Hospital Review. We continually work towards continuous improvement in a culture where everyone has a voice and firmly believe that better begins with all of us.Founded more than 100 years ago, Geisinger serves more than three million residents throughout central, south-central and northeastern Pennsylvania and southern New Jersey. Our physician-led system is comprised of 30,000 employees, including 1,600 employed physicians, and consists of 13... hospital campuses, the Geisinger Health Plan, Geisinger Commonwealth School of Medicine and two research centers. What you do at Geisinger shapes the future of health and improves lives – for our patients, communities, and you.