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Sr. Director, Health Plan Product

Lumeris, Inc.United States5mo ago
RemoteMedicare AdvantageProduct Development & Plan Design

Role Summary

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HIGHLIGHTS

Senior Director role leading Medicare Advantage product strategy and benefit design for a US-focused health plan product team. You will develop CMS bid strategies, partner with actuarial and finance to model plan designs, and lead cross-functional execution. Remote (USA) position with direct reports and vendor/market expansion responsibilities.

JOB DESCRIPTION SUMMARY

  • Lead Medicare Advantage product strategy and benefit design
  • Develop annual CMS bid strategies and meet CMS submission deadlines
  • Partner with actuarial and finance to model plan designs and margins
  • Manage and develop a product team and vendor relationships
  • Remote (US) senior leadership role; 15+ years' MA experience required

DOMAIN EXPERTISE

  • Medicare Advantage plan design
  • CMS bid development and submission
  • Medicare Advantage revenue model experience
  • Health plan product strategy and market analysis

KEY REQUIREMENTS

  • 15+ years of Medicare Advantage product or health plan experience
  • Minimum 7 years progressive leadership in a health plan or payer
  • Bachelor's degree in Business/Finance/Healthcare or equivalent
  • Strong knowledge of CMS regulations and Medicare Advantage revenue models
  • Proven track record designing competitive health insurance products

TECH STACK

  • No tech stack specified