Product Director - Medicare (37553)

Neighborhood Health Plan of Rhode IslandSmithfield, RI
346d

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About The Position

The Product Director - Medicare will provide leadership, oversight, coordination and monitoring of workstreams and activities associated with new Medicare product implementations. The Product Director - Medicare will collaborate with internal partners (including but not limited to: Sales and Marketing, Actuarial/Finance, Operations, Enrollment and Claims) to launch new Medicare products and initiatives which meet company goals and objectives. This position will serve as the subject matter expert "SME" in a fast-paced environment that leads to progressive decision making based on project/program risk, timelines, budget, and on time deliverables. This position requires time management, through communication, agility, organizational excellence, reporting, high degree of Medicare Advantage knowledge, and finally project/program effectiveness. Responsibilities include ensuring that the new Medicare product meets or exceeds regulatory and accreditation requirements for the Centers for Medicare and Medicaid Services (CMS) and NCQA and is responsible for all implementation workstreams associated with the successful launch and operation of Medicare plans. The Product Director is responsible for ensuring the performance and success of the company's Medicare product launch, performance standards associated with the product and supporting staff. This position is accountable for all service and operational requirements associated with the product and monitors performance to ensure the plan meets corporate performance benchmarks. The position works collaboratively with and reports directly to the Vice President Medicare-Medicaid Integration.

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