Salary Range: $135,136.00 (Min.) - $165,148.00 (Mid.) - $216,218.00 (Max.)
Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members in five health plans, we make sure our members get the right care at the right place at the right time.
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Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.Job Summary
The Director, Commercial Strategy and Product Development provides leadership and drives for the end to end lifecycle for the Commercial product lines. Responsible for leading strategic initiatives and projects, ensures deliverables are on time and in alignment with LA Care's strategic initiatives. As an industry expert in Commercial Managed Care and duals products, leads the development of new product lines and enhancements to existing products. The Director engages key stakeholders to ensure continuity of product lines and impact of a new product line to the communities served and L.A. Care Strategic Initiatives. This position will lead a team responsible for the day-to-day activities to ensure the delivery of products and services to the market are competitive, sustainable, and consistent.
The Director will direct all aspects of running an efficient team, including hiring, supervising, coaching, training, disciplining, and motivating direct-reports.
Duties
Develops product concepts and strategies for the Commercial segment . Solicit input on market needs from business partners across the organization, distribution channels, and members. Conduct primary and secondary research regarding competitor's strategies, market opportunities, and product trends. Identify trends and patterns, and recommend new or enhanced product concepts and incorporates into plan design process. Identifies member insights that drive behavior change. Prepares concept white papers and business cases for any proposes plan changes within the constructs of the annual product lifecycle timelines. Collaborate with matrix partners across the company to deliver product solutions in a timely and effective manner.
Lead the Commercial application, ensuring all requirements are understood and executed across the enterprise. Including quality contract requirements. Lead the rate setting strategy, bid pricing and plan benefit package development and submission. Creates project plans that track and mange bid pricing assumptions and development. In coordination with Actuarial Services and Finance, oversee execution of any required changes and resubmission of annual application. Develop contingency plans for any benefit and premium changes/solves that are prompted via the desk review process.
In partnership with Sales & Marketing develop annual go to market plan that includes an integrated and differentiated sales and marketing acquisition, conversion and retention strategies that achieve membership growth goals. Develops and delivers product trainings, serve as a product expert and a relationship manager to the cross-functional partners. Serve as a product expert and a relationship manager to the cross-functional partners to help achieve improved quality rating scores. Collaborate with matrix partners across the company to deliver product solutions in a timely and effective manner.
Oversees and manages the end-to-end development and fulfillment of required annual materials for welcome and sales kits. Manages process and timelines from model document population, regulatory approval, design/layout, translation, and print & fulfillment.
Develop goals, objectives and actions plans for department, teams and individuals. Includes full management responsibility for the hiring, performance reviews, salary reviews and disciplinary matters for direct reporting employees.
Direct and manage team(s) to develop and establish rigor and discipline of Product Lifecycle Management is applied to the annual bid development pricing , benefit designs, member material development, and go-to-market strategy.
Perform other duties as assigned.
Duties Continued
Education Required
Education Preferred
Experience
Required:
A minimum of 7 years in Commercial Individual and Group Coverage experience, Risk management and mitigating planning experience. Deep understanding of competitive landscape by product segment/ product line and process and methodology used to develop go to market strategies.
Minimum of 5 to 7 years of supervisor/management experience.
Successful leadership and change management experience in large complex organizations.
Preferred:
Direct experience with managed care health insurance
Skills
Required:
Demonstrated Commercial expertise in the following areas:
Deep understanding of Commercial bid concepts, knowledge and timelines.
Ability to think strategically with the ability to create messaging to influence desired outcomes.
Ability to interpret Department of Managed Health Care (DMHC), Covered CA, Centers for Medicare and Medicaid Services (CMS) and LA County communications including memos, guidance letter for impacts to Product during the year and for impact to Product Development and Benefit Design.
Knowledge of all product/benefit information used in Commercial member communications, sales, marketing, training, system configuration & DMHC attestations.
Excellent interpersonal, leadership, motivational, negotiation, influencing, and communication skills; with success in building, developing, and retaining high performing teams.
Able to lead, manage, conclude and recommend using data and experience driven decisions.
Ability to mentor and coach team through ambiguity and able to make decisions to drive towards and accomplish team objectives.
Ability to lead, orchestrate and facilitate large cross-functional teams to drive for desired outcomes. Oversee due diligence and requirement analysis required for roadmap creation, scope and execution for enhancements and/or product cycle or refresh initiatives.
Ability to manage through risk through change control and/or escalation protocols if necessary.
Licenses/Certifications Required
Licenses/Certifications Preferred
Required Training
Physical Requirements
Additional Information
Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change.
L.A. Care offers a wide range of benefits including
- Paid Time Off (PTO)
- Tuition Reimbursement
- Retirement Plans
- Medical, Dental and Vision
- Wellness Program
- Volunteer Time Off (VTO)
