High Market Health
VP, Insurance Product Strategy, Design & Implementation
High Market Health, Pittsburgh, Pennsylvania, us, 15289
Company :
Highmark Inc.
Scroll down to find the complete details of the job offer, including experience required and associated duties and tasks.Job Description :
JOB SUMMARYThe VP of Insurance Product Strategy, Design, & Implementation will oversee product strategy, innovation, portfolio management and the development of necessary implementation roadmaps, and product performance evaluation, across Federal Markets, ACA/individual, DSNP, small group, large regional, and national accounts. With a scope that includes fully insured and ASO medical products across all geographies and customer segments, this team is responsible for the strategy, design and implementation of medical products that exceed $20 billion in annual allowed claims expense. Balancing profitability, enrollment and customer satisfaction commitments, the VP partners with segment Market Presidents, SVP/VP leaders of functional areas across Highmark Health/Highmark Inc./enGen to ensure that products meet the evolving needs of a highly regulated and competitive marketplace. With the addition of a broad array of Curated Health Solutions being designed in with the Living Health Solutions portfolio, the VP is responsible for the successful implementation of new, innovative products in addition to the large volume of standard product offerings.The VP of Insurance Product Strategy, Design, & Implementation is also responsible for leading the overall strategy and alignment with senior leaders to create the multi-year vision, investment planning, and roadmap of process and technology solutions, and capabilities that are necessary to effectively deliver our medical products to customers and clinicians across Highmark Health. This leader will be responsible for standing up new capabilities, enhancing existing solutions and coordinating with other Product Management groups across the organization to develop and maintain an integrated, end-to-end product capabilities roadmap.A successful incumbent will master cross-functional coordination and prioritization decision making, while ensuring that our complex product portfolio is developed, delivered, enhanced and transformed. Key skills and experience for the role include product strategy, product management, oversight of build and implementation; financial analysis/modeling; strategic planning and tradeoff decision making; deep customer insights; healthcare compliance and regulatory environment; and internal/external service delivery partner interactions.ESSENTIAL RESPONSIBILITIESIntegrated product strategy.
Working across functions, develop a clear multi-year product strategy across existing segments and new geographies, that take into account and integrate all elements of product design. The product strategy is expected to be grounded in underlying market trends, the different needs of different market segments and feedback from customers and sales, and Highmark’s enterprise strategy.Drive product innovation.
Actively monitor developments in the market and pilot, test, evaluate, and implement new product innovations. This could range from new benefit design structures to enhanced member communications around site of care recommendations.Product design and implementation oversight.
Direct oversight of the team responsible for working collaboratively with various organizational stakeholders on the delivery of the product strategic roadmap.Product performance evaluation oversight.
Oversee the team working with market leads, actuary, and finance, develop targets for product performance and assess performance against membership and financial targets.Product capability management.
Based on the evolution of the product portfolio, developing a detailed multi-year roadmap of the support supporting capabilities the enterprise needs to deliver.Other duties as assigned or requested.QUALIFICATIONSRequired:Bachelor's Degree in Business Administration, Product Management/Design, Healthcare Management, Management Information Science, or related field10 years of experience in healthcare strategy and execution/solution delivery10 years of experience with deep breadth and depth of business knowledge across relevant functions in healthcare or similarly regulated product industry7 years in a leadership role, with demonstrated ability to work in a matrixed organizational environmentPreferredMaster’s Degree in Business Administration, Product Management/Design, Healthcare Management, Management Information Science, or related fieldExperience managing complex initiatives in the consulting, healthcare, or insurance industryTrack record of driving transformational change, leading teams, developing talent, and building relationshipsPractice of Human Centered Design and/or Design Thinking process and methodsUnderstanding of Agile Development techniques and toolsSKILLSDemonstrated strong comprehensive management, leadership and executive skills.Prior experience analyzing and applying a broad organizational and business perspective to identify and maintain focus on key drivers of organizational performance.Thorough knowledge of insurance, healthcare, insurance administration, marketing, strategic planning, financial management, reimbursement, and operations in health care markets.Strong understanding of market trends/needs, business requirements and balance them successfully.Ability to directly and successfully lead, mentor and develop a talented team of high-performing individuals in a fast-paced environment.External market orientation.Demonstrated analytic and strategic problem solving skills.
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Highmark Inc.
Scroll down to find the complete details of the job offer, including experience required and associated duties and tasks.Job Description :
JOB SUMMARYThe VP of Insurance Product Strategy, Design, & Implementation will oversee product strategy, innovation, portfolio management and the development of necessary implementation roadmaps, and product performance evaluation, across Federal Markets, ACA/individual, DSNP, small group, large regional, and national accounts. With a scope that includes fully insured and ASO medical products across all geographies and customer segments, this team is responsible for the strategy, design and implementation of medical products that exceed $20 billion in annual allowed claims expense. Balancing profitability, enrollment and customer satisfaction commitments, the VP partners with segment Market Presidents, SVP/VP leaders of functional areas across Highmark Health/Highmark Inc./enGen to ensure that products meet the evolving needs of a highly regulated and competitive marketplace. With the addition of a broad array of Curated Health Solutions being designed in with the Living Health Solutions portfolio, the VP is responsible for the successful implementation of new, innovative products in addition to the large volume of standard product offerings.The VP of Insurance Product Strategy, Design, & Implementation is also responsible for leading the overall strategy and alignment with senior leaders to create the multi-year vision, investment planning, and roadmap of process and technology solutions, and capabilities that are necessary to effectively deliver our medical products to customers and clinicians across Highmark Health. This leader will be responsible for standing up new capabilities, enhancing existing solutions and coordinating with other Product Management groups across the organization to develop and maintain an integrated, end-to-end product capabilities roadmap.A successful incumbent will master cross-functional coordination and prioritization decision making, while ensuring that our complex product portfolio is developed, delivered, enhanced and transformed. Key skills and experience for the role include product strategy, product management, oversight of build and implementation; financial analysis/modeling; strategic planning and tradeoff decision making; deep customer insights; healthcare compliance and regulatory environment; and internal/external service delivery partner interactions.ESSENTIAL RESPONSIBILITIESIntegrated product strategy.
Working across functions, develop a clear multi-year product strategy across existing segments and new geographies, that take into account and integrate all elements of product design. The product strategy is expected to be grounded in underlying market trends, the different needs of different market segments and feedback from customers and sales, and Highmark’s enterprise strategy.Drive product innovation.
Actively monitor developments in the market and pilot, test, evaluate, and implement new product innovations. This could range from new benefit design structures to enhanced member communications around site of care recommendations.Product design and implementation oversight.
Direct oversight of the team responsible for working collaboratively with various organizational stakeholders on the delivery of the product strategic roadmap.Product performance evaluation oversight.
Oversee the team working with market leads, actuary, and finance, develop targets for product performance and assess performance against membership and financial targets.Product capability management.
Based on the evolution of the product portfolio, developing a detailed multi-year roadmap of the support supporting capabilities the enterprise needs to deliver.Other duties as assigned or requested.QUALIFICATIONSRequired:Bachelor's Degree in Business Administration, Product Management/Design, Healthcare Management, Management Information Science, or related field10 years of experience in healthcare strategy and execution/solution delivery10 years of experience with deep breadth and depth of business knowledge across relevant functions in healthcare or similarly regulated product industry7 years in a leadership role, with demonstrated ability to work in a matrixed organizational environmentPreferredMaster’s Degree in Business Administration, Product Management/Design, Healthcare Management, Management Information Science, or related fieldExperience managing complex initiatives in the consulting, healthcare, or insurance industryTrack record of driving transformational change, leading teams, developing talent, and building relationshipsPractice of Human Centered Design and/or Design Thinking process and methodsUnderstanding of Agile Development techniques and toolsSKILLSDemonstrated strong comprehensive management, leadership and executive skills.Prior experience analyzing and applying a broad organizational and business perspective to identify and maintain focus on key drivers of organizational performance.Thorough knowledge of insurance, healthcare, insurance administration, marketing, strategic planning, financial management, reimbursement, and operations in health care markets.Strong understanding of market trends/needs, business requirements and balance them successfully.Ability to directly and successfully lead, mentor and develop a talented team of high-performing individuals in a fast-paced environment.External market orientation.Demonstrated analytic and strategic problem solving skills.
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