Health Insurance - Product Development & Operations Manager, Corporate (FT, Day)

Prisma HealthGreenville, South Carolina

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Overview

Schedule

Full-time

Career level

Director

Remote

On-site

Benefits

Health Insurance

Career Development

Job Description

Inspire health. Serve with compassion. Be the difference.

Job Summary

The Product Operations Manager role serves as one of the most critical insurance product leaders on the payer product and operations team. In this role you will be responsible for working with internal and external partners to fully operationalize Prisma's new and existing health insurnace products. The product portfolio includes Medicaid MCO, Medicare Advantage, Individual, and a suite of Commercial products. This role will also ensure complete alignment between the enterprise payer strategy and the product portfolio - making recommendations for alterations to existing products and introduce new products. This role is the ultimate owner for new product development - ideation to go-live, and on-going product success.

Essential Functions

All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference.
Serves as Product SME with vendors and maintain vendor relationships.
Troubleshoots and informs enterprise payer strategy of issues that arise within the Product.
Provides recommendations for product revisions and new product additions based on market feedback.
Involved in internal partner collaboration, leadership and management (ex. Sales, Acct Mgmt., Clinical Mgmt., etc.).
Involved in external partner collaboration, leadership and management of (ex. TPA, PBM, Captive Manager, etc.).
Serves as SME for training, marketing and communications, and other knowledge transfer opportunities.
Acts as market expert including understanding the competition and performing market research.
Analyzes data that impacts operational success.
Informs enterprise payer strategy, specifically focused on health insurance product portfolio.
Develops and executes project plans from ideation/strategy to implementation/go-live.
Performs other duties as assigned.

Supervisory/Management Responsibilities

This is a non-management job that will report to a supervisor, manager, director or executive.

Minimum Requirements

Education- Bachelor's degree in Business, Healthcare Administration, or relevant Health Care field
Experience- Seven (7) years insurance operations, sales, compliance, product management, project management experience.

In Lieu Of

N/A

Required Certifications, Registrations, Licenses

N/A

Knowledge, Skills and Abilities

Project management skills
Ability to work in a cross-functional environment.
Computer skills (word processing, spreadsheets, PowerPoint, databases, data entry)
Knowledge of office equipment
Mathematical skills
Knowledge of insurance services and products, compliance and operations.
Knowledge of health plan insurance operations and procedures.
Knowledge of Visio preferred

Work Shift

Day (United States of America)

Location

Prisma Health Corporate Office

Facility

7002 Value-Based Care and Network Services

Department

70029331 Product and Operations

Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

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FAQs About Health Insurance - Product Development & Operations Manager, Corporate (FT, Day) Jobs at Prisma Health

What is the work location for this position at Prisma Health?

This job at Prisma Health is located in Greenville, South Carolina, according to the details provided by the employer. Some roles may also include multiple work locations depending on the requirement.

What pay range can candidates expect for this role at Prisma Health?

Employer has not shared pay details for this role.

What employment applies to this position at Prisma Health?

Prisma Health lists this role as a Full-time position.

What experience level is required for this role at Prisma Health?

Prisma Health is looking for a candidate with "Director" experience level.

What benefits are offered by Prisma Health for this role?

Prisma Health offers following benefits: Health Insurance and Career Development for this position. Actual benefits may vary depending on the employer's policies and employment terms.

What is the process to apply for this position at Prisma Health?

You can apply for this role at Prisma Health either through Sonara's automated application system, which helps you submit applications 10X faster with minimal effort, or by applying manually using the direct link on the job page.