L.A. Care Health Plan
Lead Product Solutions Manager
L.A. Care Health Plan, Los Angeles, California, United States, 90079
Lead Product Solutions Manager
Job Category:
Administrative, HR, Business ProfessionalsLocation:
Los Angeles, CA, US, 90017Position Type:
Full TimeRequisition ID:
11722Salary Range:
$117,509.00 (Min.) - $152,762.00 (Mid.) - $188,015.00 (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.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.The Lead Product Solutions Manager provides program support (end to end) for the ongoing operations of the product line annual cycle. This role is cross-functional and requires close collaboration with key stakeholders including Information Technology (I.T.), Operations, Health Services, Marketing & Sales to develop, organize, and execute departmental priorities and deliverables. The ideal candidate has extensive healthcare knowledge and experience (Commercial, Cal MediConnect and/or D-SNP, Medi-Cal) and will work independently to lead and facilitate complex projects that ensure deliverables are aligned with business objectives, on time, and support product retention and growth objectives. The role also includes mentoring and coaching assigned staff.Duties
Provides organizational representation in policy workgroups and stakeholder meetings.Evaluates policy and regulatory changes to identify impacts to product and business processes.Develops impact assessments and execution plans for new guidance implementation.Identifies opportunities and leads improvement projects to drive quality, membership, and revenue.Manages and leads cross-functional partnerships to improve stars and quality measures.Reviews current program data to identify cost containment initiatives and influences process improvement plans.Leads annual cycle work, identifies lessons learned, and coordinates with I.T. and other teams.Responsible for daily operational activities including staffing, productivity, and quality of work.Participates in hiring, coaching, training, and provides feedback on staff performance.Manages complex projects, engaging stakeholders, and ensuring timely deliverables.Performs other duties as assigned.Education Required
Bachelor's Degree. In lieu of degree, equivalent education and/or experience may be considered.Education Preferred
Master's Degree in Public Health or Related Field.Experience
Required:At least 6 years in managed care (Medicare, Commercial, and/or Medi-Cal).Direct experience in managed care functions including stars, quality, and operational functions.At least 3 years of lead experience (process, program, or staff).Preferred:Minimum of 10 years of direct experience.Skills
Required:Knowledge of product management and strategic planning concepts.Ability to lead and manage teams through ambiguity.Strategic thinking skills and ability to influence desired outcomes.Able to communicate results and business impacts to stakeholders.Licenses/Certifications Required
Licenses/Certifications Preferred
Required Training
Preferred:
Six Sigma Training, Product Management Professional TrainingPhysical Requirements
LightAdditional Information
Department SpecificCommercial Product:
Required: 5+ years of Commercial annual rate setting experience.Cal MediConnect (CMC)/D-SNP:
Required: CMS annual rate setting experience.Medi-Cal Product:
Required: 5 years of Medi-Cal managed care experience.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 ReimbursementRetirement PlansMedical, Dental, and VisionWellness Program
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Job Category:
Administrative, HR, Business ProfessionalsLocation:
Los Angeles, CA, US, 90017Position Type:
Full TimeRequisition ID:
11722Salary Range:
$117,509.00 (Min.) - $152,762.00 (Mid.) - $188,015.00 (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.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.The Lead Product Solutions Manager provides program support (end to end) for the ongoing operations of the product line annual cycle. This role is cross-functional and requires close collaboration with key stakeholders including Information Technology (I.T.), Operations, Health Services, Marketing & Sales to develop, organize, and execute departmental priorities and deliverables. The ideal candidate has extensive healthcare knowledge and experience (Commercial, Cal MediConnect and/or D-SNP, Medi-Cal) and will work independently to lead and facilitate complex projects that ensure deliverables are aligned with business objectives, on time, and support product retention and growth objectives. The role also includes mentoring and coaching assigned staff.Duties
Provides organizational representation in policy workgroups and stakeholder meetings.Evaluates policy and regulatory changes to identify impacts to product and business processes.Develops impact assessments and execution plans for new guidance implementation.Identifies opportunities and leads improvement projects to drive quality, membership, and revenue.Manages and leads cross-functional partnerships to improve stars and quality measures.Reviews current program data to identify cost containment initiatives and influences process improvement plans.Leads annual cycle work, identifies lessons learned, and coordinates with I.T. and other teams.Responsible for daily operational activities including staffing, productivity, and quality of work.Participates in hiring, coaching, training, and provides feedback on staff performance.Manages complex projects, engaging stakeholders, and ensuring timely deliverables.Performs other duties as assigned.Education Required
Bachelor's Degree. In lieu of degree, equivalent education and/or experience may be considered.Education Preferred
Master's Degree in Public Health or Related Field.Experience
Required:At least 6 years in managed care (Medicare, Commercial, and/or Medi-Cal).Direct experience in managed care functions including stars, quality, and operational functions.At least 3 years of lead experience (process, program, or staff).Preferred:Minimum of 10 years of direct experience.Skills
Required:Knowledge of product management and strategic planning concepts.Ability to lead and manage teams through ambiguity.Strategic thinking skills and ability to influence desired outcomes.Able to communicate results and business impacts to stakeholders.Licenses/Certifications Required
Licenses/Certifications Preferred
Required Training
Preferred:
Six Sigma Training, Product Management Professional TrainingPhysical Requirements
LightAdditional Information
Department SpecificCommercial Product:
Required: 5+ years of Commercial annual rate setting experience.Cal MediConnect (CMC)/D-SNP:
Required: CMS annual rate setting experience.Medi-Cal Product:
Required: 5 years of Medi-Cal managed care experience.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 ReimbursementRetirement PlansMedical, Dental, and VisionWellness Program
#J-18808-Ljbffr