Health Insurance Product Manager (Product Development/Product Management Consultant IV)

Health Insurance Product Manager (Product Development/Product Management Consultant IV)

The Health Insurance Product Manager will work across teams within Kaiser Permanente to ensure the Mid-Atlantic regional commercial health insurance and ancillary product portfolio is competitive in the market and meets performance objectives. Health Insurance Product Managers may manage a specific customer segment (business line) portfolio, lead initiatives to enhance existing insurance product types, and/or develop new insurance or benefit offerings.

Job Summary:

Participates in the development of a product strategy and helps support the ideation process. Gathers and analyzes data to develop data-driven insights to understand market conditions, trends, and develop and monitoring success criteria to evaluate products throughout its lifecycle. Ensures metrics are developed and product dashboards are maintained as identified by the leadership team. Conducts regional feasibility with functional partners for a focused set of products or LOBs and develops the recommendations of products or portfolios under leadership guidance and garners executive alignment through data, analysis, and presentations. Updates specific pieces of collateral, manages service recovery and issues resolution, oversees content and response gathering to sales and account management questions, and consulting and sharing product subject matter expertise. Recommends content for business-case development initiatives. Evaluates benefits/plans to meet regulatory and internal/external benefit administration needs. Creates product/benefit requirements that incorporate line of business, regional, organizational, product strategy, customer needs, regulations/standards and operational requirements. Manages a less complex implementation or workstream with supervision by leveraging expertise to ensure project and product lifecycle, executes simple product changes, and ensures they are completed accurately and in a timely manner. Enables alignment and buy in to create to create and/or modify products and product enhancements according to predefined strategy for a given business area, ensuring benefits and policies meet all regulatory requirements, and developing, maintaining, and creating training content with supervision. Leverages an advanced understanding and experience of product policy, end-to-end product administration, and content area knowledge working with Underwriting, Actuarial Services, Regulatory, and Benefits.

Essential Responsibilities:

• Promotes learning in others by proactively providing and/or developing information, resources, advice, and expertise with coworkers and members; builds relationships with cross-functional/external stakeholders and customers. Listens to, seeks, and addresses performance feedback; proactively provides actionable feedback to others and to managers. Pursues self-development; creates and executes plans to capitalize on strengths and develop weaknesses; leads by influencing others through technical explanations and examples and provides options and recommendations. Adopts new responsibilities; adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work; champions change and helps others adapt to new tasks and processes. Facilitates team collaboration to support a business outcome.
• Completes work assignments autonomously and supports business-specific projects by applying expertise in subject area and business knowledge to generate creative solutions; encourages team members to adapt to and follow all procedures and policies. Collaborates cross-functionally and/or externally to achieve effective business decisions; provides recommendations and solves complex problems; escalates high-priority issues or risks, as appropriate; monitors progress and results. Supports the development of work plans to meet business priorities and deadlines; identifies resources to accomplish priorities and deadlines. Identifies, speaks up, and capitalizes on improvement opportunities across teams; uses influence to guide others and engages stakeholders to achieve appropriate solutions.
• Participates in business-case development by: recommending content for initiatives.
• Facilitates market engagement by: updating specific pieces of collateral; managing service recovery and issues resolution; overseeing content and response gathering to sales and account management questions; and consulting and sharing product subject matter expertise.
• Contributes to product implementation or program management by: managing a less complex implementation or workstream with supervision by leveraging expertise to ensure project and product lifecycle, executing simple product changes, and ensuring they are completed accurately and in a timely manner.
• Facilitates product portfolio feasibility and development by: conducting regional feasibility with functional partners for a focused set of products or lines of business (LOBs); and developing the recommendations of products or portfolios under leadership guidance and garnering executive alignment through data, analysis, and presentations.
• Facilitates product portfolio performance and competitive analysis by: gathering and analyzing data (e.g., financials, claims, membership, appeals) to develop data-driven insights to understand market conditions, trends, and develop and monitoring success criteria to evaluate products throughout its lifecycle; and ensuring metrics are developed and product dashboards are maintained as identified by the leadership team.
• Facilitating product requirement development by: evaluating benefits/plans to meet regulatory and internal/external benefit administration needs; and creating product/benefit requirements that incorporate LOB, regional, organizational, product strategy, customer needs, regulations/standards, and operational requirements.
• Applies product knowledge by: leveraging an advanced understanding and experience of product policy, end-to-end product administration, and content area knowledge working with Underwriting, Actuarial Services, Regulatory, and Benefits.
• Facilitating product training and change management by: enabling alignment and buy-in to create and/or modify products and product enhancements according to predefined strategy for a given business area, ensuring benefits and policies meet all regulatory requirements (e.g., state and federal), and developing, maintaining, and creating training content with supervision.
• Facilitates team management by: managing a matrixed team for one or two markets, LOBs, product, portfolio, workstream, or initiatives.

Knowledge, Skills and Abilities: (Core)

• Ambiguity/Uncertainty Management
• Attention to Detail
• Business Knowledge
• Communication
• Critical Thinking
• Cross-Group Collaboration
• Decision Making
• Dependability
• Diversity, Equity, and Inclusion Support
• Drives Results
• Facilitation Skills
• Health Care Industry
• Influencing Others
• Integrity
• Learning Agility
• Organizational Savvy
• Problem Solving
• Short- and Long-term Learning & Recall
• Teamwork
• Topic-Specific Communication

Knowledge, Skills and Abilities: (Functional)

• Applied Data Analysis
• Business Acumen
• Business Relationship Management
• Client and Domain Knowledge
• Conflict Resolution
• External Health Care Compliance
• Managing Diverse Relationships
• Market Analysis
• Product Development Life Cycle
• Product Performance
• Project Management
• Project Management Tools
• Quality Assurance Process
• Risk Assessment
• Service Focus
• Strategic Program Management
• Time Management

Minimum Qualifications:

• Bachelors degree from an accredited college or university AND minimum five (5) years of experience in health care, product development and management, strategy development and execution, finance, sales and account management, marketing, consulting, benefits, program management, or a directly related field OR minimum eight (8) years of experience in health care, product development and management, strategy development and execution, finance, sales and account management, marketing, consulting, benefits, program management, or a directly related field.

Preferred Qualifications:

• Eight (8) years of experience in health care insurance, health plan administration, benefit administration, benefit policy, or a directly related field.
• Master's Degree in Business, Economics, Finance, Marketing, Strategy, Health Care Administration, or related field.