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Provide a collaborative link between business strategy, operations and technology teams by designing, implementing and maintaining health insurance products
Work with stakeholders to prioritize and implement product and system enhancements to increase operational efficiencies, maintain regulatory compliance and increase covered lives
Ensure products are competitive, compliant with federal and state regulations, financially sustainable, and aligned with member and market needs
Keep informed of federal and state regulatory changes and establish the best path to compliance
Represent CHRISTUS Health Plan with regulatory agencies
Provide leadership and product expertise for product development, compliance, operational improvements, claims management, vendor management, product documentation, and system releases
Collaborate with business stakeholders to establish and maintain member-facing functions and tools
Define, track and communicate key product and financial performance indicators
Make prioritization decisions based on product information and team metrics
Work within product budget
Design quantitative studies of trends in supported products, benefits, plan performance
Ensure delivery team is prepared to service the product before and after launch
Translate product strategy and vision to operational and technology teams
Work closely with product operational and technology teams
Collaborate with other product owners and teams to avoid duplication and manage dependencies
Coordinate with ministry leadership, data and IT architects
Requirements
Bachelor’s degree in business or related field required
Master’s Degree Business Administration or related field preferred
Direct experience with ACA Individual Marketplace products required
Strong knowledge of ACA regulations and CMS filing requirements required
Experience working with actuarial pricing and financial modeling concepts required