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Exchange Product Lead

Exchange Product Lead

AmeriHealth CaritasHempstead, NY, US
3 days ago
Job type
  • Full-time
Job description

AmeriHealth Caritas Exchange Product Lead

Your career starts now. We are looking for the next generation of healthcare leaders. At AmeriHealth Caritas, we are passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in healthcare solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together, we can build healthier communities. If you want to make a difference, we would like to connect with you. Headquartered in Newtown Square, PA, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at www.amerihealthcaritas.com.

Role Overview : The Exchange Product Lead reports to the Manager of the Exchange Product and collaborates with the enterprise to build and implement the Exchange product portfolio. The Lead's contributions will impact the growth and cost management of the Exchange segment. Works on topics of moderately complex scope, requiring the exercise of independent judgment and the application of an intermediate level of subject matter expertise with limited oversight, often requiring evaluation of multiple competing factors across functional areas.

Work Arrangement : Remote - Associate can work remotely anywhere in the United States.

Responsibilities :

  • Supports the implementation of products, including, but not limited to, developing all forms, templates, and other materials that support annual Qualified Health Plan (QHP) filings.
  • Acts as the benefits enterprise subject matter expert (SME), ensuring products meet regulatory requirements.
  • Supports growth and strategy efforts through the execution of work plan goals and makes recommendations around product portfolio adjustments.
  • Works collaboratively across the enterprise to coordinate activities required to stand up the products, including leading work across cross-functional teams.
  • Supports product submission efforts throughout the annual state filing and QHP submission process, coordinating with internal and external stakeholders through certification.
  • Review product-related templates and documentation for quality assurance.

Education & Experience :

  • A bachelor's degree or equivalent experience is required.
  • 3 or more years of experience in QHP filing submissions, regulatory, or project management.
  • Advanced proficiency in Microsoft Office Word, Excel, Outlook, PowerPoint, SharePoint, and Visio.

    • Skills & Abilities :

  • Detail-oriented, able to work in "gray areas" toward a solution.
  • Strong organizational and communication skills and the ability to communicate with all organizational levels.
  • Demonstrated ability to conduct research, learn, and apply the learning in a business environment.
  • Communicate business and financial analytics and reports across disciplines.
  • Proven ability to work across organizations and gain / build stakeholder trust.

    • Our Comprehensive Benefits Package

    Flexible work solutions include remote options, hybrid work schedules, competitive pay, paid time off, holidays and volunteer events, health insurance coverage for you and your dependents on Day 1, 401(k) tuition reimbursement, and more.

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    Lead Product • Hempstead, NY, US