Product Submission Lead

Product Submission 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 want 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.

Role Overview : The Product Submission Lead leads the enterprise's Qualified Health Plan (QHP) submission effort. The Lead is accountable for understanding, socializing, and complying with multiple state-specific and federal guidelines and filing deadlines throughout the year. The Product Submission Lead coordinates the annual QHP filing and certification process for existing ACFC Exchange markets and designated expansion states. Facilitates the QHP and certification process with business function stakeholders, third-party vendors, and supporting subject matter experts to obtain all required information to complete the filing and other related deliverables and submit the file according to applicable state and federal guidelines on the appropriate platform(s) (e.g., HIOS, SERFF).

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

Responsibilities :

• Supports the Affordable Care Act (ACA) product portfolio lifecycle and prepares necessary data and analyses.
• Responsible for receiving, logging, assigning, tracking, and reporting status objections from the states and federal government through completion and regularly reporting them to the stakeholders and department leadership.
• Works on topics of moderately complex scope, requiring the exercise of independent judgment (within defined practices and procedures), the application of subject matter expertise, and proficiency with Microsoft Office, regulatory systems, and submission tools.
• Integrates and coordinates the work efforts and deliverables of small to medium cross-functional teams and can manage several tasks simultaneously within tight time frames.
• Manages first to mid-level stakeholder relationships.

Education & Experience :

Skills & Abilities :

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 one, 401(k) tuition reimbursement, and more.