Provide direct support to the Administrative Service Unit including the Sales Department in all designated market segments, by serving as the subject matter expert; assisting in strategic planning; operations process improvement assistance; assistance in operational staff training; making presentations to accounts and brokers; conducting broker training, conducting Sales training; conducting large scale employee/member or prospect meetings.
Manage and assist in the development of new products and features for assigned Market. Identify differentiated, innovative and value-added benefits to succeed in highly competitive market. Determine the strategic fit of product portfolio and develop strategies to target high growth and profitable customer segments. As products are developed or modified, ensure that they are consistent with overall CareFirst strategic direction. On continual basis, engage in comprehensive product life cycle management for all products.
Manage and assist in the analysis, evaluation, quantification, and determination of future marketplace opportunities to create product and segment strategies balancing customer needs, financial requirements and corporate strategic goals. Maintain market focus by utilizing primary and secondary marketing research and by engaging feedback from accounts and brokers. Lead multidisciplinary teams to develop and publish annual product/segment plan.
Provide day to day subject matter expertise and leadership to all areas of the company related to Market regulations, policies and nuances, and serve as an advisor on related implementations and task forces.
For assigned Market, manage and assist in the facilitation of multidisciplinary product development or product implementation teams including underwriting, sales, contracting and compliance, IT, Administrative Services Unit, etc. Serve as business owner, point person and consensus builder for marketing, product, and strategic issues. Manage staff to ensure that other departments throughout the company complete their respective tasks in order to make certain that Market related product developments and implementations are successful. Manage the evaluation of issues as necessary to keep projects on task and within budget.
For assigned Market, manage and assist in the monitoring of profitability, enrollment, customer satisfaction, and market and competitor trends in order to recommend new products, product enhancements, or product retirements. Develop monthly updates and presentation of quarterly comprehensive closing documents to marketing staff in order to gauge Market’s performance and to summarize key findings and trends.
Present and sell strategic recommendations to the CEO and to Executive Management at CareFirst. Serve as Market "champion" and spokesperson, to ensure that potential internal investors at all levels of the organization are attracted to and fully informed of products' and segments' marketability, profitability, and fit within the changing marketplace.
Serve as a mentor to interns, Product Specialists and Product Managers providing general training and feedback on strategic planning process; analysis of the impact of health care regulations on their product or segment; product development; competitive pricing analysis; enrollment analysis; marketing material development and review; web site development and review; and other marketing related management tasks. Cross train on product and segment regulations, marketing material review, competitive and pricing analysis, enrollment analysis and day to day tasks to help them become subject matter experts.
Required: Requires an undergraduate degree, and 5 + years of demonstrated Product Management or Marketing Management related experience. A graduate degree in marketing or business, and proficiency with qualitative and quantitative analysis of health industry products strongly preferred. Also, candidate must have completed leadership-oriented training.
Abilities/Skills: Must have highly developed analytical skills and must be able to effectively communicate complex marketing and business-related issues to a diverse audience (both written and orally). Must be able to build productive relationships, be effective in individual and group meetings, be skilled in conflict resolution negotiations, and be able to lead and work effectively on cross-functional teams. Must be aggressive in desire to produce innovative alternatives and be willing to defend suggestions in varied circumstances. Must be proficient in Word, Excel, and PowerPoint.
Experience with Medicare Advantage annual bid process and development of required regulatory filings
Experience with creating required product documents including the Evidence of Coverage
Medicare Advantage product development experience
Health plan or management consulting experience
Medicare Advantage Specific Duties:
Drives the strategic development of CareFirst’s launch of a compliant and sustainable Individual Medicare Advantage product portfolio and supports growth post-launch.
Identifies and analyzes large datasets and uses data to drive strategy.
Works closely with Actuarial and other key stakeholders in the design of products – leveraging industry and market research, publicly available data, and national and local marketplace trends.
Vets product designs cross-functionally and ultimately presents strategy and obtains approval from senior leadership.
Supports the submission of annual bids to CMS and manages the development and filing of mandatory documents such as the Evidence of Coverage.
Monitors product portfolio and coordinates with operating areas to address problems and improve product delivery.
Supports market research, customer experience, and communication efforts.
Must be able to effectively work in a fast-paced environment with frequently changing priorities, deadlines, and workloads that can be variable for long periods of time. Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.
Preferred: A graduate degree in marketing or business, and proficiency with qualitative and quantitative analysis. Health industry experience strongly preferred.
Additional Salary Information: Actual salary will be based on relevant job experience and work history.
Internal Number: 12576
About CareFirst Blue Cross Blue Shield
CareFirst is the health care marketplace leader in more ways than one. We are the largest health care insurer in the Mid-Atlantic region, employing more than 5,000 associates and serving nearly 3.4 million members in Maryland, the District of Columbia and Northern Virginia.We are also innovation leaders – our associates are continually finding creative and effective ways to deliver greater value and service to our members and improve the quality of life in our communities. The new normal for the health care industry is constant change and evolution and CareFirst strives to drive the future of health care through our advanced solutions.We promote learning and development by encouraging and supporting our associates to invest in their own learning and development. We are guided by a powerful set of values that inform and influence our interactions with each other, our members and our community.