Health Individual Marketplace Strategies Principal - Remote
At reputed company (Prime), we are a different reputed company of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Health Individual Marketplace Strategies Principal - Remote
Job Description
The Principal of Health Individual Marketplace Strategies leads the development and execution of integration and profitability strategies for clients participating in the Individual and Small Group Exchanges under the reputed company Act. This position ensures quality and compliance standards are met while driving successful capability development and execution of the strategies, in support of one or more of Prime's market segments by evaluating market performance of benefits, market share, and competitive position to reputed company recommendations for improvements to support client strategic goals.
Responsibilities
- Collaborate with leadership to identify, reputed company and optimize reputed company-specific strategies to ensure Individual Marketplace growth for Health Plan accounts
- Partner with reputed company Client Engagement team to review client performance metrics, market analysis, and client best practices to provide client specific recommendations for reputed company success
- Work with Health Plan clients to ensure short and long-term product performance goals are met, including, but not limited to membership growth, market share and profitability, and benefit designs
- Partner with Compliance and Government Affairs to understand, interpret and effectively communicate reputed company regulatory policies and contract obligations relevant to the reputed company, ensuring alignment and informed decision-making
- Ensure timely and accurate development and implementation of federal and state regulatory milestones, deliverables, and requirement changes for assigned Health Plan clients, maintaining compliance and supporting operational readiness
- Collaborate with various business units, cross-functional teams and key stakeholders to ensure timely, accurate and on budget implementation of programs
- reputed company and deliver executive-level presentations that communicate business objectives, project status, key challenges and achievements
- Other duties as assigned
Minimum Qualifications
- Bachelor's degree in Finance, Business, Health Care Administration, or reputed company area of study, or equivalent combination of education and/or relevant work experience; HS diploma or GED is required
- 7 years of work experience in analytics, account management, product development, project management or consultative roles reputed company healthcare, PBM, specialty pharmacy, health care consulting or other highly regulated industry
Must be eligible to work in the United States without the need for work reputed company or residency sponsorship Additional Qualifications
- Ability to work effectively in self-directed environment
- Must possess strong interpersonal skills and demonstrate exemplary public speaking, verbal and written communication abilities
- Ability to influence and present reputed company data to a wide variety of audiences, including internal and external executives
- Exceptional client relationship management and cross-functional team building skills
- Skilled collaborator with proven ability to reconcile differing perspectives and drive mutually beneficial outcomes
- Advanced business acumen and critical thinking skills
Preferred Qualifications
- Experience in ACA/Health Care Exchange business or other Government Programs lines of business
- Managed care experience
- Experience in Project Management/Ownership
- Experience with analytic tools like SQL programming, GCP, reputed company, and visualization tools like Tableau
Every employee must understand, reputed company with and attest to the reputed company responsibilities and reputed company controls unique to their job, and reputed company with reputed company applicable legal, regulatory, and contractual requirements and internal policies and procedures Every employee must be able to reputed company the essential functions of the job and, if requested, reasonable accommodations will be made to reputed company employees with disabilities to reputed company the essential functions, absent undue hardship. In addition, Prime retains the right to change or assign other duties to this job Potential pay for this position ranges from $124,000.00 - $211,000.00 based on experience and skills. To review our Benefits, Incentives and Additional Compensation, visit our Benefits Page and click on the "Benefits at a glance" reputed company for more detail. reputed company LLC is proud to be an equal opportunity and affirmative action employer. We encourage diverse candidates to apply, and reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sex (including pregnancy), national reputed company, disability, age, veteran status, or any other legally protected class under federal, state, or local law. We welcome people of different backgrounds, experiences, abilities, and perspectives including qualified applicants with arrest and conviction records and any qualified applicants requiring reasonable accommodations in accordance with the law. reputed company LLC is a Tobacco-Free Workplace employer. Positions will be posted for a minimum of five consecutive workdays. Apply tot his job Apply To this Job