Plan Design Specialist jobs in Grand Rapids, MI

Job Summary

Hybrid onsite within the State of Michigan

Not able to sponsor visa now or in the future

Salary range 60k to 70k

Responsible for the strategy, development, and management of a portfolio of health plan products in the Employer Solutions division. Leads ongoing management of existing products and identifies evolution and sustain opportunities to maintain portfolio competitiveness and improve product performance.

Proactively identifies market opportunities, trends, and works to identify the solutions. For product enhancements and new product launches, is the business owner through the product development life cycle, working with the delivery/development teams and go to market team on product positioning and strategy.

Manages external vendor and strategic partnerships. Primary portfolio focus will include health plan cost transparency programs and Ancillary Products.

Key responsibilities include:

Accountable for the performance of his/her assigned product portfolio:

MONITOR: Understands and monitors all aspects of portfolio and product performance including profitability, membership, and operational/customer service issues.

MANAGE: Drives ongoing maintenance of, and operational support for, existing products, and leads investigation and resolution of product performance issues.

GROW: Develops and drives short and long-term vision and strategy for the portfolio category.

Acts as a Subject Matter Expert for the products in his or her portfolio:
Resource for the organization on all products within his/her portfolio.

Supports the sales team by consulting and offering guidance on product features and product positioning (both internally and externally)

Essential Functions

• Responsible for the management of product lines which includes, but not limited to:
• Analysis of product positioning and pricing in the market
• Knowledge of competitor products and pricing
• Development of product strategies and oversight of tactics
• Monitoring of business outcomes
• Subject matter expertise on the products’ plan designs.
• Train sales on product and services
• Maintains current knowledge of CMS requirements, plan benefits, and systems and procedures. Serves as resource to the organization related to this information.
• Identifies opportunities for improvement; accountable for implementing business/system changed required to support products. Assists with development of or revision to processes to improve quality, efficiency and cost effectiveness of the products.
• Identifies and manages how portfolio options and assuring that they are displayed in the Smart Quote rating tool.  This requires collaboration with the vendor, Actuarial and Underwriting team
• In collaboration with the manager provides continuous support and information to facilitate and improve understanding, acceptance and integration of the portfolio throughout the organization (i.e. oversight of Products Documentation Processes).
• Works with relevant staff to coordinate marketing activities to support the products.
• Participates in and assists with coordination of special projects and activities as needed.
• Work with marketing and sales to develop integrated strategies and product promotions
   

Qualifications

• Required Bachelor's Degree or equivalent in health care of business
• 2 years of relevant experience in product management

• Health Plan experience preferred

• Vendor relationship management experience preferred
• Familiarity with state and federal regulatory and legislative processes required; must be able to read and interpret complex statutes and regulations. Required

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CURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.

Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.

Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.

You may request assistance in completing the application process by calling 616.486.7447.