Senior Director, Product and Regulatory Management - PacificSource : Job Details

Looking for a way to make an impact and help people?Join PacificSource and help our members access quality, affordable care!PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, national origin, sex, sexual orientation, gender identity or age.Diversity and Inclusion: PacificSource values the diversity of the people we hire and serve. We are committed to creating a diverse environment and fostering a workplace in which individual differences are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths.Position OverviewThe Senior Director, Product and Regulatory Management is responsible for leading teams in three key domains: 1) the development, implementation, and management of the end-to-end product lifecycle for Medicare and commercial lines of business; 2) efficient and effective commercial business administration; and 3) compliant and effective regulatory communications. Working with company leadership, the Senior Director is responsible for developing and implementing products that achieve membership and profitability targets.Essential Responsibilities:

• Lead the product portfolio development and execution strategy across segments and multiple plan years. Direct the Medicare and Commercial product strategy and portfolio management to ensure profitable growth consistent with business plans.
• Oversee development and deployment of regulatory communication materials and processes, including Annual Notice of Change, directories, Evidence of Coverage, handbooks, formulary materials, forms, letters, and other regulated materials.
• Oversee the preparation of all filings and compliant regulatory documents across the product portfolio, including health contracts, self-funded materials, and related documents.
• Oversee implementation of state and federal benefit mandates, including benefit changes and member communication requirements.
• Provide strategic advice for PacificSource teams to ensure plan information is accurate and available timely within required timeframes.
• Develop and improve processes, driving administrative efficiencies and cost savings.
• Generate local competitive market insights to drive innovation and decision making.
• Develop structures and processes to ensure compliance, including leading cross-functional teams.
• Work closely with Compliance and others to ensure policies, procedures, workflows, lifecycle strategies, product offerings, and success initiatives comply with state and federal regulations.
• Negotiate business relationships with vendors and oversee the execution, implementation, and oversight of the contracts.
• Develop and monitor departmental budgets and take corrective action as necessary.
• Provide leadership and mentoring to the enterprise product team, the business administration team, and the regulatory communications team.
• Support the organization's commitment to diversity, equity, inclusion, and belonging by fostering a culture of dignity, cultural awareness, compassion, and respect.

Supporting Responsibilities:

• Meet department and company performance and attendance expectations.
• Follow the PacificSource privacy policy HIPAA laws, and regulations concerning confidentiality and security of protected health information.
• Perform other duties as assigned.

SUCCESS PROFILEWork Experience:Minimum of eight years of experience in product, portfolio, lifecycle management, and regulated communications, or substantially equivalent work in highly regulated functions.Education, Certificates, Licenses:Bachelor's degree required with a focus in health care administration, business, public policy, public health, or a related field. Master's degree or other advanced degree preferred.Knowledge:Advanced knowledge of Medicare Advantage, DSNP, fully insured group business, and Individual, on and off exchange, along with a deep understanding of the key attributes, competencies, and strategies for success.Competencies:Authenticity, Establishing strategic direction, Customer focus, Leading change, Empowerment/delegation, Building organizational talent, Coaching and developing others, Passion for results, Cultivating networks, Emotional intelligence, Optimizing diversity.Environment:Work remotely and inside in a general office setting with ergonomically configured equipment. Travel is required approximately 20% of the time.Skills:Accountable leadership, Business & financial acumen, Empowerment, Influential Communications, Situational Leadership, Strategic Planning.Physical Requirements:Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions.Disclaimer:This job description indicates the general nature and level of work performed by employees within this position and is subject to change.#J-18808-Ljbffr