The Shared Services Product Management Specialist assists with the development, implementation, and/or monitoring of new and existing products across Commercial, Medicaid, Medicare, and Integrated Products to support business plan goals, maximize consumer experience, and enhance operational efficiency. Primary responsibilities may include but are not limited to implementing new benefits and services for these products, implementing enhancements to existing processes, and working on both enterprise projects & ad-hoc initiatives. The Product Specialist will work with cross-functional teams across all levels of staff, and across the enterprise, to provide support through operational development, project management and/or coordination, and end-to-end implementation of business processes.
A Product Management Specialist at Healthfirst, solves routine problems of limited scope and complexity following established policies and procedures. The successful candidate will be a team player who is results-driven, creative, and a detail-orientated individual with excellent verbal and written communication skills.
Leads or participates in product-driven workgroups, to provide input to product designs/enhancements and implementation plans
Works with key stakeholders (including, but not limited to Regulatory, Claims Configuration, Provider Ops, Appeals & Grievance, Medical Management, Enrollment & Billing, Sales) to identify, scope and accurately implement new benefits, services, or other product changes, update processes and/or edit systems to accommodate regulatory requirements
Assist with ad hoc projects such as focus group studies, process improvement initiatives and program implementations, when applicable
Coordinate activities of product or project-specific cross-functional work teams / serve as liaison between product management and all levels of staff to assure ongoing effective administration of products
Collaborate with various departments to ensure we are pro-actively troubleshooting issues and resolving them in a timely manner
Monitor internal policies/procedures and job aids on a regular basis to ensure compliance with regulatory requirements and consistence with actual activities
Support product management leadership in preparing and conducting product and lines of business (LOB) presentations and training to internal and external audiences
Plan, schedule, monitor, and report on activities related to a project or assignment; ensure communication to all impacted areas
Serve as a subject matter expert on product benefits and requirements to other business units
Healthcare insurance and related experience
Experience with Microsoft Word, Excel, and PowerPoint
Strong organizational and project management skills
Some prior experience in the healthcare industry, specifically in health insurance
Strong work ethic, attention to detail, ability to effectively manage time, and commitment to developing quality work quickly
Ability to work independently
Strong presentation abilities and process-mapping experience
Excellent written and verbal communication
Ability to adapt to constant change and competing priorities, and to manage multiple projects simultaneously
WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.
If you have a disability under the Americans with Disability Act or a similar law, and want a reasonable accommodation to assist with your job search or application for employment, please contact us by sending an email to careers@Healthfirst.org or calling 212-519-1798 . In your email please include a description of the accommodation you are requesting and a description of the position for which you are applying. Only reasonable accommodation requests related to applying for a position within Healthfirst Management Services will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with Healthfirst Management Services.
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