Jobs
>
Long Beach

    Director, Medicare Product Development - Long Beach, United States - Molina Healthcare

    Default job background
    Full time
    Description
    Job Description

    JOB DESCRIPTION

    Job Summary

    This position is responsible for supporting development and pricing of Medicare products, which include MA-PD, D-SNP and MMP.

    KNOWLEDGE/SKILLS/ABILITIES

    The Director Medicare Product Development is a key member of a small team that is responsible for significantly contributing to Medicare strategy and growth. The product development department is the Company's go to expert for all matters relating to Medicare product development, including meaningful difference, benefits uniformity, TBC and what services constitute benefits under Medicare and SNP guidance. The director conducts research and helps the department liaison with marketing, sales, and the national contracting team. The position works with the actuarial department and applies automated tools to determine actuarial cost of changes in cost share and formularies for HMO and PPO MA-PD products and makes recommendations on benefit design including drug list to senior leadership. The position is responsible for preparing competitive market analysis reports for current and future markets and preparing strategic product development updates for senior leaders.

    Additional duties include the following:
    • Works with the actuarial department to determine the cost of making changes in benefits design for dental, vision, OTC, transportation, and other benefits that cater to dual eligible.
    • Engages VPs of government contracts at health plans to obtain feedback and direction on MMP benefits.
    • Coordinates with the national contracting team to ensure vendor contracts are aligned with product design and approved bids and pricing.
    • Reviews vendor contracts for dental, vision, transportation, etc. to ensure optimal rates and service.
    • Leads the development of supplemental rider benefits plans.
    • Leads QA process of Medicare and MMP PBP uploads to ensure accurate filing of intended plan designs.
    JOB QUALIFICATIONS

    Required Education

    BA/BS or equivalent experience

    Required Experience

    Five years + Medicare Advantage general experience, including familiarity with product development and bids

    Preferred Education

    Graduate studies

    To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.

    Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V.


  • Business & Pleasure Co. Long Beach, United States

    MAJOR RESPONSIBILITIES (Position Summary) · Business and Pleasure is seeking a Product Development Associate to assist in the production of a variety of outdoor consumer products. This is a new position on our growing team, and will report directly to the Senior Product & Design ...


  • Velocity Solutions Orange Beach, United States

    Position: · Product Owner Location: · Hamburg, Germany · Must have strong proficiency in German (C2 level required) · Responsibilities: · - Manage and oversee the migration project from Microstrategy to PowerBI · - Plan, coordinate, and monitor project goals and resources · - ...

  • SYSCO

    Sales Consultant

    1 day ago


    SYSCO Long Beach, United States Full time

    Company: · US0045 Sysco Los Angeles, Inc.Zip Code: · 91789Minimum Years of Experience: · 0-1 YearsEmployment Type: · Full TimeTravel Percentage: · Up to 25%Compensation Range: · $61, $86,600.00The compensation range provided is in compliance with state specific laws. Factors th ...


  • MSC Industrial Supply Co. Long Beach, United States

    **Build a better career with MSC.** · Serving customer and community starts with the very best people doing their very best work. That is precisely what we have at MSC Industrial Supply Co., a leading North American distributor of metalworking and maintenance, repair, and operati ...


  • Coastline Equipment Long Beach, United States

    **Purpose**: · Define, manage, and enhance the dealership image and brand in the market. Lead efforts to better understand, attract, and retain customers. Develop and manage marketing tactics to promote the dealership's products and services through targeted efforts. Attract and ...

  • LIME SPORTS GROUP, LLC

    Creative Coordinator

    2 hours ago


    LIME SPORTS GROUP, LLC Long Beach, United States

    **About Us**: · LIME SPORTS GROUP is a dynamic management and marketing agency that works to empower and enhance the personal and professional development of athletes. We focus on public relations, philanthropic initiatives, post-career opportunities, and more Additionally LIME S ...


  • Goodwill Southern Los Angeles County Long Beach, United States

    **Assistant Store Manager**: · **DIVISION 400**: · **Summary Description**: · - The Assistant Store Manager assists the Store Manager in the daily operations of assigned retail store, ensuring consistency, compliance, and achievement of sales and productivity goals. · - An Assist ...


  • DAIKIN COMFORT TECHNOLOGIES DIST INC Long Beach, United States

    May include: · - Manage and oversee the day-to-day operations of the branch including staffing and ensure that the assigned duties of all personnel are completed on a daily basis in a timely manner. Review and approve hours worked and PTO using Kronos. · - Maintain sales - review ...


  • Linchris Hotel Corporation (Allegria Hotel) Long Beach, United States

    **Position Pay**: $20.00/hr · **Hours**: This position would be flexible to work both AM and PM shifts to provide coverage as needed · **Weekend coverage needed consistently**: If you are looking for weekends off, this is not the job for you · **Reports to**: F&B Manager, Outlet ...

  • Advanced Medical Management, Inc.

    Privacy Director

    16 hours ago


    Advanced Medical Management, Inc. Long Beach, United States

    **THE POSITION** · **Company**: Advanced Medical Management, Inc. (AMM) · **Title**: Director - Privacy · **Location**: Long Beach, CA · **Reporting Lines**: The Chief Compliance and Ethics Officer (the CCEO) · **ABOUT AMM** · AMM's mission is to offer flexible administrative hea ...


  • Molina Healthcare Long Beach, United States

    **JOB TITLE**: MANAGER, HEALTHCARE SERVICES TRAINING (RN) · For this role, we are seeking a Healthcare Services Manager to oversee our Clinical Training staff. Contribute strategic recommendations to upper management for growth improvements and systems expertise. Solid experience ...


  • SJS Executives LLC Long Beach, United States

    SJS Executives, LLC (SJS), also doing business as SJS Industrial, is currently seeking a reliable, Junior Interior Designer to work full time for SJS Executives supporting a Veteran's Affairs Hospital with their ongoing construction/renovation projects in Long Beach. · - SJS is a ...


  • Amentum Long Beach, United States

    Amentum is seeking an experienced Site Operations Manager for our operations and maintenance team in Long Beach, CA. · Typical work schedule is Monday-Friday, 7:30am - 4:00pm; various hours may be required based on business demand. · This position directs a workforce of technicia ...


  • Rumble Boxing Long Beach Long Beach, United States

    **DO YOU RUMBLE?** Rumble Boxing is coming to 2nd & PCH in Long Beach, CA. We are looking for energetic sales people to join our team · **REQUIREMENTS**: · - Excellent sales, communication, and customer service skills required · - Must have genuine hospitality and passion for peo ...


  • Academy Fire Long Beach, United States

    Academy Fire Life Safety offers national one-stop fire and life safety services through our network of self-perform districts and trusted vendor partners. Our experienced account managers ensure clients across the country receive the same quality service for fire safety systems. ...

  • International Transportation Service, LLC.

    Operations Manager

    16 hours ago


    International Transportation Service, LLC. Long Beach, United States

    ***: · Reporting to the Director of Operations, the **Operations Manager (OM)** will be responsible for ensuring safe and efficient operations for vessel, rail, yard and gate departments. The OM is responsible for providing strategic direction and day-to-day operations of the ter ...

  • Bragg Companies

    Corporate Controller

    16 hours ago


    Bragg Companies Long Beach, United States

    **Overview**: · This position is the key position in the accounting department that will oversee all accounting functions for Bragg Investment Companies and its subsidiaries (including Total Western and Coastline Equipment). The Corp. Controller has ownership of all sections with ...


  • Global Plumbing & Fire Supply Long Beach, United States

    Job Overview: · NEED TO HAVE EXPERIENCE IN AMAZON SELLER ACCOUNT. · We are seeking an experienced E-commerce Specialist to join our team. As an E-commerce Specialist, you will be responsible for managing and optimizing our online sales channels and driving revenue growth. This is ...


  • Sterile Processing Services of America Long Beach, United States

    Responsible for managing the instrument department personnel and ensure that instrument sets are processed according to written procedures. Manage all aspects of the department staffing and supplies. Monitor customer requirements to ensure expectations are met; manage departmenta ...


  • Dion & Sons Long Beach, United States

    **About Us**: · **Dion and Sons Inc. since 1930 is a leading distributor of fuels, lubricants and related petroleum products with locations across Southern California. We have a diverse customer base including construction and industrial companies, utilities, municipalities and p ...