Product Specialist Materials Job Ref TE0050
Category: Professional Department: MHP PRODUCT Location: 50 Water Street, 7th Floor, New York, NY 10004 Job Type: Regular Employment Type: Full-Time Work Arrangement: Hybrid Salary Range: $90,000.00 - $100,000.00
Position Overview Reporting to the Vice President of Product, the Product Specialist Materials ensures operational excellence and regulatory compliance, owning the full spectrum of product member materials and across all Product Lines. Scope of Role & Responsibilities:
• Responsible for all member materials and communications under Product department and Product review. • Ensures timely cadence of required documents allowing needed time for cross-departmental collaboration. • Establishes efficient processes related to regulatory communications with an expertise on Medicare, ANOC, EOC, and annual CMS and Sales materials. • Responsible for updating Model Contracts for our QHPEP and Large group Products adhering to State deadlines. • Collaborates with internal stakeholders and Compliance to ensure all regulatory materials, including member handbooks and member-provider communications, are aligned with CMS and State regulations. • Periodic review of benefits posted on MetroPlus member and provider web pages pertinent to all MetroPlus products. • Works closely with Marketing, Regulatory, and Compliance to support document creation for internal and external product communication materials. • Establishes and manages efficient processes for member material creation, State and CMS approvals, and mailings in compliance with State and CMS timelines. • Updates Medicaid materials with regulatory model language for State submission and approval prior to use. • Partners with the Communications Department for feedback and input on required documents. • Works closely with Regulatory department for approval of documents. • Provides oversight vendor operations as they relate to required mailings with printing vendors adhering to vendor guidelines and requirements.
Required Education, Training, & Professional Experience
Bachelors degree from an accredited college or university in an appropriate discipline is required. A Masters degree in business, healthcare, or public administration is strongly preferred. Minimum 5 years of experience at a Health Plan in a product management or compliance role is required. Knowledge of Medicaid and Medicare products and regulatory environment in NYS is also required. Experience with CMS, ANOC, and EOC, and NYS model contracts is highly desirable. Demonstrated ability to develop and enhance processes, policies, and procedures is essential. Demonstrated ability to identify opportunities for improvement and implement solutions is also required.
Professional Competencies
• Leadership • Results-driven • Business acumen • Systems orientation • Process improvement • Data-driven decision-making • Customer focus • Excellent written and verbal communication skills • Resourcefulness • Ability to work effectively in a fast-paced and constantly evolving environment • Highly collaborative and demonstrating good judgment in seeking consensus and input from multiple stakeholders to drive decision-making • Ability to take initiative and think independently • Demonstrate understanding and acceptance of the MetroPlus Mission, Vision, and Values