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Mgr, Product Operations - Tampa

Company: Wellcare Health Plans
Location: Tampa
Posted on: September 15, 2019

Job Description:

Develops strategies to meet or exceed compliant operations and expansion of products and services within the State. Manages business analyst to produce operational reports by state and by product/service to management teams; and to continuously identify process to automate/eliminate reports by applying business process improvements and process re-engineering to the report development. Manages community relations specialist to monitor the ongoing effectiveness of products/services in the State and real-time analysis for continuous improvement. Facilitates problem identification, solution development and initiative implementation to drive execution of program/service.Report To: Vice President, CMS Operations FLDepartment: FL-Reg Affairs-StateLocation: 3031 N Rocky Point Drive, Tampa FL 33607Level: L19Essential Functions:Manages products/services that interfaces across multiple functional areas, and to be the liaison between the plan, corporate, state, and other external constituents as needed to build relationships and deliver results.Oversees the operational aspects of the product/service.Assesses market dynamics, competitive position and operational performance, and performs strategic planning and annual forecasting activities for product/service.Builds and enhances relationships with corporate, providers, members, and external partners in the community to support plan and company mission and create compliant opportunities for growth within the state.Works closely with the Director, Regulatory Affairs and Compliance Liaison to ensure compliance within all areas of the product/service.Evaluates sales, contracting, and operational processes for "best practice" development in all areas of the business.Partners with all departments in the organizations, which include, but are not limited to: finance, provider relations, customer service, health services, utilization management, medicare sales, and community relations.Performs other duties as assigned. Additional Responsibilities:Develops, manages and monitors production and execution of TV on behalf of the market. Consults with shared services marketing team to target direct mail, and drive the appropriate mix of other media as well as scripting and other opportunities.Collaborates with the Director of Product Operations to ensure that all State regulatory material requirements are met.Coordinates with shared services to report on supplemental vendor progress for the market.Supports annual plan benefit design through competitor analysis.Coordinates and consults on behalf of the market to ensure continuity of messaging to members will support the retention, satisfaction and HEDIS compliance.Partners with the marketing team to ensure all prospect and sales collateral are appropriate to drive the sales volume and meet market sales goals.Monitors and reports to the market key communications project initiatives from various departments. Creates a communication inventory for the market.Ensures that all ad hoc or corrective communications contain appropriate information, talking points, and FAQs that are implemented appropriately in customer facing areas.Candidate Education:Required A Bachelor's Degree in business administration / related fieldRequired or equivalent work experiencePreferred A Master's Degree in a related fieldPreferred or equivalent work experience Candidate Experience:Required 5 years of experience in demonstrated experience in strategic planning and development, product management, and financial managementPreferred Other Experience in health care or managed care environmentRequired Other Experience working the state reporting, regulatory/government affairs Candidate Skills:Intermediate Ability to lead/manage others in a matrixed environmentIntermediate Ability to influence internal and external constituentsIntermediate Demonstrated negotiation skillsIntermediate Demonstrated written communication skillsIntermediate Demonstrated interpersonal/verbal communication skillsIntermediate Ability to work in a fast paced environment with changing prioritiesIntermediate Other Ability to network with internal resources as well as external partners and consultantsIntermediate Other Proven track record of managing through teamwork, collaboration and open communicationsIntermediate Other Strong strategic planning background and the ability to balance market requirements with objectives of the program/service and compliant regulations Licenses and Certifications:A license in one of the following is required:Technical Skills:Required Intermediate Microsoft PowerPoint Proficient in Microsoft Office including Word, Excel, PowerPoint, and OutlookRequired Intermediate Microsoft PowerPoint , Quantitative analysis and financial modeling capabilitiesRequired Intermediate Microsoft WordRequired Intermediate Microsoft OutlookRequired Intermediate Other Quantitative analysis and financial modeling capabilities. Languages:About usHeadquartered in Tampa, Fla., WellCare Health Plans, Inc. (NYSE: WCG) focuses primarily on providing government-sponsored managed care services to families, children, seniors and individuals with complex medical needs primarily through Medicaid, Medicare Advantage and Medicare Prescription Drug Plans, as well as individuals in the Health Insurance Marketplace. WellCare serves approximately 5.5 million members nationwide as of September 30, 2018. WellCare is a Fortune 500 company that employs nearly 12,000 associates across the country and was ranked a "World's Most Admired Company" in 2018 by Fortune magazine. For more information about WellCare, please visit the company's website at www.wellcare.com. EOE: All qualified applicants shall receive consideration for employment without regard to race, color, religion, creed, age, sex, pregnancy, veteran status, marital status, sexual orientation, gender identity or expression, national origin, ancestry, disability, genetic information, childbirth or related medical condition or other legally protected basis protected by applicable federal or state law except where a bona fide occupational qualification applies. Comprehensive Health Management, Inc. is an equal opportunity employer, M/F/D/V/SO.

Keywords: Wellcare Health Plans, Tampa , Mgr, Product Operations - Tampa, Other , Tampa, Florida

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