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Product Solutions Manager III Medi-Cal

Job Category:  Administrative, HR, Business Professionals
Department:  Executive Directors Administration
Location: 

Los Angeles, CA, US, 90017

Position Type:  Full Time
Requisition ID:  5677

 

Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members in five health plans, we make sure our members get the right care at the right place at the right time.

Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.

Job Summary

The  Product Solutions Manager III Medi-Cal is responsible for assisting the product leadership team within the Medi-Cal Line of Business and the Enterprise.  The position will be responsible for the administration and operations to include, but not limited to assessing and leveraging Enterprise core functional services to promote Medi-Cal strategies and fulfill business objectives. The position will lead the collaboration and development of a broad scope of initiatives  to include Medi-Cal performance and monitoring, regulatory assessments,  member and provider solutions initiatives that impact product performance and market share,  and assess clinical utilization and product initiatives to increase cost effectiveness, member and provider satisfaction and meet contractual and regulatory requirements. 


This Position works with management to identify and implement varied products, programs and plans that support achievement of business unit goals and objectives that align with and support enterprise strategic directions.  Responsible for working with management to identify and implement varied projects, programs and plans that support achievement of business unit and organizational goals.  

Duties

Responsible for defining product strategy and positioning. Drive design, feasibility and definition of new innovations and manages the ongoing evolution and strategic direction of Medi-Cal Product portfolios. 


Conduct cost/benefit analyses, needs assessment and data analysis in order to align strategy, design and business solutions with business objectives. Conducts research and assessments of Medi-Cal market strategy.  Build support for business strategy, change or enhancement across the organization.  Leads and develops business requirement sessions. 

 

Develop and design processes and product requirements that support business needs. Design methods for integrating function and process including applicable dependencies on assigned projects including core business transformation initiatives.

 

Orchestrate, plan and execute end to end cycle strategy, development and implementation efforts for member retention, member journey, provider strategy and health services innovation. 

 

Identify potential risks, project charge, and scope. Design appropriate mitigation and contingency plans.  Lead efforts to identify best practices to drive product integrity and efficiency.  Drive due diligence and requirement analysis required for roadmap creation, scope and execution for enhancements and/or product  implementations.

 

Assess market strategy white papers, Legal memos, legislation/mandate language and/or Exchange model contract and provides an impact recommendation, feasibility and execution plan.

 

Lead the implementation of regulatory notifications, operationalize key strategies, evaluate process and outcome metrics and identify areas of improvement 

 

Perform other duties as assigned.

Education Required
Bachelor's Degree
In lieu of degree, equivalent education and/or experience may be considered.
Education Preferred
Master's Degree in Public Health or Related Field
Experience

At least 5-7 years of relevant experience in product development/management,  marketing.

 

Working knowledge of the company’s healthcare products, functions and regulatory guidelines.

 

Excellent written and verbal communication and presentation skills.

 

Ability to serve as member on cross-functional implementation or project teams.

 

Ability to interpret data sets and forecast future revenue streams.

Skills

Must have deep knowledge and ability to apply principles of the product development life cycle (PDLC) discipline and process for development and implementation of new products and/or enhancements.

 

Requires deep knowledge of product development life cycle discipline.

 

Knowledge of product management and strategic planning concepts.

 

Must be familiar with regulatory guidelines governing product lines; leads regulatory filing process for new/custom product initiatives.

 

Able to use advanced features of MS Office including Excel, PowerPoint, Word, MS Project, Visio and Access.

Licenses/Certifications Required
Licenses/Certifications Preferred
Required Training
Additional Information

 

L.A. Care offers a wide range of benefits including

  • Paid Time Off (PTO)
  • Tuition Reimbursement
  • Retirement Plans
  • Medical, Dental and Vision
  • Wellness Program
  • Volunteer Time Off (VTO)