Presbyterian Health Services Corp

Health Plan Product Manager

Healthcare
5 - 7 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's Degree in a related field or 6+ years of relevant experience in health insurance benefit plans.
  • 3-5 years of experience in health plan, project management, or related fields.
  • Project Management Professional (PMP) certification preferred.

Responsibilities

  • Manage and lead quantitative and qualitative market research and analysis.
  • Drive data-driven design and development of new products or modifications.
  • Implement complex, strategic business projects across multiple departments.
  • Serve as the lead contact for external customers and manage contract negotiations.
  • Develop and present statistical reports, offering recommendations for improvement.
  • Identify new market opportunities and facilitate product/service development.
  • Ensure project success through effective planning and resource allocation.

Benefits

  • Tuition and certification reimbursement for educational development.
  • Loan forgiveness via New Mexico Higher Education Department.
  • Malpractice liability insurance coverage.
  • Differentials for night/weekend shifts and higher education roles.
  • Access to an innovative wellness program and on-site gyms.
Full Job Description
Location Address:


Compensation Pay Range:
Minimum Offer $81,432.00Maximum Offer $138,611.20

Summary:
Build your Career. Make a Difference. Presbyterian is hiring a skilled Product Manager to join our team. The position manages and leads the quantitative and qualitative market research and analysis for PHP/PIC. Manages and leads the data-driven design and development of new products or modifications to existing products. Manages and implements complex, strategic, multi-departmental business projects. Lead point-of-contact with external customers, including contract initiation, negotiation and maintenance of business relationship

How you grow, learn and thrive matters here.
• Educational and career development options, including tuition and certification reimbursement, scholarship opportunities
• Staff Safety (a wearable badge that allows nurses to quickly and discreetly call for help when safety is a concern)
• Differentials for night/weekend shifts, higher education, certifications and various lead roles (for eligible positions)
• Malpractice liability insurance
• Loan forgiveness through the New Mexico Higher Education Department
• EPIC electronic charting system
Type of Opportunity: Full timeFTE: 1.00Job Exempt: YesWork Shift: Weekday Schedule Monday-Friday (United States of America)

Responsibilities:

Manages and leads the quantitative and qualitative market research and analysis for PHP/PIC. Manages and leads the data-driven design and development of new products or modifications to existing products. Manages and implements complex, strategic, multi-departmental business projects. Lead point-of-contact with external customers, including contract initiation, negotiation and maintenance of business relationship

Some key responsibilities include:
  • Contract initiation, negotiation and maintenance.
  • Lead point-of-contact with external vendors.
  • Develops, generates, presents and maintains a variety of statistical reports and records for senior leadership and recommends areas of improvement.
  • Assesses and identifies new local and regional markets and facilitates the development of new product and service opportunities. Maintain in-depth knowledge of PHP/PIC s Commercial products in association to competitors and trends.
  • Works with management to assess evaluation needs and project objectives. Assists in the data-driven decision making process when faced with uncertainty.
  • Ability to correctly frame a business question then determine valid and reliable data elements needed for the best available answer.
  • Develops and oversees all aspects of assigned project plans to include but not limited to project objectives, work plan, scope management and measures to ensure success with established quality standards.
  • Accountable for all aspects of new and existing Commercial product process management including conducting feasibility assessments, efficient allocation of resources, collaborating resources and estimating budget costs.
  • Directs various business area teams through the definition, development and implementation of critical processes and systems solutions.
  • Interfaces with PHP, PMG and/or PDS-delegated entities to gather, analyze and interpret data from various sources and MIS systems in support of business objectives.


Preferred Qualifications:

  • Experience leading product implementation and launch activities across multiple departments.
  • Experience coordinating cross-functional teams and managing implementation timelines, milestones, risks, and issue resolution.
  • Experience translating business or product requirements into operational plans and processes.
  • Experience supporting benefit configuration, system setup, letter automation, or member communication initiatives.
  • Strong project management, stakeholder management, and vendor relationship management skills.
  • Experience with contract negotiation, market analysis, and new product or service development.
  • Strong analytical skills with the ability to leverage data to support business decisions and process improvements.


Qualifications:
  • Bachelors Degree in related field or a minimum of 6 years experience in application, development and/or implementation of benefit plans associated with HMO, ASO, PPO, and/or Government programs required in lieu of degree.
  • Plus three to five years health plan experience, portfolio or project management, or other directly related experience.
  • Project Management Institutes Project Management Professional certification preferred.


We're all about well-being, starting with yours.
Presbyterian employees have access to a fun, engaging and unique wellness program, including free on-site and community-based gyms, nutrition coaching and classes, mindfulness and meditation resources, wellness challenges and more.

Learn more about our employee benefits.

About Presbyterian Health Services Corp

Presbyterian Health Services is a non-profit healthcare organization that provides a wide range of medical services to patients in New Mexico. The organization operates several hospitals, clinics, and medical centers throughout the state, and employs over 12,000 people. Presbyterian Health Services is committed to providing high-quality care to its patients, and has received numerous awards and recognitions for its work. The organization is also involved in community outreach and education programs, and works to improve the health and well-being of people in the communities it serves.
Learn more about Presbyterian Health Services Corp
Size
12,000 employees
Industry
Founded
1908

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