Assures the successful implementation of new and changed products and benefits for commercial, governmental and individual lines of business and Workforce Health programs. Monitors the performance of existing products and programs and facilitates continuous improvement activities within the region that are consistent with the overall Kaiser Permanente (KP) organizational strategy.
Essential Functions:
- Implement new and changed products and benefits. Administer and maintain existing products and benefits in partnership with Product Development & HealthWorks staff, other MSBD staff, health plan and care delivery system partners, external vendors and Program Office staff. Use subject matter expertise, project management skills and systems knowledge to assure that new and changed products, benefits and programs are implemented & maintained in a timely and accurate manner
- Administer vendor relationships for health plan and ancillary products and HealthWorks programs. Act as a liaison between KP and the vendor for issues such as vendor performance reporting, contract maintenance, customer inquiries and system problem-solving. Assure that KP systems are properly administering vendor contract. Communicate vendor performance issues to KP leadership
- Research, analyze and make recommendations about proposed product and benefit changes. Consider clinical, pricing, regulatory, market research, operational issues and other necessary information. Assure alignment between existing plan or benefit design, administration and implementation of recommended changes. Understand and assist in implementation of state or other regulatory mandated benefits changes
- Develop and maintain training materials and department website resources. Conduct in-services and trainings to internal customers as needed on KP products and programs
- Provide subject matter expertise to internal and external customers related to product development, maintenance issues and problem-solving opportunities
Qualifications:
Basic Qualifications:
- Three years of health plan product and benefits management, administration or related experience
- Three years of project management experience
- Three years of experience in word processing, spreadsheet, and database PC applications
- bachelor's degree in business administration, healthcare administration or related field or equivalent related experience
- Demonstrated strong oral and written communication skills
Preferred Qualifications:
- Managed care experience
- Sales & marketing experience
- Group process facilitation experience
- Project Management Professional (PMP) Certification
- Training and presentation skills
- Working knowledge of state and federal regulations
- Knowledge of worksite wellness and health promotion programs
External hires must pass a background check/drug screen.
We are proud to be an equal opportunity/affirmative action employer.