Special Programs Manager I - Commercial Products

What you can expect! Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience! Under the direction of the Director of Product Implementation – Medicare & Commercial, the Special Programs Manager I - Commercial Products ensures advancement of IEHP’s commercial product initiatives. The Covered California Product Specialist is responsible for supporting the development, implementation, maintenance, and regulatory compliance of Individual products offered through the Covered California marketplace. This role serves as a liaison between internal departments and external stakeholders to ensure successful product filings, regulatory compliance, operational readiness, and ongoing product performance align with IEHP’s Mission, Core Values and Strategic Priorities as defined by IEHP Executives and Leadership. This role collaborates closely with Compliance, Finance, Actuarial, Sales, Enrollment, Operations, Claims, Provider Network, Marketing, and Covered California representatives to support annual product renewals, regulatory changes, and strategic initiatives. Commitment to Quality: The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation. Perks IEHP is not only committed to healing and inspiring the human spirit of our Members, but we also aim to match our team members with the same energy by providing prime benefits and more. Competitive salaryState of the art fitness center on-siteMedical Insurance with Dental and VisionLife, short-term, and long-term disability optionsCareer advancement opportunities and professional developmentWellness programs that promote a healthy work-life balanceFlexible Spending Account – Health Care/ChildcareCalPERS retirement457(b) option with a contribution matchPaid life insurance for employeesPet care insurance Education & Requirements A minimum of three (3) years of experience in health plan product management, health insurance operations, regulatory affairs, or related healthcare field requiredExperience working with Covered California, ACA products, or Individual Marketplace products preferredExperience coordinating cross-functional healthcare projects preferredExperience with benefit design, enrollment operations, or healthcare analytics preferredProject Management certification or equivalent experience preferredBachelor’s degree in business administration, Healthcare Administration, Public Health, Finance, or related field from an accredited institution requiredIn lieu of the required degree, a minimum of four (4) years of additional relevant work experience is required for this positionThis experience is in addition to the minimum years listed in the Experience Requirements aboveMaster’s degree from an accredited institution preferred Key Qualifications Understanding of project lifecycle methodologies and LEAN methodologiesKnowledge of managed care, healthcare, health plans, government products, and/or health plan accreditation principles and practices, enough to effectively lead projects within the organizationKnowledge of health plan operations, including downstream impacts, to effectively implement initiativesKnowledge of CMS, DHCS, and Covered California requirements preferredExcellent interpersonal skillsExcellent organizational skillsExcellent communication skills: verbal and writtenExcellent organization, process, and project management skillsSkilled in Microsoft Office programs including, but not limited to, Word, Excel, PowerPoint, Outlook, Access, and ProjectAbility to work in a complex, rapidly evolving environment which requires high-level initiativeAbility to make quick adjustments to project deadlines or assignmentsAbility to work independently and collaboratively within a team environmentAbility to effectively prioritize and manage multiple projects with competing deadlinesAbility to apply knowledge and guide selfExcellent attention to detailProven ability to interact effectively at all levels of the organizationAbility to work independently with little or no supervision and able to meet deadlines with little or no planning Start your journey towards a thriving future with IEHP and apply TODAY! Pay Range $80,059.20 USD Annually - $106,059.20 USD Annually