SVP Medicare

Key Responsibilities

• Develop and execute a comprehensive Medicare business strategy to drive growth, profitability, and market share.
• Analyze market trends, competitor activity, and regulatory changes to inform business decisions.
• Identify and pursue new business opportunities, including partnerships and collaborations.
• Lead the development, launch, and ongoing management of Medicare Advantage, Medicare Supplement, and Medicare Part D products.
• Collaborate with cross-functional teams to design and implement product features, benefits, and pricing strategies.
• Ensure compliance with regulatory requirements and industry standards.
• Oversee Medicare-related operations, including sales, marketing, underwriting, and customer service.
• Develop and implement process improvements to enhance operational efficiency and customer satisfaction.
• Manage budgets, forecasts, and resource allocation for Medicare-related activities.
• Develop and execute sales and marketing strategies to drive Medicare enrollment and revenue growth.
• Collaborate with external partners, such as agents, brokers, and community organizations, to promote Medicare products.
• Ensure compliance with marketing and sales regulations, including CMS guidelines.
• Partner with stakeholders from across the business to ensure Medicare-related activities are informed by and compliant with regulatory requirements and standards set by CMS, HIPAA, and state-specific regulations.
• Collaborate with cross-functional teams to identify and mitigate regulatory risks and provide input on business strategies and initiatives.
• Partner with stakeholders from across the business to influence and inform customer experience strategies and initiatives, ensuring alignment with business objectives and customer needs.
• Collaborate with cross-functional teams to identify opportunities for improvement and provide input on service enhancements and process improvements that impact the Medicare customer experience.
• Establish and track key performance indicators (KPIs) for Medicare-related activities, including enrollment, revenue, and customer satisfaction.
• Analyze performance data to inform business decisions and drive improvements.

Key Requirements

• 10+ years of experience in healthcare, with a focus on Medicare products and services.
• Proven track record of success in Medicare business development, product management, and operational leadership.
• Strong understanding of Medicare regulations, including CMS guidelines and requirements.
• Strong understanding of healthcare policy and regulatory trends.
• Experience with Medicare Advantage, Medicare Supplement, and Medicare Part D products.
• Excellent leadership, communication, and analytical skills.
• Ability to navigate complex organizational structures and build effective relationships with stakeholders.
• Enterprise thinker with ability to unify historically siloed functions.
• Strong operator with a bias for execution and measurable outcomes.
• Exceptional communicator with ability to influence at all levels.
• Data-driven decision maker with strong analytical orientation.
• Builder of high-performing teams and scalable operating models.