What are the responsibilities and job description for the Manager of Insurance Product & Pricing position at Medical Associates?
Medical Associates Health Plans is hiring a Manager of Product and Pricing to join our team!
Where You Will Be Working:
Medical Associates Clinic and Health Plans is a multi-specialty group practice combined with a growing health insurance company. Our 1,100 healthcare and health insurance professionals lead the way in providing quality healthcare and top-notch insurance products in Northeast Iowa, Southwest Wisconsin, and Northwest Illinois. This position is an onsite position located at the Medical Associates Health Plans in Dubuque, Iowa.
Benefits Package Includes:
- Single or Family Health Insurance with discounted premium rates for wellness program participation.
- 401k with immediate matching (50% on the dollar up to 7% of pay) additional annual Profit Sharing
- Flexible Paid Time Off Program (29 days off/year)
- Medical and Dependent Care Flex Spending Accounts
- Life insurance, Long Term Disability Coverage, Short Term Disability Coverage, Dental Insurance, etc.
Major Responsibilities:
- Underwriting Management: Oversee the evaluation of risk for potential and renewal business, ensuring underwriting decisions align with financial goals and company risk appetite.
- Provider Contracting: Lead contract negotiations, drafting, and implementation with healthcare providers to establish reimbursement rates and network structures.
- Product Oversight: Manage product design and specifications to ensure alignment with regulatory requirements, evolving market trends, and financial optimization objectives, including pricing strategy, benefit structure, and competitive positioning.
- Compliance & Auditing: Ensure compliance with state statutes, industry regulations, and internal underwriting guidelines. Manage rate filings and network adequacy requirements.
- Strategy & Profitability: Analyze claims data to identify trends, improve underwriting models, and implement pricing strategies. Develop budget and investigate variances.
- Leadership & Strategy: Manage selection, training, development, performance evaluations, and performance issues of assigned staff.
- Complete all other assigned projects and duties.
Knowledge and Skills:
Experience Five years to ten years of similar or related experience.
Education Equivalent to a college degree.
Interpersonal Skills The ability to motivate or influence others is a material part of the job, requiring a significant level of diplomacy and trust. Obtaining cooperation (internally and/or externally) is an important part of the job.