Product Submission Lead - Exchange (Remote)

Location: Remote, United States

Primary Job Function: Marketing & Communications

ID**: 31563

Your career starts now. We are looking for the next generation of healthcare leaders.

At AmeriHealth Caritas, we are passionate about helping people get care, stay well, and build healthy communities. As one of the nation's leaders in healthcare solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services, and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together, we can build healthier communities. If you want to make a difference, we want to connect with you.

Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.

Discover more about us at www.amerihealthcaritas.com.

Responsibilities:

The Product Submission Lead leads the enterprise's qualified health plan (QHP) submission effort. The Product Submission Lead is accountable for understanding, socializing, and complying with multiple state-specific and federal guidelines and filing deadlines throughout the year. The Product Submission Lead coordinates the annual QHP filing and certification process for existing AHC exchange markets and designated expansion states. The Product Submission Lead facilitates the QHP and certification process with business function stakeholders, third-party vendors, and supporting subject matter experts to obtain all required information to complete the filing and other related deliverables and submit the file according to applicable state and federal guidelines on the appropriate platform(s) (e.g., HIOS, SERFF). The Product Submission Lead supports the Affordable Care Act (ACA) product portfolio lifecycle and prepares necessary data and analyses. The Product Submission Lead is also responsible for receiving, logging, assigning, tracking, and reporting status objections from the states and federal government through completion. The Product Submission Lead reports regularly to the stakeholders and department leadership.

The Product Submission Lead works on topics of moderately complex scope, requiring the exercise of independent judgment (within defined practices and procedures), the application of subject matter expertise, and proficiency with Microsoft Office, regulatory systems, and submission tools. The Product Submission Lead integrates and coordinates the work efforts and deliverables of small to medium cross-functional teams, capable of managing several tasks simultaneously within tight time frames.

Coordinates stakeholder relationships: Manages first to mid-level stakeholder relationships.

Education & Experience:

• 1 to 3 years in a project management or similar role; previous experience or familiarity with the ACA QHP filing process preferred.

• Bachelor’s Degree or equivalent experience.

• Detail-oriented, able to work in “gray areas” towards a solution.

• Strong organizational and communication skills and the ability to communicate with all organizational levels.

• Ability to function at a high level with minimum supervision.

• Demonstrated ability to learn and apply the learning in a business environment.

• Ability to communicate with leadership.

• Proven ability to work across organizations and gain/build stakeholder trust.

• Advanced proficiency in Microsoft Office Word, Excel, Outlook, PowerPoint, SharePoint, and Visio.

• Experience with government programs and tools related to filing or finding and utilizing online resources.

• Demonstrates working knowledge of health plan business functions, capabilities, operational policies, and processes.

Diversity, Equity, and Inclusion

At AmeriHealth Caritas, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.

We keep our associates happy so they can focus on keeping our members healthy.

Our Comprehensive Benefits Package

Flexible work solutions include remote options, hybrid work schedules, competitive pay, paid time off, holidays and volunteer events, health insurance coverage for you and your dependents on Day 1, 401(k) tuition reimbursement, and more.

EOE Minorities/Females/Protected Veterans/Disabled