As healthcare becomes ever more hyper-local, Florida Blue Medicare (FBM) needs differentiated and integrated solutions that address the needs of the market place as FBM seeks to address diverse health needs in an aging population. The New Product Development Solutions Director sets and executes the compliant product and solution strategy for FBM in an array of areas including vertical strategy, and emerging markets and benefits. By deeply understanding the needs of customers in this market, the New Product Development Director looks across the entire portfolio of products, including core medical, ancillary, consumer, digital and pharmacy, as well as clinical care models, networks and service offerings, to develop a winning strategy in the market. The result of this strategy is the construction and delivery of new solutions that drives profitable membership growth. The healthcare solution development director is responsible for developing, and then telling a story to both internal and external audiences about our comprehensive suite of solutions that will help drive awareness and demand. He or she creates the solution development strategy and implements the plan to bring it to the market.
Job duties include but are not limited to: • Direct product development activities from formulation to commercialization • Proactively identify and resolve budget, product or timeline issues. Accountable for delivering product launch objectives by establishing strong project team. Effectively communicate project status to all appropriate parties • Develop a deep understanding of the competitive landscape, from both a plan sponsor and consumer perspective, and then use it to build a solution strategy. Create and publish roadmaps that support future quick win concepts, to provide a vision of where Florida Blue Medicare needs to go and/or adjust its market approach • Manage initiatives through pilot launch, leveraging both internal and external resources and partnerships • Be the Initiative Owner from proof-of-concept to a solution that can be transitioned to a business area • Develop product extensions, capabilities and services that meet the needs of prospects and members. Determine and implement the company’s product and service area expansion plans • Gather market feedback and quickly develop corrective actions to close gaps and impact results • Develop and implement reporting and oversight infrastructure to ensure that service products meet financial, quality, and operational goals while remaining in full compliance with all regulatory requirements • Develop standard model for service products to be modified based on regulations while maintaining core elements to create consistency of care • Lead organization to strong relationships with CMS and state Medicaid departments • Identify innovative new models and solutions to improve care, quality and cost efficiency • Partner with Actuarial, Legal, Compliance, Care, Network, Service, Sales, GuideWell Connect and Health to build a robust list of solutions that can have an immediate impact on the market • Partner closely with the business owners & implementation teams to ensure that plan build-out and regulatory filings meet the needs of Medicare business
• Bachelor’s degree or additional related equivalent work experience • 10+ years' related work experience. Experience Details: Medicare product related work experience within a healthcare organization or equivalent combination of transferable experience and education • 5+ years' direct supervisory/management experience • Demonstrated knowledge and application of State and Federal law application by product segment and an understanding of targeted consumer segments and distribution channels • Strong understanding of CMS Medicare Advantage and Medicare Supplement rules and regulations • Strong project management skills with the ability to set and handle multiple priorities, and adapt to changing situations • Strong leadership skills including Building Effective Teams and Developing Direct Reports • Strong communication and organizational agility with the ability to lead and work across functional groups in a positive and collaborative manner • Ability to handle and delegate large work volumes requiring a high degree of accuracy and organization • Ability to work in a fast pace environment with high ambiguity • Understanding of customer loyalty and retention programs, and primary and secondary research processes • Be an entrepreneur at heart with a relentless sense of urgency and deep curiosity to develop awesome new products • Exceptional Power Point Skills • Strategic thinker with excellent judgment and business sense • Extensive experience and successful track record working in and building relationships within matrixed organizational structures
We are an Equal Opportunity Employer/Protected Veteran/Disabled.
Internal Number: 18459
About Florida Blue Medicare
Florida Blue, Florida’s Blue Cross and Blue Shield company, is a leader in Florida’s health care industry. Driven by its mission to help people and communities achieve better health, Florida Blue has more than 4 million health care members across the state. An additional 15.5 million people in 16 states are served through its affiliated companies. Headquartered in Jacksonville, Fla., Florida Blue is an independent licensee of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield companies. For more information, visit www.floridablue.com.