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 salary

State of the art fitness center on-site

Medical Insurance with Dental and Vision

Life, short-term, and long-term disability options

Career advancement opportunities and professional development

Wellness programs that promote a healthy work-life balance

Flexible Spending Account – Health Care/Childcare

CalPERS retirement

457(b) option with a contribution match

Paid life insurance for employees

Pet 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 required

Experience working with Covered California, ACA products, or Individual Marketplace products preferred

Experience coordinating cross-functional healthcare projects preferred

Experience with benefit design, enrollment operations, or healthcare analytics preferred

Project Management certification or equivalent experience preferred

Bachelor’s degree in business administration, Healthcare Administration, Public Health, Finance, or related field from an accredited institution required In lieu of the required degree, a minimum of four (4) years of additional relevant work experience is required for this position

This experience is in addition to the minimum years listed in the Experience Requirements above

Master’s degree from an accredited institution preferred

Key Qualifications

Understanding of project lifecycle methodologies and LEAN methodologies

Knowledge of managed care, healthcare, health plans, government products, and/or health plan accreditation principles and practices, enough to effectively lead projects within the organization

Knowledge of health plan operations, including downstream impacts, to effectively implement initiatives

Knowledge of CMS, DHCS, and Covered California requirements preferred

Excellent interpersonal skills

Excellent organizational skills

Excellent communication skills: verbal and written

Excellent organization, process, and project management skills

Skilled in Microsoft Office programs including, but not limited to, Word, Excel, PowerPoint, Outlook, Access, and Project

Ability to work in a complex, rapidly evolving environment which requires high-level initiative

Ability to make quick adjustments to project deadlines or assignments

Ability to work independently and collaboratively within a team environment

Ability to effectively prioritize and manage multiple projects with competing deadlines

Ability to apply knowledge and guide self

Excellent attention to detail

Proven ability to interact effectively at all levels of the organization

Ability 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 !