Job Title: Lead Product Solutions Manager
Location: Los Angeles, CA | Remote
Position Type: Full Time

Job description
Job Summary
The Lead Product Solutions Manager provides program support (end to end) for the ongoing operations of the product line annual cycle. This role is cross functional. The Lead Product Manager must partner closely with key stakeholders including but not limited to IT, Operations, Health Services, Marketing & Sales to develop, organize, and execute the department priorities, resource commitments and deliverables. The ideal candidate has extensive healthcare knowledge and experience (Commercial, Cal MediConnect and/or D-SNP, Medi-Cal) and will work independently to lead and facilitate complex projects, initiatives that ensure deliverables are aligned with the line of business objectives, on time, and aligned with product retention and growth objectives.
Education Required
Bachelor's Degree
In lieu of degree, equivalent education and/or experience may be considered.
Experience
Required:
At least 6-8 years in managed care (Medicare, Commercial, and/or Medi-Cal) Direct experience in managed care functions including stars, quality, financial performance review, operational functions (claims, enrollment, readiness). Risk management and mitigating planning experience.
At least 3-4 years of lead experience.

Required:
Knowledge of product management and strategic planning and packaging concepts.
Ability to lead, manage, conclude and recommend using data and experience driven decisions.
Ability to lead, mentor and coach cross functional team through ambiguity.
Ability to make decisions to drive towards and accomplish team objectives.
Strategic thinking skills and ability to create messaging to influence desired outcomes.
Ability to anticipate future demands of initiatives related to people, technology, budget and business within your department and design/implement solutions to meet these needs.
Able to communicate results and business impacts to stakeholders within and outside of the company.
MS suite - Word, Power Point, Visio, Project
Licenses/Certifications Required
Licenses/Certifications Preferred
Commercial Product:
Required:
5+ Commercial annual rate setting experience
5+ Commercial risk adjustment experience
8+ year of leading large-scale cross-functional initiatives
Experience with DMHC & Covered CA contractual requirements
CMC/ D-SNP:
Required:
CMS annual rate setting experience
CMS risk adjustment experience
8+ year of leading large-scale cross-functional initiatives
Experience CMS guidelines & regulatory policy
Medicare Advantage, D-SNP and CMC quality & star rating
Ability to access, review and interpret CMS communications including memos, guidance, Advanced call letter and Final Call letter for impacts to Medicare product management..
Medi-Cal Product:
Required:
5-7 years Medi-Cal managed care experience
Experience serving Medi-Cal population
Understanding of Medi-Cal regulatory and program requirements







Diverse Lynx LLC is an Equal Employment Opportunity employer. All qualified applicants will receive due consideration for employment without any discrimination. All applicants will be evaluated solely on the basis of their ability, competence and their proven capability to perform the functions outlined in the corresponding role. We promote and support a diverse workforce across all levels in the company.