Director, Medicare Advantage Product Strategy - St. Luke's Health Plan

At St. Luke’s Health Plan, we’re on a mission to connect people with affordable, hassle-free health care. We are the only health plan in Idaho putting doctors and insurance on the same team to deliver a more efficient and quality health care experience with less stress. Join us in this bold ambitious journey! 

This key leadership role will be at the heart of efforts to develop, launch, and evolve a portfolio of competitive, high-quality Medicare Advantage products. 

What You Can Expect:

• Lead the end-to-end development and execution of Medicare Advantage product strategy, ensuring market competitiveness and regulatory compliance.
• Conduct ongoing market analysis and competitor benchmarking to identify trends, opportunities and emerging risks. 
• Oversee benefit design and supplemental offerings to optimize value.
• Ensure compliance with CMS regulations, including bid submissions and plan filings.
• Partner with Quality, Pharmacy and Actuary teams on product enhancements that improve Star Ratings, risk adjustment, and quality performance.
• Partner with actuarial team and CMO to manage medical loss ratio (MLR) and financial sustainability.
• Align products with clinically financially integrated network to enhance care coordination, quality outcomes, and cost efficiency.

Qualifications:

• Bachelor’s degree or experience in lieu of degree
• 8 years’ relevant experience

At St. Luke’s, caring for people in the communities we serve is our mission – and this includes our own SLHS team. We offer a robust benefits package to support our teams both professionally and personally. In addition to a competitive salary and retirement plans, we ensure our team feels supported in their benefits beyond the typical medical, dental, and vision offerings. We care about you and have fantastic financial and physical wellness options, such as: on-site massages, on-site counseling via our Employee Assistance Program, access to the Virgin Pulse Wellness tool, as well as other formal training and career development offerings to ensure you are meeting your career goals.

St. Luke’s is an equal opportunity employer and does not discriminate against any person on the basis of race, religion, color, gender, gender identity, sexual orientation, age, national origin, disability, veteran status, or any other status or condition protected by law.

*Please note: this posting is not reflective of all job duties and responsibilities and is intended to provide an overview to job seekers.