Health Exchange Product Associate

MetroPlus Health Plan provides the highest quality healthcare services to residents of Bronx, Brooklyn, Manhattan, Queens and Staten Island through a comprehensive list of products, including, but not limited to, New York State Medicaid Managed Care, Medicare, Child Health Plus, Exchange, Partnership in Care, MetroPlus Gold, Essential Plan, etc. As a wholly-owned subsidiary of NYC Health + Hospitals, the largest public health system in the United States, MetroPlus' network includes over 27,000 primary care providers, specialists and participating clinics. For more than 30 years, MetroPlus has been committed to building strong relationships with its members and providers to enable New Yorkers to live their healthiest life.

Purpose of Position:

The Health Exchange Product Associate provides ongoing product support of the design, development and maintenance of the Exchange product portfolio.

Key Responsibilities:

1. Creates and maintains Exchange product benefit grids

2. Supports the design, development and enhancement of new and existing products across several market segments for the enterprise

3. Accountable for the timely completion of product analysis as requested by the Exchange Operations Director

4. Collaborates with internal and external business units to explain, clarify and provide guidance on the product benefits

5. Evaluate and propose strategies and programs to achieve membership goals

6. Provide oversight and collaborates with the Communications department in updates of member handbooks, Evidence of Coverage (EOC) and Summary of Benefits

7. Compiles database of all member and provider materials for the Exchange LOB

8. Maintains accurate and up-to date internal materials on the Exchange SharePoint site

9. Performs other duties as assigned

1. A Master's degree in Arts or Science with a specialization in hospital administration, health care administration, administrative medicine or in public health when conferred for a program from an approved college or university; or a Baccalaureate degree; and,

2. One (1) year of administrative experience and background; or,

3. An equivalent combination of training, education and experience in related fields and educational disciplines; and,

4. General knowledge of policies and programs utilized in the operation of a health care facility, ability to assimilate and analyze data, to recommend action based on analytical findings, and to assist in the solution of complex problems in health care administration and management

5. In addition:

• One year relevant experience in the healthcare field
• Product management experience, preferably in the health insurance industry
• Possess significant software skills, particularly with regard with Microsoft Excel, third party reporting tools and other software applicable to the insurance/managed care industry
• Strong research and analytical skills
• Must have the ability to multi-task, plan, prioritize, and complete tasks under significant time constraints
• Self-motivated independent problem solver; must project a professional image while working across multiple business units in supporting decision making needs of the organization
• Demonstrates professional and ethical business practices and is committed to personal and professional development
• Strong communication skills and respect for confidentiality
• Ability to learn quickly and apply learning to new situations. Must exhibit flexibility to adapt as appropriate

If you wish to apply for this position, please apply online by clicking the "Apply Now" button or forward your resume, noting the above Job ID #, to:

MetroPlus Health Plan
Human Resources Department
160 Water Street 8th Floor
New York, NY 10038
Attn: Recruitment Unit

This is position is classified as a managerial title, in addition to a variety options for Health Benefits through MetroPlus, managerial employees receive vision, dental, gym reimbursement and life insurance benefits through the Management Benefits fund of the City of New York. Please view the benefits page for more detailed information.

Company Description

MetroPlus provides access to health care services to New York City residents in Brooklyn, Queens, the Bronx and Manhattan through New York State's Medicaid Managed Care, Child Health Plus, Family Health Plus and Partnership in Care, an HIV Special Needs Program through its network of participating providers

Work location: New York, NY