SVP Medicare at Florida Blue

, Florida, United States -

Full Time

Start Date

Immediate

Expiry Date

07 Oct, 26

Salary

0.0

Posted On

09 Jul, 26

Experience

10 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medicare Strategy, Product Management, Operational Leadership, CMS Compliance, Healthcare Policy, Business Development, Cross-functional Leadership, Budget Management, Sales Strategy, Marketing Strategy, Analytical Skills, Stakeholder Management, KPI Tracking, Risk Mitigation, Customer Experience Strategy, Resource Allocation

Industry

Insurance

Description

This executive is a strategic leader responsible for the development, implementation, and management of Medicare-related products, services, and business operations across the enterprise. This executive will lead cross-functional teams to drive business growth, improve operational efficiency, and enhance the overall Medicare performance. Key Responsibilities: • Develop and execute a comprehensive Medicare business strategy to drive growth, profitability, and market share. • Analyze market trends, competitor activity, and regulatory changes to inform business decisions. • Identify and pursue new business opportunities, including partnerships and collaborations. • Lead the development, launch, and ongoing management of Medicare Advantage, Medicare Supplement, and Medicare Part D products. • Collaborate with cross-functional teams to design and implement product features, benefits, and pricing strategies. • Ensure compliance with regulatory requirements and industry standards. • Oversee Medicare-related operations, including sales, marketing, underwriting, and customer service. • Develop and implement process improvements to enhance operational efficiency and customer satisfaction. • Manage budgets, forecasts, and resource allocation for Medicare-related activities. • Develop and execute sales and marketing strategies to drive Medicare enrollment and revenue growth. • Collaborate with external partners, such as agents, brokers, and community organizations, to promote Medicare products. • Ensure compliance with marketing and sales regulations, including CMS guidelines. • Partner with stakeholders from across the business to ensure Medicare-related activities are informed by and compliant with regulatory requirements and standards set by CMS, HIPAA, and state-specific regulations. • Collaborate with cross-functional teams to identify and mitigate regulatory risks and provide input on business strategies and initiatives. • Partner with stakeholders from across the business to influence and inform customer experience strategies and initiatives, ensuring alignment with business objectives and customer needs. • Collaborate with cross-functional teams to identify opportunities for improvement and provide input on service enhancements and process improvements that impact the Medicare customer experience. • Establish and track key performance indicators (KPIs) for Medicare-related activities, including enrollment, revenue, and customer satisfaction. • Analyze performance data to inform business decisions and drive improvements. Key Requirements: • 10+ years of experience in healthcare, with a focus on Medicare products and services. • Proven track record of success in Medicare business development, product management, and operational leadership. • Strong understanding of Medicare regulations, including CMS guidelines and requirements. • Strong understanding of healthcare policy and regulatory trends • Experience with Medicare Advantage, Medicare Supplement, and Medicare Part D products • Excellent leadership, communication, and analytical skills. • Ability to navigate complex organizational structures and build effective relationships with stakeholders. • Enterprise thinker with ability to unify historically siloed functions. • Strong operator with a bias for execution and measurable outcomes. • Exceptional communicator with ability to influence at all levels. • Data-driven decision maker with strong analytical orientation. • Builder of high-performing teams and scalable operating models. Preferred: • Master's degree in healthcare administration, public health, business, or related field. General Physical DemandsSedentary work: Exerting up to 10 pounds of force occasionally to move objects. Jobs are sedentary if traversing activities are required only occasionally. What We Offer: As a Florida Blue employee, you will thrive in our Be Well, Work Well, GuideWell culture where being well as an individual, and working well as a team, are both important in serving our members and communities. To support your wellbeing, comprehensive benefits are offered. As an employee, you will have access to: Medical, dental, vision, life and global travel health insurance; Income protection benefits: life insurance, short- and long-term disability programs; Leave programs to support personal circumstances; Retirement Savings Plan including employer match; Paid time off, volunteer time off, 10 holidays and 2 well-being days; Additional voluntary benefits available; and A comprehensive wellness program Employee benefits are designed to align with federal and state employment laws. Benefits may vary based on the state in which work is performed. Benefits for intern, part-time and seasonal employees may differ. To support your financial wellbeing, we offer competitive pay as well as opportunities for incentive or commission compensation. We also conduct regular annual reviews with pay for performance considerations for base pay increases. Final pay will be determined with consideration of market competitiveness, internal equity, and the job-related knowledge, skills, training, and experience you bring. We are an Equal Employment Opportunity employer committed to cultivating a work experience where everyone feels like they belong and can perform at their best in pursuit of our mission. All qualified applicants will receive consideration for employment.

Responsibilities

Lead the strategic development and management of Medicare products and business operations to drive growth and profitability. Oversee cross-functional teams to ensure regulatory compliance with CMS and enhance the overall customer experience.