Product Jobs in Tallahassee, FL

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School Liaison Product Operations Specialist

Sunshine State Health Plan Tallahassee, FL

Tallahassee, FL

Today

$56k - $101k/yr Full time Operations Management Partner Management Product Operations

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Job Description

Support the end-to-end operations of assigned health plan products by building stakeholder alignment, tracking performance, and driving process improvements.

Responsibilities

Act as the subject matter expert (SME) for assigned product(s) or service area(s)
Own and drive the operational execution of assigned product(s)/service(s)
Assess operational performance by tracking, analyzing, and researching performance level expectations
Escalate issues as needed based on performance signals and documented analysis
Monitor internal and external relationships to ensure compliance with contractual requirements
Build effective relationships with key partners and stakeholders to influence and deliver operational enhancements
Identify trends and perform root cause analysis for complex escalations, including communications and reporting
Create reports and support business review presentations for key stakeholders, including:
- Senior Leadership Team
- Vendors and/or Government agencies
Participate in and support department and/or product strategic planning activities
Manage projects, including implementations for delegated functions as needed
Collaborate with internal and/or external partners to execute assigned business objectives and initiatives
Ensure member or other stakeholder communications include appropriate information, talking points, and FAQs, and are effectively implemented
Perform other duties as assigned
Comply with all policies and standards

Requirements

Work authorization: Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future
No sponsorship: Sponsorship and future sponsorship are not available, including employment-based visa types
- H-1B
- L-1
- O-1
- H-1B1
- F-1
- J-1
- OPT
- CPT
Education: Bachelor’s Degree in business administration or related field
Experience: Required or equivalent work experience

Candidate Experience

2+ years of experience leading or supporting projects in:
- Benefits
- Product Management
- Marketing and Sales
- Strategic Planning
- Project Management
Data analysis and process improvement experience in:
- Benefits
- Healthcare
- Regulatory/Government Affairs
Vendor management or oversight, preferably with healthcare vendors
2+ years of customer service experience in a healthcare contact center or customer service environment involving claims, grievances, pharmacy, and appeals authorizations for one or more of:
- Medicare
- Medicaid
- PDP
- Exchange
Preferred: Other experience in a health care or managed care environment
Preferred: Other experience working the state reporting and regulatory/government affairs

Benefits

Competitive pay
Health insurance
401K and stock purchase plans
Tuition reimbursement
Paid time off plus holidays
Flexible approach to work with remote, hybrid, field, or office work schedules
Total compensation may also include additional forms of incentives

Location: Tallahassee, FL (onsite)
Salary: USD 56,200 - 101,000 per yearly
Minimum experience: 2 years

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