Director, Medicare Advantage Strategy

🕒 Setembro 3

🇺🇸 Estados Unidos – Remoto (EUA)

💵 $215.000 - $245.000 / ano

⏰ Tempo Integral

🔴 Especialista

👔 Diretor

🦅 Patrocina Visto H1B

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👻 Score fantasma 5%

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🗣️🇺🇸🇬🇧 Inglês obrigatório

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Twin Health

201 - 500 funcionários

Fundada em 2018

💼 Consultoria

📦 Logística

🏥 Saúde

Consulting • Logistics • Healthcare

A Twin Health é uma empresa que se concentra em melhorar a saúde metabólica de funcionários e membros de planos de saúde, prevenindo e revertendo doenças metabólicas crônicas. Utilizando a tecnologia proprietária Digital Twin AI, combinada com dispositivos inteligentes, wearables e uma equipe de cuidados clínicos, a Twin Health fornece recomendações de saúde personalizadas. As soluções auxiliam na perda de peso, redução dos níveis de açúcar no sangue, melhora da energia, humor e sono, e redução da dependência de medicamentos caros ao abordar as causas principais das disfunções metabólicas. Seus programas baseados em evidências oferecem benefícios substanciais à saúde, incluindo redução considerável dos níveis de açúcar no sangue, eliminação de medicamentos e melhora geral da saúde metabólica em seis meses.

Descrição

• Serve as Twin's subject matter expert on Medicare Advantage • Develop an evolving understanding of Medicare Advantage members' health needs, motivations, technology comfort, accessibility needs, care-seeking behaviors, social needs, engagement barriers, and expectations • Advise Product, Design, Clinical, and Operations teams on the Medicare member experience and care model • Partner with the Medicare Advantage Product Lead to shape the end-to-end member journey and product roadmap • Monitor MA market changes, CMS policy, health plan priorities, competitive offerings, emerging care models, and member expectations • Translate market and policy changes into implications for Twin • Partner with Commercial and Product Marketing on health plan priorities, value proposition, customer conversations, positioning, and differentiation • Build and maintain Twin's internal Medicare Advantage knowledge base • Educate teams and leadership on the Medicare Advantage ecosystem, population, terminology, incentives, and trends • Establish relationships with external experts, health plans, industry organizations, and stakeholders • Represent Twin externally through customer conversations, panels, conferences, webinars, and other forums • Identify new Medicare Advantage opportunities involving populations, partnerships, capabilities, and care models • Perform other duties as assigned

🎯 Requisitos

• 10+ years of experience in Medicare Advantage, Medicare, managed care, or closely related healthcare roles, with significant direct exposure to MA • Deep understanding of the Medicare population and the practical realities of engaging and caring for older adults and other Medicare beneficiaries • Strong understanding of how Medicare Advantage plans operate, make decisions, measure performance, and evaluate partners and solutions • Working expertise across Stars, CAHPS/member experience, clinical programs, care management, supplemental benefits, risk adjustment, health equity, retention, and regulatory requirements • Comfortable helping design improved Medicare experiences • Strong communication skills and executive presence • Experience presenting to executive audiences • Applicants must be authorized to work for any employer in the U.S. • Twin Health is unable to sponsor or take over sponsorship of an employment visa

🏖️ Benefícios

• Opportunity for equity participation • Unlimited vacation with manager approval • 16 weeks of 100% paid parental leave for delivering parents • 8 weeks of 100% paid parental leave for non-delivering parents • 100% employer-sponsored healthcare, dental, and vision for you • 80% healthcare, dental, and vision coverage for your family • Health Savings Account and Flexible Spending Account options • 401k retirement savings plan • High level of flexibility

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