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Sr Product Development Analyst 01

Holly Hill, FL 32117

Posted: 02/16/2023 Job Number: 46601

Job Description

  • AA OR Bachelor’s degree preferred in Marketing, Business, Health Care Administration, or related field.
  • 3+ years of experience in health insurance product development, benefit administration, claims, sales and/or service.
  • Good technical knowledge of State and Federal Health Care Regulations as it relates to group and individual health insurance products and processes preferred. 
  • Strong verbal, written, analytical, collaboration, interpersonal, and organizational/planning skills.
  • Computer skills including but not limited to MS Office Suite (Excel, Power Point, Word, Outlook), Internet/WEB based search and access tools, and Sales Automation Tools is a plus.
  • Must hold a State of Florida health Agency Health Insurance license or acquire same within six (6) months of employment.

  • Product Enhancements:  Assist the Administrator of Product Development in the development and enhancement Group, Medicare Advantage and Individual Product lines.  Actively monitors and searches for ways to improve existing product to improve quality, increase revenue and profit, and reduce deployment cycle time.  Evaluates data collected for reporting requirements, with emphasis on studying enrollment, termination & benefit trends to guide product enhancements.
  • Lead Product Development discussions with FB to ensure alignment in IU65, SG and MG/LG planning.
  • Perform necessary testing when products are added into the various sales platforms and portals:  Sellpoint, IST, SGPT/SGRT, Softheon and the Federal Marketplace Exchange to ensure information is correct.
  • Compliance and Legislative:  Develop a thorough working knowledge of the laws and regulations of the State of Florida and Federal Government. 
  • Perform submissions within the CMS modules for the annual Qualified Health Plan certification process.
  • Dissemination of annual certification materials to staff and monitor completion of all templates and justifications.  Cross check all templates through QHP review tools before submission to CMS.
  • Quarterly submission of the HIOS Plan Finder Enrollment.
  • Update and order all component IDs and information through the Plan Finder Product Data Collection module.
  • Manage updates and download reports within the Plan Management module.
  • Review information being submitted for Edge Server.
  • Oversee the submission of information to the Rates & Benefits Information System (RBIS).
  • Manage forms and filings with the Florida Office of Insurance Regulations including SBC’s, SOB’s, Riders and Certificate of Coverage Addendums.
  • Comply with state and regulatory requirements and corporate policies and procedures.
Kavaliro provides Equal Employment Opportunities to all employees and applicants. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws. Kavaliro is committed to the full inclusion of all qualified individuals. In keeping with our commitment, Kavaliro will take the steps to assure that people with disabilities are provided reasonable accommodations. Accordingly, if reasonable accommodation is required to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please respond to this posting to connect with a company representative

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