Job Description

Medical Associates Health Plans is hiring a Manager of Product and Pricing to join our team!  Where You Will Be Working:  Medical Associates Clinic and Health Plans is a multi-specialty group practice combined with a growing health insurance company.  Our 1,100 healthcare and health insurance professionals lead the way in providing quality healthcare and top-notch insurance products in Northeast Iowa, Southwest Wisconsin, and Northwest Illinois. This position is an onsite position located at the Medical Associates Health Plans in Dubuque, Iowa.  Benefits Package Includes: 

• Single or Family Health Insurance with discounted premium rates for wellness program participation.
• 401k with immediate matching (50% on the dollar up to 7% of pay) + additional annual Profit Sharing
• Flexible Paid Time Off Program (29 days off/year)
• Medical and Dependent Care Flex Spending Accounts
• Life insurance, Long Term Disability Coverage, Short Term Disability Coverage, Dental Insurance, etc. 

Major Responsibilities:

•  Underwriting Management: Oversee the evaluation of risk for potential and renewal business, ensuring underwriting decisions align with financial goals and company risk appetite.
• Provider Contracting: Lead contract negotiations, drafting, and implementation with healthcare providers to establish reimbursement rates and network structures. 
• Product Oversight: Manage product design and specifications to ensure alignment with regulatory requirements, evolving market trends, and financial optimization objectives, including pricing strategy, benefit structure, and competitive positioning. 
• Compliance & Auditing: Ensure compliance with state statutes, industry regulations, and internal underwriting guidelines. Manage rate filings and network adequacy requirements. 
• Strategy & Profitability: Analyze claims data to identify trends, improve underwriting models, and implement pricing strategies. Develop budget and investigate variances. 
• Leadership & Strategy: Manage selection, training, development, performance evaluations, and performance issues of assigned staff.  
• Complete all other assigned projects and duties.

Knowledge and Skills:Experience                   Five years to ten years of similar or related experience. 

Education                    Equivalent to a college degree.   Interpersonal Skills       The ability to motivate or influence others is a material part of the job, requiring a significant level of diplomacy and trust.  Obtaining cooperation (internally and/or externally) is an important part of the job.