L.A. Care Health Plan · 1 day ago
Executive Advisor Commercial Products
Los Angeles, CA
Full-time
Onsite
Senior Level
$146K/yr - $241K/yr
7+ years expL.A. Care Health Plan is the nation’s largest publicly operated health plan, dedicated to providing health coverage to low-income residents of Los Angeles County. The Executive Advisor Commercial Products role involves providing strategic and operational leadership across the Commercial product portfolio, serving as a key advisor and liaison with stakeholders to enhance compliance, performance, and member experience.
FitnessGovernmentHealth Care
Responsibilities
Serve as the primary advisor and relationship manager for Commercial product lines, leading engagement with internal and external stakeholders to support business goals
Identify and drive solutions for process and operational issues and improvements
Lead Commercial product portfolio governance by synthesizing performance, regulatory requirements, and market trends; present strategic options and recommendations to executive leadership to improve competitiveness and sustainability
Develop and maintain enterprise-level market and competitive intelligence for Commercial Products, translating insights into strategic recommendations for leadership
Monitor industry, legislative, regulatory, and competitive developments to identify emerging risks and opportunities, advising leadership with early-warning indicators, strategic implications, and recommended mitigation pathways
Serve as the strategic connector across internal departments to drive alignment on Commercial product priorities, execution needs, and organizational impacts
Partner with cross-functional leaders to develop, refine, and execute Commercial product strategies that drive membership growth, retention, and value delivery
Monitor and understand trends to identify opportunities to improve market share
Provide expert consultation to internal departments on Commercial product standards, benefit design considerations, and regulatory impacts
Conduct performance analysis of Commercial products and recommend strategic actions to improve competitive position, quality, and member satisfaction
Lead cross-functional collaboration to align operational practices, processes, and communications across internal and external stakeholders
Identify accountability and ownership of business enhancements/fixes and monitoring functions within the organization to ensure successful and compliant execution of processes
Partner with leadership to develop executive-level briefings, reports, and presentations on Commercial product performance, opportunities, and challenges
Support and ensure resolution of high-priority issues related to regulatory inquiries, product operations, or client relationships
Ensure a consistent and exceptional experience for members and employers across all Commercial lines of business
Provide expert advice to various business units on relevant topics within the organizational standards, national and state-wide compliance
Evaluate the effectiveness of program implementation and provide guidance and recommend process improvement
Communicate strategic planning outcomes and the agreed upon priorities across the organization, to include ongoing progress of priorities
Lead efforts to allow the company to mitigate risk such as regulatory or competitive risks through innovative business ideas and solutions
Responsible for communicating decisions, priorities and relevant project information to appropriate levels of staff regarding business unit requests and projects and initiatives
Responsible for sharing solution roadmaps and enterprise level strategies to drive efficiencies across the organization and with customers
Collaborates with management to develop annual budgets for respective business areas
Provide support in delivering programs that meet the compliance needs of the organization
Perform other duties as assigned
Qualification
Required
Bachelor's Degree in Business Administration or Related Field
At least 7 years of experience in Commercial health plan or managed care operations
At least 6 years of experience in stakeholder, regulatory, or client relationship management
Experience with Department of Managed Health Care (DMHC) and/or Covered CA product requirements and reporting
Strategic thinker with ability to synthesize complex data and develop actionable recommendations
Excellent interpersonal and influencing skills with demonstrated success in managing executive and external relationships
Strong knowledge of Commercial health plan operations, including product design, pricing, compliance, and member services
Ability to interpret regulatory and contractual requirements and translate them into operational action plans
Strong negotiation, facilitation, and partnership-building skills across matrixed teams
Advanced analytical, presentation, written and verbal communication skills
Ability to clearly and effectively convey information
Ability to analyze complex situations, data, and information to identify issues and develop effective solutions
Ability in building and maintaining strong, trusting relationships with stakeholders
Ability to adjust to changing trends, industries, and client needs
Possess extensive, specialized knowledge in their field
Preferred
Master's Degree in Public Health or Related Field
Experience with labor or employer group–based health plans
Experience in data analysis, understanding payment rates, and managing healthcare costs
Familiarity with public sector employer group programs and collective bargaining environments
Ability to advise executives and external partners on complex business and compliance matters
Benefits
Paid Time Off (PTO)
Tuition Reimbursement
Retirement Plans
Medical, Dental and Vision
Wellness Program
Volunteer Time Off (VTO)
Company
L.A. Care Health Plan
L.A. Care’s mission is to provide access to quality health care for L.A.
1001-5000 employees
H1B Sponsorship
L.A. Care Health Plan has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2024 (1)
2023 (1)
2021 (3)
2020 (1)
Funding
Current Stage
Late StageLeadership Team
Melanie Rainer
Chief Strategy and Transformation Officer
Recent News
2026-01-17
MarketScreener
2025-08-27
Company data provided by crunchbase