Guardian Life · 1 day ago
Program Manager, ACA/Exchange (Dental)
New York, NY
Full-time
Hybrid
Mid Level
$71K/yr - $106K/yr
3+ years expGuardian Life is a company focused on providing individual Dental Insurance products through the ACA/Exchange channel. The Program Manager will support strategic analysis, collaboration with internal stakeholders, and manage the annual filing process for dental products across federal and state-based exchanges.
DentalFinancial ServicesHardwareInsuranceLife Insurance
No H1B
Responsibilities
Engage in annual filing process and responsibilities including but not limited to populating Plan and Benefit Templates, Transparency in Coverage templates, determining service area expansion or retraction, coordinating objection reviews and responses, preparation of relevant documents, etc
Participate in weekly, monthly, and ad hoc calls with CMS and state-based exchanges
Conduct competitive analysis on pricing, features, and impact of regulatory trends
Support weekly reporting on results and insights during open enrollment period
Support annual pre-filing process for our individual dental products across all federal and state-based exchanges that we operate in including competitive reviews, preparing state-by-state analysis, prepare and review policy documents prior to DOI filing, prepare and update benefit summaries, Letters of Interest to file for the following plan year, etc
Monitor and project impacts on upcoming federal and state regulations and New exchange enter/exist state analysis and competitive assessment
Support Partner Management team during exchange off-season (partner reporting, sales analysis, new opportunity evaluation) and support performance reporting cadence (weekly, monthly, quarterly, annually)
Annual refiling (i.e.: comp intel, service area review, rate review, policy review, application submissions, testing)
Ensure Guardian is ready for annual open enrollment period and Annual pricing recommendation and evaluation
Collaboration across all internal stakeholders (i.e.: Legal, Compliance, State Filing, Customer Care, Payments management and operations) and with external vendors used for policy administrative functions
Participating in weekly, monthly, and ad hoc calls with CMS and state-based exchanges and perform strategic analysis, recommendations, and execution of the exit / entry strategy for new exchanges
Review and implement regulatory modifications and review and validate Guardian’s Dental Exchange website and manage relationship and collaborate with third party vendors/partner
Qualification
Required
Bachelors degree required
Minimum 3 year's experience as a program manager or equivalent role
Experience working in the ACA/Exchange marketplace (Healthcare.gov or State-Based Exchanges)
Strong Program Management, analytical and communication skills, including the ability to produce clear supporting documents in PowerPoint, Excel, etc
Excellent project management and organizational skills, with demonstrated success achieving results through others
General knowledge of insurance product designs (dental products preferred)
Ability to effectively handle multiple priorities
Fosters a high level of teamwork and collaboration between internal and external stakeholders
Preferred
Experience supporting Open Enrollment activities
Benefits
Skill-building
Leadership development
Philanthropic opportunities
Supportive, flexible, and inclusive benefits and resources
Company
Guardian Life
Guardian Life Insurance Company of America (Guardian) is one of the country’s leading mutual insurers.
5001-10000 employees
Funding
Current Stage
Late StageTotal Funding
unknown2016-08-23Non Equity Assistance
Leadership Team
Andrew McMahon
Chairman and CEO
Michael Prestileo
Chief Strategy Officer
Recent News
2025-12-11
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