Medica
Product Manager IV - Medicare Advantage
Medica, Minneapolis, Minnesota, United States, 55400
Responsible for developing, implementing and managing a portfolio of Medicare Advantage products. Develops and manages competitive offerings by overseeing market research and regulatory requirements. Defines and implements product features with a member experience focus. Assists with managing and analyzing product performance. May have interaction with regulatory bodies.
Key Accountabilities
Maintains source of truth documents for Medicare Advantage (MA) plans which is crucial to maintain alignment between four areas: Product pricing, CMS bid submission, system configuration and legal/required member documents.Completes plan benefit package (PBP) software responses for annual CMS bid submission through its Health Plan Management System (HPMS) and has thorough understanding of the PBP category definitions.Bid subject matter expert (SME) and leader of the Bid Best Practices group to align the organization's bid submissions across product lines and support other bid submitters.Conducts deep competitor analysis, collects competitor materials and assembles competitive reports and analyses.Supports 1/1 readiness and vendor management activities.Resource to the enterprise to answer product intent questions for internal stakeholders such as Sales, Customer Services, Pharmacy and Configuration; MA product representative on internal workgroups.Assists with managing and analyzing product performance by reviewing reports and works to identify trend drivers and possible solutions in coordination with enterprise efforts.
Qualifications
Bachelor's degree or equivalent experience in related field, plus 7 years of related work experience beyond degreeExperience working with Medicare Advantage plans, the CMS bid cycle, and CMS's Health Plan Management System (HPMS) softwareLeadership experience preferred
Skills and Abilities
Experience in conducting market research, competitive analysis, and the development of business casesExperience in the analysis, summary, and presentation of business reports to organizational leaders and regulatory officialsExcellent organizational skills with proven ability to manage projects from kick-off to implementationExcellent interpersonal communication skills with proven ability to establish and maintain strong relationships at multiple levels of an organizationAbility to quickly adapt to change and work independentlyProficient in Microsoft office suite
This position is a remote role. The employee must be located in any state in which Medica is an employer and will work remotely 100% of the time.
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Key Accountabilities
Maintains source of truth documents for Medicare Advantage (MA) plans which is crucial to maintain alignment between four areas: Product pricing, CMS bid submission, system configuration and legal/required member documents.Completes plan benefit package (PBP) software responses for annual CMS bid submission through its Health Plan Management System (HPMS) and has thorough understanding of the PBP category definitions.Bid subject matter expert (SME) and leader of the Bid Best Practices group to align the organization's bid submissions across product lines and support other bid submitters.Conducts deep competitor analysis, collects competitor materials and assembles competitive reports and analyses.Supports 1/1 readiness and vendor management activities.Resource to the enterprise to answer product intent questions for internal stakeholders such as Sales, Customer Services, Pharmacy and Configuration; MA product representative on internal workgroups.Assists with managing and analyzing product performance by reviewing reports and works to identify trend drivers and possible solutions in coordination with enterprise efforts.
Qualifications
Bachelor's degree or equivalent experience in related field, plus 7 years of related work experience beyond degreeExperience working with Medicare Advantage plans, the CMS bid cycle, and CMS's Health Plan Management System (HPMS) softwareLeadership experience preferred
Skills and Abilities
Experience in conducting market research, competitive analysis, and the development of business casesExperience in the analysis, summary, and presentation of business reports to organizational leaders and regulatory officialsExcellent organizational skills with proven ability to manage projects from kick-off to implementationExcellent interpersonal communication skills with proven ability to establish and maintain strong relationships at multiple levels of an organizationAbility to quickly adapt to change and work independentlyProficient in Microsoft office suite
This position is a remote role. The employee must be located in any state in which Medica is an employer and will work remotely 100% of the time.
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