Director Product Development - Medicare Advantage

Intermountain Health•Broomfield, NV

18d•$78 - $120•Hybrid

About The Position

The Director of Medicare Advantage Product Development is responsible for the strategic design, development, and lifecycle management of Medicare Advantage (MA) products. This role leads cross-functional collaboration to ensure products are financially viable and sustainable, competitive, compliant, and aligned with organizational objectives. The Director plays a critical role in shaping benefit design, pricing strategy, regulatory submissions, and ongoing product optimization. The role is hybrid and will require travel to areas where Select Health conducts business. Candidates who live in, or are willing to relocate to, Utah, Nevada, or Colorado and are within a reasonable commuting distance to an Intermountain Health care site are preferred. Currently, we are not hiring remote workers in the following states: CA, CT, HI, IL, NY, RI, VT, and WA. Please note that a video interview through Microsoft Teams will be required as well as onsite interviews and meetings. Essential Functions Lead the end-to-end development of Medicare Advantage products, including HMO and Special Needs Plans (SNPs). Define product strategy based on market analysis, member needs, competitive intelligence, and organizational goals to ensure sustainability and profitability. Design benefit packages, supplemental benefits, and value-added offerings that differentiate products in the marketplace. With the actuarial and finance teams, lead and support CMS bid development, including benefit design, pricing inputs, and documentation. Partner with compliance, legal, and regulatory teams to address audits, inquiries, and regulatory changes. Collaborate with actuarial and finance teams to develop pricing strategies, evaluate product profitability, and manage medical cost trends in partnership with the clinical organization. Identify opportunities to improve financial and quality performance through benefit design and operational enhancements.

Requirements

Bid development
Medicare regulations
Risk adjustment knowledge
Medicare Stars knowledge
Strategic planning
Financial modeling
Leadership
Communication: Written and Verbal
Project management
Analytical skills
Problem solving skills
Bachelor’s degree in business, healthcare administration, public health, or a related field (Master’s degree preferred)
8–10+ years of experience in Medicare Advantage product development, product management, or related roles
Demonstrated experience leading MA bid development and product strategy
Experience working within a health plan, managed care organization, or payer environment
Proven track record of successfully launching and managing Medicare Advantage product

Nice To Haves

Master’s degree (MBA, MHA, MPH, or equivalent)
Experience with Special Needs Plans (DSNP, CSNP, ISNP)
Experience in value-based care models and provider partnerships including former experience with provider engagement models and incentives

Responsibilities

Lead the end-to-end development of Medicare Advantage products, including HMO and Special Needs Plans (SNPs).
Define product strategy based on market analysis, member needs, competitive intelligence, and organizational goals to ensure sustainability and profitability.
Design benefit packages, supplemental benefits, and value-added offerings that differentiate products in the marketplace.
With the actuarial and finance teams, lead and support CMS bid development, including benefit design, pricing inputs, and documentation.
Partner with compliance, legal, and regulatory teams to address audits, inquiries, and regulatory changes.
Collaborate with actuarial and finance teams to develop pricing strategies, evaluate product profitability, and manage medical cost trends in partnership with the clinical organization.
Identify opportunities to improve financial and quality performance through benefit design and operational enhancements.

Benefits

In addition to the annual salary, to show our commitment to you and assist with your transition,, we may offer a sign-on and relocation bonus when applicable.
With this position, you are eligible to participate in the Annual Pay for Performance (AP4P) Plan.
This plan enables Intermountain Health to provide leaders with an additional performance compensation opportunity.
The AP4P award opportunities are calculated as a percentage of your base salary.
Awards are paid out based on attainment of selected Board-approved goals.
We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits package here.
Intermountain Health’s PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution.
The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates.
Caregivers are eligible to participate in PEAK on day 1 of employment.