Duals Performance Manager, Product strategy

Point32Health • Canton, MA

24d • Remote

About The Position

The Manager, Product Strategy – Duals is responsible for developing and executing strategic initiatives that drive growth, competitiveness, and compliance for the organization’s Dual Eligible Special Needs Plans (D-SNPs) and other integrated Medicare-Medicaid products. This role partners cross-functionally design market-leading product offerings that meet regulatory requirements, address member needs, and support the company’s mission to improve health outcomes for individuals eligible for both Medicare and Medicaid.

Requirements

• 5-7 years in Medicare Advantage, Medicaid managed care, or healthcare product strategy.
• Proven ability to interpret CMS and state Medicaid regulations.
• Strong analytical, strategic thinking, and problem-solving skills.
• Excellent communication and stakeholder management abilities.
• Proficiency in data analysis tools and Microsoft Office Suite.
• Experience in product filings or benefit configuration.
• Familiarity with quality improvement programs and value-based care models.
• Demonstrated success leading cross-functional healthcare projects

Nice To Haves

• Master’s in Public Health, Business Administration, or related field
• 5-7 years of experience with D-SNPs or dual-eligible populations.

Responsibilities

• Product Strategy & Development Lead the design and implementation of product strategies for D-SNPs and other dual-eligible products. Analyze federal and state regulations to ensure compliance and alignment with business goals. Collaborate with actuarial, network, clinical, and operations teams to develop benefit designs and pricing strategies.
• Market & Regulatory Analysis Monitor CMS and state Medicaid policy changes; assess their impact on product performance and strategy. Conduct competitive analysis and identify market opportunities to enhance plan differentiation and member value.
• Performance Management Track and evaluate product performance, including enrollment, profitability, and quality outcomes (e.g., STAR Ratings, HEDIS, CAHPS). Develop actionable recommendations to improve member experience, retention, and health outcomes.
• Cross-Functional Leadership Serve as a subject matter expert for Duals strategy across the organization. Partner with compliance, government affairs, and operations teams to ensure successful execution of product initiatives.
• Stakeholder Communication Present strategic insights and recommendations to senior leadership. Support product filings, readiness reviews, and ongoing regulatory reporting processes.
• Other duties and projects as assigned.

Benefits

• Medical, dental and vision coverage
• Retirement plans
• Paid time off
• Employer-paid life and disability insurance with additional buy-up coverage options
• Tuition program
• Well-being benefits
• Full suite of benefits to support career development, individual & family health, and financial health

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 1,001-5,000 employees