Marketplace Product Analyst

Colorado Access • Denver, CO

3d • Hybrid

About The Position

We are looking for a MARKETPLACE PRODUCT ANALYST who can help shape our vision and support our mission. This position will support the design, development, implementation, and maintenance of Marketplace health plan products. The role involves conducting market research, competitive analyses, and product performance evaluations to identify opportunities for product enhancements and growth. It also includes analyzing enrollment, membership, financial, and operational data to support strategic product recommendations, and assisting in evaluating product benefit designs, cost-sharing structures, premium rates, network strategies, and regulatory impacts. The analyst will monitor industry trends, CMS guidance, state regulatory updates, and competitor activity affecting Marketplace products, and develop reports, presentations, and recommendations for leadership and cross-functional stakeholders. Additionally, the role supports state Department of Insurance and Marketplace filing processes, including Connect for Health Colorado and CMS requirements, coordinating collection and review of filing materials, assisting with development and validation of filing documentation, and maintaining filing schedules to ensure compliance with deadlines. Maintaining working knowledge of the System for Electronic Rate and Form Filing (SERFF) is also key. The analyst will collaborate with operations teams to validate product configuration across platforms, participate in benefit, rate, and plan configuration testing, and review product setup for quality assurance validation prior to implementation. Assisting in developing operational readiness materials and implementation documentation, and supporting annual product launch timelines are also part of the responsibilities. The role monitors regulatory requirements related to ACA Qualified Health Plans (QHPs), Essential Health Benefits (EHBs), Actuarial Value (AV) requirements, CMS marketplace regulations, and State insurance regulations. Finally, the position involves identifying process improvement opportunities and recommending enhancements to filing, product management, and compliance workflows, as well as supporting audits, regulatory exams, and compliance reviews related to Marketplace products, and maintaining documentation, procedures, and product governance materials.

Requirements

• A bachelor’s degree in business administration, Health Administration, Economics, Finance, Public Health, or a related field is required.; or an equivalent combination of education and experience can be substituted in lieu of the degree.
• 2 years of experience in health insurance product development, product management, healthcare consulting, regulatory affairs, business analysis, or related healthcare fields.
• Familiarity with ACA Marketplace regulations and Qualified Health Plan requirements.
• Working knowledge of health insurance product design, benefit structures, and regulatory filing processes.
• Experience or familiarity with SERFF and state insurance filing requirements.
• Demonstrated experience supporting cross-functional projects and managing competing priorities.
• Experience analyzing data and developing actionable business recommendations.
• Ability to interpret complex regulatory requirements and translate them into actionable business recommendations.
• Excellent written and verbal communication skills.
• Proficient in Microsoft office applications (Word, Excel, PowerPoint, Outlook, SharePoint) with ability to work with a variety of project management tools.
• May be required to manage multiple priorities and projects with tight deadlines.
• A valid driver's license and proof of current auto insurance will be required for any position requiring driving.

Nice To Haves

• Experience working with ACA Marketplace, Individual, or Commercial health insurance products preferred.
• Experience with project management, reporting, and data visualization tools preferred.
• Demonstrates support for the company’s mission, vision and values.

Responsibilities

• Support the design, development, implementation, and maintenance of Marketplace health plan products.
• Conduct market research, competitive analyses, and product performance evaluations to identify opportunities for product enhancements and growth.
• Analyze enrollment, membership, financial, and operational data to support strategic product recommendations.
• Assist in evaluating product benefit designs, cost-sharing structures, premium rates, network strategies, and regulatory impacts.
• Monitor industry trends, CMS guidance, state regulatory updates, and competitor activity affecting Marketplace products.
• Develop reports, presentations, and recommendations for leadership and cross-functional stakeholders.
• Support state Department of Insurance and Marketplace filing processes, including Connect for Health Colorado and CMS requirements.
• Coordinate collection and review of filing materials from internal business partners and external vendors.
• Assist with development, maintenance, and validation of filing documentation.
• Maintain filing schedules and track submission milestones to ensure compliance with state and federal deadlines.
• Maintain working knowledge of the System for Electronic Rate and Form Filing (SERFF).
• Collaborate with operations teams to validate product configuration across enrollment, sales, and administrative platforms.
• Participate in benefit, rate, and plan configuration testing.
• Review product setup and perform quality assurance validation prior to implementation.
• Assist in developing operational readiness materials and implementation documentation.
• Support annual product launch timelines and cross-functional readiness activities.
• Monitor regulatory requirements related to: Affordable Care Act (ACA) Qualified Health Plans (QHPs), Essential Health Benefits (EHBs), Actuarial Value (AV) requirements, CMS marketplace regulations, State insurance regulations.
• Identify process improvement opportunities and recommend enhancements to filing, product management, and compliance workflows.
• Support audits, regulatory exams, and compliance reviews related to Marketplace products.
• Maintain documentation, procedures, and product governance materials.

Benefits

• PTO
• floating holidays
• nine company paid holidays
• Employee Assistance Program
• tuition reimbursement
• leadership training
• promotion opportunities
• performance evaluations
• employee recognition
• language pay stipend
• Medical, dental, vision insurance that starts the first day of the month following start date.
• Supplemental insurance such as critical illness and accidental injury.
• Health care and dependent care flexible spending account options.
• Employer-paid basic life insurance and AD&D (employee, spouse and dependent).
• Short-term and long-term disability coverage.
• Voluntary life insurance (employee, spouse, dependent).
• Annual bonus program (based on eligibility, requirements and performance).

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level