Medicare Product Manager IV

Medica • Minnetonka, MN

37d • Hybrid

About The Position

Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for. We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration - because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued. 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. Performs other duties as assigned.

Requirements

• Bachelor's degree or equivalent experience in related field
• 7 years of related work experience beyond degree

Nice To Haves

• Experience working with Medicare Advantage plans, the CMS bid cycle, and CMS's Health Plan Management System (HPMS) software
• Experience in conducting of market research, competitive analysis, and the development of business cases
• Experience in the analysis, summary, and presentation of business reports to organizational leaders and regulatory officials
• Excellent organizational skills with proven ability to manage projects from kick-off to implementation
• Excellent interpersonal communication skills with proven ability to establish and maintain strong relationships at multiple levels of an organization
• Ability to quickly adapt to change and work independently
• Proficient in Microsoft Excel, PowerPoint, and Word

Responsibilities

• 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 such as Government Program Issues Tracker, Regulatory Change, Enrollment/Application, Provider Term and other 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.

Benefits

• competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Industry: Ambulatory Health Care Services
• Number of Employees: 1,001-5,000 employees