Product Manager lll

Fallon Health•Worcester, MA

About The Position

Under the direction of the Director of Product Management, the Product Manager III works independently and collaboratively with both internal customers and external stakeholders. The Product Manager III will take high profile and strategic projects from development through implementation. This role is responsible for managing the product portfolio for a specific market segment. This includes developing new product features, enhancements, portfolio revisions and overall product lifecycle management. The position requires a high level of operational as well as strategic focus. The Product Manager III will make recommendations to the Director of Product Management and Product Owner on product changes that will improve competitive positioning, mitigate cost for the member or Fallon Health, streamline or increase integrity of internal processes and that ultimately enhances the overall consumer experience.

Requirements

Bachelor's Degree
5 - 10 years in a healthcare setting
5+ years as Product/Project Manager
Managed care experience with knowledge of plan operations, IT, finance, actuarial, compliance, product implementation, corporate communications, customer service, provider network management, federal and state health insurance regulations, marketing, product management.
Experience with government agencies including the Massachusetts Health Connector.
Considerable knowledge of Medicare and Subsidized Connector Commercial products is important.
Experience with M/S Office, PowerPoint, Excel, SharePoint, and One Drive preferred.

Responsibilities

Demonstrated ability to lead cross-functional teams, facilitate decision-making, and maintain end-to-end accountability for successful product implementations and enhancements.
Collaborate with product ownership and the Actuarial team on the development and submission of annual rate filings.
Strong knowledge of federal and state regulatory requirements, with direct experience engaging with the Massachusetts Health Connector.
Comprehensive understanding of Fallon Health systems, including key interdependencies and the dependencies between products, internal platforms, and external vendor partners.
Act as the primary subject matter expert and responsible leader for product filings, including product oversight of Evidence of Coverage (EOC), SERFF plan and benefit templates, HIOS submissions, and connector seal of approval submission.
Serve as Fallon Health’s lead or key contributor for new product development and implementation initiatives, and partner with product ownership to support the design and execution of customized product solutions.
Function as a central liaison across Fallon Health departments, external regulatory bodies, and third-party vendors to address product-related inquiries and resolve issues.
Partner with Corporate Communications and regulatory to develop and maintain product collateral; ensure all materials—member, and provider-facing—accurately reflect product design, operational processes, and applicable policies, and benefits.
Develop and deliver internal and external product training to ensure alignment and understanding across stakeholders.
Oversee and report on product portfolio performance, including financial results, membership growth and retention, operational effectiveness, clinical utilization, and overall customer experience.