Product Manager III - Medicare Advantage
About The Position
Medica is a nonprofit health plan serving more than a million members in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. The Product Manager III is responsible for assisting with the development, implementation, and management of the Medicare Advantage product portfolio. The role helps maintain accurate member materials and product information across pricing, CMS bid submission, and system configuration; supports year-round operational readiness as a resource on product intent; and conducts competitor analysis and monitors regulatory developments. Other duties may be assigned. This is an office role requiring onsite work an average of three days per week. Candidates may be located near Medica offices in Minnetonka, Minnesota; Madison, Wisconsin; St. Louis, Missouri; or Omaha, Nebraska. Medica does not offer work visa sponsorship for this role. Candidates must be legally authorized to work in the United States at the time of application, and employment is contingent on verification of identity and work eligibility.
Requirements
- Bachelor's degree or equivalent experience in a related field.
- Five or more years of work experience beyond degree.
- Two or more years of experience working with Medicare Advantage plans.
- Excellent materials review skills and high-level attention to detail.
Nice To Haves
- Experience working with the CMS bid cycle and CMS Health Plan Management System (HPMS) software.
- Operational experience in a health plan.
- Experience conducting competitive analysis.
- Experience analyzing, summarizing, and presenting business reports to organizational leaders and regulatory officials.
- Excellent organizational skills and a proven ability to manage projects from kickoff through implementation.
- Excellent interpersonal communication skills and a proven ability to establish and maintain strong relationships at multiple organizational levels.
- Ability to adapt quickly to change and work independently.
Responsibilities
- Lead the Product team review process for required and non-required materials, ensuring benefit information is clear, accurate, and delivered on schedule.
- Coordinate material reviews with Government Document Production and Marketing.
- Maintain accurate Medicare Advantage product information in source-of-truth documents and support consistent interpretation and implementation of plan benefits, with a deep understanding of product intent.
- Assist with completing plan benefit package (PBP) software responses for the annual CMS bid submission through the Health Plan Management System (HPMS), and understand PBP category definitions.
- Support year-round operational readiness and act as a liaison and subject matter expert for key operational functions.
- Assist with vendor implementation and ongoing management activities.
- Represent Medicare Advantage Product on cross-functional workgroups.
- Conduct competitor analysis, collect competitor materials, and prepare competitive reports and analyses to inform Medicare Advantage product strategy and annual benefit decisions.
- Monitor regulatory developments.
- Perform other duties as assigned.
Benefits
- Competitive medical, dental, and vision benefits.
- Paid time off (PTO) and holidays.
- Paid volunteer time off.
- 401(k) contributions.
- Caregiver services.
- Other benefits to support employees.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
