About The Position

Alignment Health is seeking a Product Manager, Multicultural Products to join their team in Orange County, CA. This is a hybrid role focused on serving seniors and the chronically ill. The Product Manager will be responsible for the development, implementation, and management of Medicare Advantage products, benefits, and member experiences. This role involves translating market intelligence, regulatory requirements, and consumer insights into product strategies to drive growth, retention, satisfaction, and financial performance. The Product Manager will collaborate with various departments including Actuarial, Finance, Compliance, Operations, Marketing, Sales, Network, Digital, and Community Engagement to create competitive, compliant, and member-centered products. The role may also support specialized product portfolios such as multicultural populations or targeted growth segments.

Requirements

  • 5+ years of experience in Medicare Advantage product management, health plan operations, benefit design, healthcare strategy, or related disciplines.
  • Experience managing complex cross-functional initiatives in a highly regulated environment.
  • Experience analyzing market, competitive, operational, or member data to support product decisions.
  • Experience working across multiple business functions to deliver strategic initiatives.
  • Bachelor's degree in Business, Healthcare Administration, Public Health, Marketing, Finance, or a related field; equivalent experience may be considered.
  • Medicare Advantage product management and benefit design.
  • CMS regulatory knowledge and compliance awareness.
  • Product lifecycle management.
  • Market analysis and competitive intelligence.
  • Project and program management.
  • Cross-functional leadership and stakeholder influence.
  • Data analysis, performance measurement, and strategic planning.
  • Member experience and customer-centric product development.
  • Communication and presentation skills.
  • Ability to translate market, consumer, operational, and regulatory insights into product strategies and recommendations.

Nice To Haves

  • Experience with Medicare Advantage bid development, product implementation, service area expansions, or managed care operations.
  • Experience supporting multicultural, underserved, or diverse member populations.
  • Experience with member experience, digital engagement, marketing strategy, or community-based growth initiatives.
  • MBA, MPH, MHA, or other related advanced degree.
  • PMP (Project Management Professional) certification or equivalent.

Responsibilities

  • Lead Product Strategy and Lifecycle Management: Develop, implement, and manage Medicare Advantage product strategies across assigned markets or member segments. Monitor product performance and market trends, identify opportunities for enhancement, and recommend actions that improve competitiveness, member experience, and business outcomes.
  • Drive Benefit Design and Product Development: Lead the development and refinement of benefit offerings, plan features, and member experience enhancements. Partner with Actuarial, Finance, Compliance, and Operations to evaluate affordability, utilization impact, regulatory requirements, and long-term sustainability.
  • Support CMS Bid and Regulatory Activities: Participate in annual bid development, product implementation activities, service area expansion initiatives, and other Medicare Advantage product planning efforts. Ensure products, materials, and business processes align with CMS regulations and organizational compliance standards.
  • Conduct Market and Competitive Analysis: Analyze market conditions, demographic trends, consumer insights, competitive benefit offerings, and healthcare industry developments to identify growth opportunities and product differentiation strategies. Present recommendations to leadership and key stakeholders.
  • Manage Member Communications and Experience: Oversee the development and review of member-facing communications, enrollment materials, benefit documentation, and digital experiences to ensure accuracy, compliance, accessibility, and alignment with member needs. This may include multilingual or culturally tailored communications when applicable to the assigned portfolio.
  • Partner on Marketing and Growth Initiatives: Collaborate with Marketing, Sales, Community Engagement, and other stakeholders to support go-to-market strategies, member acquisition efforts, retention programs, broker education, and community outreach initiatives.
  • Lead Cross-Functional Product Initiatives: Serve as the product lead for assigned initiatives by coordinating stakeholders, developing project plans, managing timelines, identifying risks, and driving execution across matrixed teams.
  • Monitor Product Performance and Deliver Insights: Track and analyze product performance metrics, including membership growth, retention, benefit utilization, market share, operational outcomes, and member experience indicators. Develop recommendations and present findings to leadership to support strategic decision-making.
  • Maintain Market and Regulatory Expertise: Maintain current knowledge of Medicare Advantage regulations, CMS guidance, healthcare market trends, competitor activities, and emerging opportunities affecting product strategy and performance.

Benefits

  • Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.
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