Product Specialist Senior

Corewell Health • Grand Rapids, MI

1d • Onsite

About The Position

This role is responsible for the end-to-end management of Medicare vendor relationships, including contracting, implementation, performance oversight, and optimization. The position partners cross-functionally to ensure vendor-delivered benefits meet regulatory requirements, achieve targeted financial outcomes, and support a high-quality member experience across multiple markets. Organize and maintain open lines of communication with internal and external customers to ensure that product information is up-to-date and accurate.

Requirements

• Bachelor's Degree or equivalent in health care of business
• 5 years of relevant experience in managed care
• Solid understanding of the senior market and Medicare regulations
• Familiarity with state and federal regulatory and legislative processes required; must be able to read and interpret complex statutes and regulations.

Responsibilities

• Lead vendor onboarding, implementation, and ongoing relationship management in partnership with MA&R and internal stakeholders
• Monitor and enforce contractual service level agreements (SLAs), ensuring vendors consistently meet performance expectations
• Serve as the primary point of contact for vendor issue resolution, escalating and driving timely remediation
• Collaborate with Procurement and implementation team on vendor contracting, including scope development, negotiations, and execution
• Ensure contract terms align with operational, financial, and regulatory requirements
• Maintain oversight of contract compliance and performance provisions
• Partner with Actuarial, Advanced Analytics, and Clinical teams to evaluate vendor cost performance and return on investment
• Support development of business cases, cost-benefit analyses, and ongoing financial monitoring
• Identify opportunities to optimize value and cost efficiency across vendor programs
• Work closely with internal teams including Medical, Analytics, Actuarial, Marketing, and Product to support benefit design and execution
• Support implementation and ongoing management of vendor-supported benefits across future expansion states
• Participate in Medicare Advantage bid cycle activities, including: Reviewing Plan Benefit Packages (PBPs), Supporting development of bid-related materials, Participating in cross-functional bid review meetings (monthly, quarterly, and annual cadence)
• Support CMS regulatory reporting requirements related to vendor-delivered benefits
• Partner with Marketing to develop and maintain: Member-facing benefit communications, Sales materials and sell sheets, Website content updates
• Ensure accuracy and compliance of all vendor-related benefit descriptions
• Identify and evaluate new vendor solutions and emerging capabilities to enhance benefit offerings
• Drive innovation initiatives to improve member experience, outcomes, and competitive positioning
• Recommend enhancements based on performance data, market intelligence, and internal priorities

Benefits

• Comprehensive benefits package to meet your financial, health, and work/life balance goals.
• On-demand pay program powered by Payactiv
• Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
• Optional identity theft protection, home and auto insurance
• Traditional and Roth retirement options with service contribution and match savings

What This Job Offers

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