Sr. Product Manager, Medicare Product Management

UnitedHealth Group•Minnetonka, MN

1d•$112,700 - $193,200•Remote

About The Position

At UnitedHealthcare, we’re simplifying the health care experience, creating healthier communities and removing barriers to quality care. The work you do here impacts the lives of millions of people for the better. Come build the health care system of tomorrow, making it more responsive, affordable and optimized. Ready to make a difference? Join us to start Caring. Connecting. Growing together. Position Summary: Timely and accurate annual Medicare bid submission and dissemination of accurate product data across multiple teams and platforms is critical to the successful operations of our Medicare business. This key role on the Medicare Product team is responsible for our bid submissions, including dissemination of data and content to the Centers of Medicare and Medicaid Services (CMS) as well as internal business partners. This role will provide subject matter expertise in areas including product management, product definition, risk identification, standard benefit models, and other areas of expertise based on professional knowledge and background with potentially significant financial and regulatory impacts. Many key business and compliance functions are dependent on this position and there is high visibility.

Requirements

5+ years of bid filing experience supporting multiple Product types across Medicare Advantage and standalone Part D such as Individual, Special Needs Plans, and Group
3+ years of experience in a Medicare managed care organization
3+ years of testing experience, ensuring quality and accuracy
2+ years of experience of directly working with the Centers for Medicare and Medicaid Services (CMS) and their infrastructure (HPMS)
2+ years of experience with automation including data-based rule writing
Expert knowledge of the CMS defined Plan Benefit Package (PBP) and associated industry tools such as eMedicareSync
Demonstrated ability to achieve high performance by utilizing resources in a matrix environment
Demonstrated ability to work with and communicate with all levels of the organization
Proven solid analytical skills
Proven detail and accuracy orientation

Nice To Haves

Experience with data management across multiple systems
Experience working with Actuarial and Underwriting teams
Familiarity with MAPS, eMS and MCARE tools used to manage Medicare Advantage and Prescription Drug bid filing data
Demonstrated ability to work successfully in a changing environment

Responsibilities

Interpret CMS guidance and requirements, including direct collaboration with CMS
Support overall scope and strategy for bid submission, including defining standard benefit models and alignment to Product Strategy
Deliver consumable, accurate plan and benefit information to internal and external stakeholders
New or expanded capabilities for use by the bid team and business partners including plan structure management, formulary recon, expanded plan management, global benefit management, and additional quality controls
Meet all CMS required deadlines and quality requirements
Work collaboratively with Underwriting, Actuarial, and Pharmacy teams to define and drive requirements for plan/bid updates
Accountable for delivery of content for CMS required materials (ANOC, EOC, SB)
Cross Product content alignment between Group and Individual Medicare products
Support business partner (Sales, Marketing, Digital, Communications) needs for non-required plan/benefit content
Execute quality controls across bid filing teams
Lead and manage internal and external testing related to UHC and CMS digital properties
Escalation and issue management
Manage multiple teams and team members with varying levels of experience
Create a pipeline of early careers talent to disseminate into the broader organization