Product Manager - Medicare AdvantageMedicaid
Posted on :
17-03-2023
Employer Active
1 Vacancy
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Job Description
Req ID : 1979787
This is a remote position.
We are seeking a remote Product Manager to support the Medicare Advantage and Medicaid programs for a healthcare company in New York.
This is a remote opportunity (EST time zone preferred)
Job Summary:
Responsible for the design and implementation of new products (Medicare Special Needs Plans, Medicare Advantage, Medicaid, and Commercial lines of business) within existing market/product lines.
Key Responsibilities:
- Evaluates existing products and competitor and industry data to improve existing products and make recommendations for new products.
- Coordinates presentation, communication and implementation of all phases of product development.
- Ensures products meet competitive, regulatory (CMS, NCQA), and compliance needs.
- Reviews, analyzes, and makes recommendations on actions for existing products.
- Investigates market opportunities and effect on market for existing and new products.
- Identifies system needs to support short- and long-term product strategy.
- Implements best practices within products and across other subsidiary products in a standardized manner and across markets.
- Determines customer needs and preferences through research and analysis of industry technology, current processes, and other methods.
- Responsible for supporting the Product Lifecycle Management process to monitor product performance (clinical, financial, and operational) across all markets, as well as a competitive analysis research for benefits, market and regional data and trends.
- Supports the development of short- and long-term strategic product promotions in support of market, sales, and profitability objectives.
- Establishes product development policies.
Requirements
Education:
- BA/BS degree in a related field (required)
- MBA (preferred)
- Any combination of education and experience, which would provide an equivalent background
Required:
- Health or managed care experience
- Strong strategic managed care understanding for Medicare Advantage, Medicaid, Commercial and chronic complex populations.
- Extensive knowledge of CMS, NCQA regulatory guidelines.
- Aptitude for independent strategic thinking as well as the ability to identify, leverage, and execute best practices while demonstrating a continuously innovative mindset.
- Critical thinker / problem solver willing to take initiative with minimal direction.
- Comfortable working in an agile start-up environment and demonstrated ability to lead and influence within ambiguous settings.
- Extensive experience in data analytics, financial analysis, budgeting, and a keen ability to convert complex information into concise strategic business insights using PowerPoint, Excel, and other data management tools and clinical applications.
- Exceptional communication skills (verbal and written) and executive presence.
Benefits
- Comprehensive benefits package
- Incentive and recognition programs
- Equity stock purchase
- 401k contribution
The anticipated base pay range for this position is $65,000 to $115,000. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Employees may be eligible to participate in company employee benefit programs such as health insurance, savings plan, pension plan, disability plan, vacation pay, sick time, holiday pay, and work, personal, and family time off in accordance with the terms of the applicable plans.
An equal opportunity employer and we value diversity at our company. All aspects of employment are based on merit, performance, and business needs. We do not discriminate based upon race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
For more information about Hi-Quality Recruits, please visit
Requires a BA/BS degree in a related field and a minimum of 2 years of related experience MBA preferred Any combination of education and experience, which would provide an equivalent background. Required: Health or managed care experience Strong strategic managed care understanding for Medicare Advantage, Medicaid, Commercial and chronic complex populations. Extensive knowledge of CMS, NCQA regulatory guidelines. Aptitude for independent strategic thinking as well as the ability to identify, leverage, and execute best practices while demonstrating a continuously innovative mindset. Critical thinker / problem solver willing to take initiative with minimal direction. Comfortable working in an agile start-up environment and demonstrated ability to lead and influence within ambiguous settings. Extensive experience in data analytics, financial analysis, budgeting, and a keen ability to convert complex information into concise strategic business insights using PowerPoint, Excel, and other data management tools and clinical applications. Exceptional communication skills (verbal and written) and executive presence.
Employment Type
Full Time
Key Skills
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