Act as internal advisor to markets, translating state guidance and federal rules into covered services and operational requirements.
Serve as a liaison between National Product Strategy and Market leadership, translating business goals into actionable innovation and initiatives.
Oversee design and execution of Medicaid and Dual Eligible benefit packages, ensuring compliance, competitiveness, and member-centricity.
Own product lifecycle from design, feasibility, implementation to optimization.
Monitor and manage the Market’s benefit performance and ensure compliance.
Design and execute on benefit audits and perform operational analyses to proactively identify compliance gaps.
Lead and manage enterprise initiatives driven by legislative changes, provider/vendor changes, policy initiatives, and benefit filings/readiness.
Use internal operational data and KPIs to evaluate product performance and identify opportunities for improvement.
Lead and develop a team of Senior Insurance Product Managers, providing coaching, workflow oversight, and performance management.
Partner with clinical, utilization/care management, actuarial/finance, network, operations, and technology teams; coordinate dependencies across squads in matrixed environments.
Requirements
Bachelor’s degree in healthcare, business administration, public policy, or a related field.
3+ years of experience in Medicaid and Dual Eligible product management
2+ years management experience
Strong financial acumen
Exceptional communication skills, including executive-level presentation and stakeholder engagement.
Demonstrated success in mentoring and developing high-performing teams.
Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint).
Benefits
medical, dental and vision benefits
401(k) retirement savings plan
time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)