Medicare Product Manager

AmeriHealth Caritas is seeking a Medicare Product Manager responsible for managing the Medicare product portfolio and supporting strategic initiatives. This role focuses on enhancing plan performance, market expansion, and ensuring compliance with regulations.

Responsibilities:

• Oversee the full end-to-end product management cycle for Medicare products, ensuring competitive plan offerings and operational readiness
• Lead the bid development process by partnering with actuaries and internal teams to define product inputs, pricing strategies, and key assumptions; ensure timely submission of required Health Plan Management System (HPMS) documentation
• Collaborate with the Vendor Program/Supplemental Benefits Team to conduct product-related research and engage vendors that meet portfolio needs
• Conduct ongoing competitive analysis and market research to inform product positioning, identify trends, and support strategic decision-making
• Identify priority populations and opportunities to support near-term and long-term membership growth across products and geographic regions
• Partner with Analytics to review utilization, cost trends, and performance insights to guide product enhancements
• Work closely with regional leadership to localize product offerings based on the provider landscape and service-area needs
• Support initiatives related to growth, retention, Stars performance, member experience, and overall plan optimization
• Develop and maintain detailed plan design materials, including Plan Benefit Package (PBP) documentation, benefit grids, and internal summary tools
• Provide guidance regarding benefit interpretation to claims configuration to ensure operational accuracy
• Deliver annual product training to internal and external partners, such as customer service, sales, and market leadership teams
• Contribute product information for regulatory communications, including Annual Notice of Coverage (ANOC), Evidence of Coverage (EOC), and Summary of Benefits
• Maintain expertise in Centers for Medicare & Medicaid Services (CMS) regulations, guidelines, and annual updates; translate changes into actionable product updates and strategic recommendations
• Lead documentation, project tracking, and process improvement efforts across the product lifecycle
• Perform other duties as assigned

Requirements:

• Bachelor's degree required
• 3 to 5 years of experience in Medicare product management, project management, or a related healthcare field
• Experience preparing CMS regulatory documents and submissions
• Demonstrated experience managing complex processes and executing continuous improvement initiatives
• Ability to analyze data, interpret trends, and apply insights to product strategy
• Excellent communication and presentation skills to support cross-functional collaboration and stakeholder engagement
• Strong organizational skills with the ability to manage multiple priorities and deadlines
• Proficiency in building documentation, developing training, and supporting operational execution
• Ability to work effectively across diverse teams
• Master's degree preferred