Health Care Product Manager

This position is responsible for supporting the overall success of the Government Programs (GP) Division product portfolio including the development of new and benefit enhancements of existing products. Also responsible for planning, developing and improving operational workflows, leading implementation cycles, updating/tracking annual timelines, and providing oversight of operational support systems in support of GP performance goals, ensuring compliance accuracy, and ensures products meet requirements/expectations of external (regulators, providers, members, vendors) and internal customers. Primary responsibilities include assisting with the successful design, implementation, and operational effectiveness of Government Products, including Medicare Advantage and Medicare Supplement products. To serve as the 1) product owner from concept to implementation to administration and 2) product expert from a benefit, industry and regulatory perspective. To provide market competitive analysis, direction, and monitor product performance from a sales and financial perspective.

• Assists with the development and implementation of all Government Programs Medicare Advantage (MA, & MA-PD) and Medicare Supplement, in adherence with federal and state regulations.
• Works closely with Product Managers and Sr. Product Managers aiding with the design of products, assisting with industry research, historical product performance, and marketplace trends.
• Participates on the product implementation team that coordinates with Pharmacy, Compliance, Marketing, Enrollment, Claims Coding, Care Management, Provider Contracting, Medical Management, and other internal operational areas on benefit administration, implementation requirements, and interpretation of plans.
• Documents plan and benefit information that is shared with internal areas with regard to product designs and capabilities.
• Reviews marketing/promotional materials to ensure accuracy of product details - including Web content and for operations education materials to support products.
• Monitors and documents monthly product performance with regard to administration, enrollment, and benefit utilization.
• Participates in the development of new product vendor contracts, and ongoing oversight of the vendor relationship.
• Assists with the development of yearly product training highlighting new products and benefit information in the presentations.
• Responsible for the development and updating of departmental policies and procedures.
• Compiles product and competitive data that is used in the development of new products and benefits, and enrollment projections.
• Other duties as assigned.

Experience:

• Minimum 1 to 2 years product management experience in a health care organization
• Experience with Medicare Advantage and Medicare Supplement products is preferred

Skills:

• Solid planning, organization, and analytical skills required at a global (macro) level and detailed process (micro) level
• Attention to detail and accuracy is required
• Ability to define and document detailed product and business requirements
• Ability to work as part of a project team that coordinates across numerous stakeholders
• Ability to work independently on assigned tasks/projects
• Ability to communicate effectively with team members, and management
• Excellent verbal and written communications, presentation, and interpersonal skills required
• Proficient in Microsoft Office software (Access, Excel, Outlook, PowerPoint, and Word)

Education and Certifications:

• Bachelor's degree in business, health care administration, or related field required or equivalent in work experience

Physical Demands:

• While performing the duties of the job, the employee is frequently required to sit, use hands and fingers, talk, hear, and see.
• The employee must be able to work over 40 hours per week. 
• The employee must occasionally lift and/or move up to 5 pounds.

We recognize that work is a part of life, not separate from it, and foster a flexible environment where your health and wellbeing are prioritized. At Capital you will work alongside a diverse and caring team of supportive colleagues and be encouraged to volunteer in your community.  We value your professional and personal growth by investing heavily in training and continuing education, so you have the tools to do your best as you develop your career.     
And by doing your best, you’ll help us live our mission of improving the health and well-being of our members and the communities in which they live.