Product Manager II

At Capital Blue Cross, we promise to go the extra mile for our team and our community. This promise is at the heart of our culture, and it’s why our employees consistently vote us one of the “Best Places to Work in PA.” 

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 overseeing the successful design, implementation, and operational effectiveness of Government Products, Individual Markets ACA 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 and to provide market competitive analysis, direction, and monitor product performance from a sales and financial perspective.

• Coordinates the development, and implementation of Government Programs, Individual Markets ACA portfolio in adherence with federal and state regulations.
• Works closely with actuarial in the design of products, relying on industry research, historical product performance, and marketplace trends.
• Initiates and coordinates with Legal, Actuarial, Provider Contracting and other internal partners on any contract filing or network modifications required to keep products current and profitable.
• Provides coordination 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.
• Provides consultation to all internal areas regarding product designs and capabilities for Individual Markets ACA products.
• Provides consultation for marketing/promotional materials - including Web content and for operations education materials to support products, includes reviewing product/benefit details for accuracy.
• Responsible for global product management tasks and implementation requirements for a product. Monitor assigned products and coordinate with various internal areas to address problems and improve product delivery.
• Develop and implement effective marketing strategies, project timelines, business requirements, and product policies and procedure documentation to support Individual Markets ACA product capabilities and initiatives.
• Assists with the development of yearly product training and market positioning for individual and group sales force, Operations staff, Care Management staff and external Employer Groups and Brokers.
• Responsible for the development and updating of departmental policies and procedures.
• Identifies and analyzes product trends and competitive data related to the development of new products and benefits, and enrollment projections.
• Serve as the product expert and primary contact for internal areas and external vendors regarding Medicare.
• Other duties as assigned.

Skills:

• Solid planning, organization, and analytical skills required at a global (macro) level and detailed process (micro) level
• Ability to define and document detailed product and business requirements and project timelines
• Demonstrated ability to bring projects to a successful conclusion
• Ability to work independently with little supervision and be part of a project team that coordinates across numerous stakeholders
• Ability to communicate effectively with all levels of the organization and external contacts
• Excellent verbal and written communications, presentation, and interpersonal skills required
• Proficient in project management software (Microsoft Project), other Microsoft Office software (Access, Excel, Outlook, and Word), and Visio
• Advanced PowerPoint skills required, including the ability to create detailed product presentations

Knowledge:

• Strong knowledge of and experience with Individual Markets ACA program and regulations highly preferred

Experience:

• Minimum 2 to 3 years product management experience in a health care organization

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 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.