Product Manager (Medicare)
Bring your drive for excellence, team orientation and customer commitment to Independence Blue Cross; help us renew and reimagine our business and shape the future of health care. Our organization is looking to diversify, grow, innovate and serve, and we are looking for committed, empowered learning-oriented people to join our team. If this describes you, we want to speak with you.
Summary
To oversee the successful design, implementation, and operational effectiveness of Medicare Advantage and Medicare Supplemental 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
Duties and Responsibilities
- Coordinates the development, implementation, and maintenance of all Government Programs employer group and individual Medicare Advantage (MA, & MA-PD), and Medicare supplemental.
- Works closely with actuarial in the design of products, relying on industry research, historical product performance, and marketplace trends.
- Initiates and coordinates with Legal and Actuarial on any filing modifications required to keep programs current and profitable.
- Monitor assigned products and coordinate with operating areas to address problems and improve product delivery.
- Provides coordination with Pharmacy, Compliance, Marketing, Enrollment, Claims Coding, Care Management, Provider Contracting, Medical Management, and other internal operational areas on benefit administration, implementation, and interpretation.
- Provides consultation to all internal areas with regard to product designs and capabilities.
- Provides consultation for marketing/promotional materials - including Web content and for operations education materials to support products.
- Monitors product performance with regard to administration, enrollment, claims, benefit utilization and market acceptance.
- Assists with the development of yearly product training for individual and group sales force, Medicare 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.
- Other duties as assigned.
Position Qualifications:
- Bachelor’s degree in business, health care administration, or related field required.
- Minimum 2 to 3 years product management experience in a health care organization.
- Strong knowledge of and experience with Medicare program and regulations highly preferred.
- Marketing experience in a health plan setting preferred, but not required.
- Solid planning, organization, and analytical skills required.
- Demonstrated ability to bring complex projects a successful conclusion.
- Ability to work independently with little supervision.
- 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, PowerPoint, and Word)
Diversity, Equity, and Inclusion
At Independence, everyone can feel valued, supported, and comfortable to be themselves. Our commitment to equity means that all associates have a fair opportunity to achieve their full potential. We put these principles into action every day by acting with integrity and respect. We stand together to speak out against injustice and to break down barriers to support a more inclusive and equitable workplace. Celebrating and embracing the diverse thoughts and perspectives that make up our workforce means our company is more vibrant, innovative, and better able to support the people and communities we serve.
Vaccination Update
This job requires that you demonstrate you have been fully vaccinated for COVID-19 prior to the start of employment, to the extent permitted by law.
About Our Company
Serving more than 8 million people nationwide, including 2.5 million in southeastern Pennsylvania, Independence Health Group — together with its subsidiaries — is the leading health insurance organization in the Philadelphia region. Our mission to build healthier lives for you, your family, and your employees shapes our actions and decisions every day.
At Independence, we see each of our members as an individual, with unique needs and concerns. We’re dedicated to harnessing the very latest ideas and technologies to deliver access to care that meets those needs and surpasses your expectations. For more information about Independence access our website at www.ibx.com. We’re revolutionizing health care, and our focus is on you!
Equal Employment Opportunity
Independence Blue Cross is an Equal Opportunity and Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to their age, race, color, religion, sex, national origin, sexual orientation, protected veteran status, or disability.
Agency Disclaimer
All resumes submitted directly to an Independence Blue Cross employee from a vendor via email, the Internet or in any other form without a valid written search agreement in place for this position from the Independence Blue Cross Family of Companies Human Resources Department will be deemed the sole property of Independence Blue Cross and the Independence Blue Cross Family of Companies. Please note that no fee will be paid in the event the candidate is hired by Independence Blue Cross or the Independence Blue Cross Family of Companies as a result of the referral or through means other than our established process.