PRODUCT DEVELOPMENT MANAGER - HEALTH PLAN

About the Role

The Senior Manager of Product Development is pivotal to guiding our product strategy by orchestrating collaboration with business leaders, technical teams, actuarial stakeholders, and external partners. This role calls for development, organization, and facilitation of Prominence Health Plan's Commercial and Medicare Advantage products, system and infrastructure improvements, and vendor selection and implementation.

Reporting directly to the Chief Revenue Officer, the Senior Manager will provide essential support to the organizational business teams in the development, implementation, and compliance of new and renewing Commercial and Medicare clients, products, and vendors.

Responsibilities

Responsibilities encompass three core components of the job:

• Program Delivery
• Bid and AEP Project Management
• Product Analysis
  • Product Insights and Market Intelligence
  • Tracking financial and growth impact of benefit changes
• CMS/Regulatory Deliverables
  • Regulatory Submissions
  • SNP Model of care management

This role will provide crucial support in the development and production of required plan documents and the entry of plan filing documents into SERFF, HPMS, and CMS Bid tools. The Senior Manager is expected to operate at both the tactical and strategic layers:

• Tactical Layer: Work directly with internal and external customers to initiate, plan, execute, and manage product development and implementation initiatives to accomplish overall business, client, and vendor objectives.
• Strategic Layer: Work with Sales and the executive team on competitive positioning, growth objectives, and plan optimization.

The Senior Manager will also assist in training and education for new products, opportunities, and related topics as needed. This role requires skillful engagement of stakeholders across the organization to ensure deliverables from all teams (as they relate to Commercial and MA product objectives) are met.

Requirements

Education: Bachelor's degree in healthcare administration, communications, or business preferred.

Experience:

• Five (5) years of experience in the health insurance industry (e.g., underwriting, product management, actuarial support, claims processing), with a focus on commercial health insurance. Equivalent experience in other related fields (e.g., financial services, consulting) may be considered.
• Minimum two (2) years of experience in managing the lifecycle of health insurance products, including product development, pricing, and compliance.

Language Skills: Ability to effectively communicate in English, both verbally and in writing.

Skills

• Proficiency in gathering and interpreting empirical evidence, formulating recommendations, action plans, and interventions to improve overall organizational strategy.
• Ability to manage simultaneous action at varying stages—initiation, follow-through, and completion—on multiple projects.
• Demonstrated ability to research, analyze, and interpret state/federal regulations related to health insurance and healthcare.
• Strong verbal and technical writing skills to effectively convey project background, objectives, activities, evaluations, conclusions, and recommendations.
• Demonstrated skills in critical thinking, problem-solving, and the analysis, interpretation, and evaluation of complex information.
• Ability to work independently with minimal supervision.
• Ability to maintain effective collaborative working relationships with staff.
• Resourceful, detail-oriented, and able to assimilate and analyze a wide variety of information, often under deadline pressure.
• Strong project management skills.

Computer Skills

• Health Plan Management System (HPMS)
• System for Electronic Rates & Form Filings (SERFF)
• Smartsheet
• SharePoint
• Microsoft Office (Word, Excel, PowerPoint)
• Database software
• Familiarity with continuous quality and performance improvement methodologies