Product Manager lll - HYBRID 3 days in the office- Health Plan Product experience

Brief Summary Of Purpose

The Product Manager III, under the direction of the Director of Product Management, leads cross-functional teams, facilitates decision-making, and maintains end-to-end accountability for successful product implementations and enhancements. They collaborate with product ownership and the Actuarial team on the development and submission of annual rate filings. This role requires a high level of operational and strategic focus, including managing product portfolio for a specific market segment, developing new product features, enhancements, and overseeing product filings.

Responsibilities

• Demonstrated ability to lead cross-functional teams, facilitate decision-making, and maintain end-to-end accountability for successful product implementations and enhancements.
• Collaborate with product ownership and the Actuarial team on the development and submission of annual rate filings.
• Show strong knowledge of federal and state regulatory requirements, with direct experience engaging with the Massachusetts Health Connector.
• Act as the primary subject matter expert and responsible leader for product filings, including Evidence of Coverage (EOC), SERFF plan and benefit templates, HIOS submissions, and connector seal of approval submission.
• Serve as Fallon Health’s lead or key contributor for new product development and implementation initiatives, and partner with product ownership to support the design and execution of customized product solutions.
• Function as a central liaison across Fallon Health departments, external regulatory bodies, and third-party vendors to address product-related inquiries and resolve issues.
• Partner with Corporate Communications and regulatory to develop and maintain product collateral; ensure all materials—member, and provider-facing—are accurate and reflect product design, operational processes, and applicable policies and benefits.
• Develop and deliver internal and external product training to ensure alignment and understanding across stakeholders.
• Oversee and report on product portfolio performance, including financial results, membership growth and retention, operational effectiveness, clinical utilization, and overall customer experience.

Qualifications

• Education: Bachelor's Degree
• Experience: 5 - 10 years in a healthcare setting and 5+ years as Product/Project Manager. Managed care experience with knowledge of plan operations, IT, finance, actuarial, compliance, product implementation, corporate communications, customer service, provider network management, federal and state health insurance regulations, marketing, product management. Knowledge of Medicare and Subsidized Connector Commercial products is important. Experience with M/S Office, PowerPoint, Excel, SharePoint, and One Drive preferred.

Pay Range

In accordance with the Massachusetts Wage Transparency Act, the pay for this position is $110,000-$120,000 annually which reflects what we reasonably and in good faith expect to pay at the time of posting. Final compensation will depend on the candidate’s experience, skills, and fit with the role’s responsibilities.

Equal Employment Opportunity

Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.