Product Manger - Medicare Advantage, Service Area

About the role

The Product Manager - Medicare Advantage, Service Area will lead the development, implementation, and performance of innovative Medicare Advantage plan offerings across multiple states. This strategic role is focused on driving differentiated benefit design, managing vendor partnerships, and supporting cross-functional execution to deliver high-performing, market-aligned products. The ideal candidate is a strategic thinker with a background in product management, consulting, or business strategy, who thrives in a fast-paced environment and excels at synthesizing complex information into clear, executive-ready insights. Experience in Medicare Advantage is a plus but not required; candidates must demonstrate adaptability and the ability to quickly gain subject matter expertise.

Responsibilities

• Product Strategy & Benefit Development: Lead product design initiatives, including strategic direction, competitive positioning, and cross-functional alignment. Manage product implementation efforts, including requirements gathering, stakeholder coordination, and vendor integration. Translate market insights and business priorities into actionable benefit concepts and strategic recommendations.
• Regulatory Awareness & Compliance Coordination: Support the team’s awareness of regulatory requirements and how they influence product strategy and execution. Coordinate with internal experts to ensure filings and documentation meet applicable standards and timelines. Maintain awareness of CMS and other regulatory updates impacting benefit offerings.
• Market & Competitive Analysis: Monitor competitor strategies, industry trends, and consumer insights to inform ongoing product innovation. Collaborate with Actuarial and Finance teams to evaluate the financial viability of benefit strategies. Support scenario modeling and trade-off assessments to optimize value for members and business performance.
• Stakeholder Engagement & Leadership: Partner with cross-functional teams, including General Managers, Sales, Operations, Clinical Strategy, and Compliance to ensure strategic alignment and operational readiness. Develop and deliver high-quality presentations and materials for executive discussions and decision-making. Facilitate product reviews, business case development, and strategic planning sessions.
• Vendor Strategy & Innovation: Identify, assess, and recommend innovative vendor partnerships that enhance product differentiation and member value. Collaborate with prospective and current vendors to co-develop unique benefit offerings aligned with strategic goals. Conduct landscape scans and vendor capability assessments to inform build vs. partner decisions.
• CMS Submission and Benefit Communication: Support development of Medicare bids from development through filings. Support development of all appropriate Medicare and State filings for products and service areas through submission and approvals. Support the communication of filed and approved benefits to relevant functional teams across the organization, including, but not limited to the following teams: Regulated Marketing Materials, Claims, Customer Service and Sales. Support the development of product training plans and materials.
• Other: We seek Rebels who are curious about AI and its power to transform how we operate and serve our members. Actively support the achievement of SCAN