Remote Position

[Remote] Product Manager - Medicare Advantage, Service Area

🌍 Remote · United States 💼 Full-time

Note: The job is a remote job and is open to candidates in USA. SCAN Health Plan seeks a Product Manager to lead the development, implementation, and performance of Medicare Advantage offerings across multiple states. The role focuses on benefit design, vendor partnerships, regulatory coordination, market analysis, and cross-functional execution.

Responsibilities

  • 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
  • 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
  • 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
  • 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
  • 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
  • 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
  • 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’s Vision and Goals
  • Other duties as assigned

Skills

  • Bachelor's Degree or equivalent experience
  • 5+ years of experience in product management, strategy, or consulting
  • Experience leading cross-functional initiatives and delivering executive-level presentations
  • Demonstrated success in benefit development, market analysis, and stakeholder engagement
  • Strong business acumen with the ability to translate strategy into execution
  • Proven ability to lead cross-functional initiatives with a strategic lens, driving alignment across product, finance, clinical, and operational teams
  • Exceptional analytical skills with the ability to translate complex data into actionable insights and business recommendations
  • Strong executive communication and presentation skills, with comfort engaging senior leadership and external partners
  • Experience developing differentiated benefit strategies and identifying strategic vendor opportunities
  • Ability to navigate ambiguity, prioritize effectively, and drive progress in a fast-paced, evolving environment
  • Microsoft Office Suite experience at advanced level
  • Healthcare experience
  • Experience in Medicare Advantage

Benefits

  • Work Mode: Mostly Remote
  • An annual employee bonus program
  • Robust Wellness Program
  • Generous paid-time-off (PTO)
  • Eleven paid holidays per year, plus 1 floating holiday, plus 1 birthday holiday
  • Excellent 401(k) Retirement Saving Plan with employer match and contribution
  • Robust employee recognition program
  • Tuition reimbursement
  • An opportunity to become part of a team that makes a difference to our members and our community every day!
  • Inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more

Company Overview

  • About SCAN Keeping Seniors Healthy and Independent–that’s been our mission for more than 40 years. It was founded in 1977, and is headquartered in Long Beach, California, USA, with a workforce of 1001-5000 employees. Its website is https://www.thescangroup.org/.
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