Product Manager

This is a fully remote position, open to applicants in Missouri.

📋 Description

• Oversee the development, implementation, and continuous enhancement of Medicaid benefit programs along with supporting vendor solutions throughout the product life cycle.

• Collaborate with regional Medicaid markets to translate member requirements, regulatory needs, and market priorities into unique benefits.

• Manage vendor contracting processes, which include vendor selection support, contract and SLA development, negotiations, amendments, and renewals.

• Direct vendor and benefit implementations, transitions, and de-implementations.

• Supervise vendor relationships, governance, and performance evaluations.

• Formulate vendor and benefit strategies that align with market, departmental, and corporate objectives.

• Propel vendor optimization and consolidation initiatives.

• Design, implement, and refine benefit operations, processes, and workflow best practices.

• Evaluate vendor utilization, expenditures, and financial performance.

• Collaborate with Analytics teams to create reporting and tools that assess utilization, effectiveness, and member outcomes.

• Spot opportunities to improve products and services, clinical performance, financial performance, and product attractiveness.

• Conceptualize, develop, and manage both new and existing products from inception to service delivery.

• Audit assigned plan benefit package reviews.

• Keep track of market trends and identify product opportunities and enhancements.

• Assess product performance and outcomes through cost and benefit analyses.

• Conduct internal and external product training.

• Relay pertinent details to market leaders and partners.

• Assist sales and market leadership in pursuing competitive growth opportunities.

• Offer knowledge, mentorship, and leadership to colleagues and team members.

• Engage in meetings, manage deadlines, and carry out other assigned responsibilities.

⛳️ Requirements

• Bachelor's degree in a related field or equivalent professional experience.

• 5+ years of experience in product and services development and management.

• Familiarity with assigned products.

• Prior experience leading a functional area.

• Experience managing cross-functional teams on large-scale projects.

• Preferred experience with CMS and/or the annual Medicare Advantage bid process.

• Experience with Medicaid plans is preferred.

• Vendor management experience within a managed care environment is preferred.

• Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future.

• Proficiency in using the HPMS PBP module and CMS regulatory memos/releases.

• Ability to manage increased workload during peak seasons.

• Strong attention to detail and superior quality of work.

• Capability to adhere to established project timelines.

• Commitment to compliance with all policies and standards.

🏝️ Benefits

• Health insurance.

• 401K plan.

• Stock purchase plans.

• Tuition reimbursement.

• Paid time off plus holidays.

• Flexible work arrangements including remote, hybrid, field, or office schedules.

• Competitive salary.

• Additional incentives may be included in total compensation.

• Equal opportunity employer committed to diversity.