Product Manager – Medicaid, Duals

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

📋 Description

• Act as a strategic collaborator with Medicaid Market teams, facilitating growth through customized benefit insights and services.

• Improve member and market experiences by providing impactful, consumer-focused products.

• Oversee the product lifecycle for designated markets—from strategic planning to go-to-market execution.

• Offer continuous client support by creating and implementing scalable, operationally efficient solutions.

• Educate and empower team members to guarantee effective benefit delivery.

• Convert contracts and regulatory requirements into practicable product and operational strategies.

• Organize market research, including analyzing industry trends and evaluating competitors' strengths and weaknesses.

• Ensure the efficient and compliant implementation of benefits across both internal and external stakeholders.

• Evaluate benefit performance and produce data-driven insights to guide product strategy.

• Work collaboratively with clinical, financial, actuarial, and operational teams to design, manage, and deliver benefits and services.

• Lead the benefit filing processes with regulatory bodies, ensuring prompt and compliant submissions.

• Offer subject matter expertise to address complex benefit-related issues and inquiries.

• Assist in the development of precise internal and external communications regarding benefits.

• Mentor junior team members and promote a collaborative, high-performance culture.

⛳️ Requirements

• Bachelor’s degree

• Over 3 years of experience in Medicaid and Dual Eligible product management.

• Proficiency in interpreting regulatory and contractual guidelines.

• Experience in maintaining regulatory and operational compliance in cross-functional settings.

• Familiarity with health plan coverage and benefit design.

• Experience in conducting competitive analysis and synthesizing market insights.

• Experience with agile delivery and project management methodologies.

• Ability to drive process optimization, enhance efficiency, and deliver measurable results.

• Must be able to accommodate EST/CST working hours.

🏝️ Benefits

• Medical, dental, and vision benefits

• 401(k) retirement savings plan

• Time off (including paid time off, company and personal holidays, paid parental and caregiver leave)

• Short-term and long-term disability

• Life insurance

• Numerous other opportunities