Medicare Bid Product Lead — Strategy, CMS, Data Excellence

UnitedHealthcare; Minnetonka (MN); On-site; USD 113,000 - 193,000; Full time

Job summary

UnitedHealthcare is seeking a seasoned Medicare Product specialist to manage timely bid submissions and CMS data dissemination across teams. This role provides SME guidance on product definitions, risk identification, and standard benefit models with high regulatory impact.

You will collaborate with Underwriting, Actuarial, and Pharmacy to drive plan updates, manage CMS materials (ANOC, EOC, SB), and ensure quality controls.

Qualifications

• 5+ years of bid filing experience supporting multiple Product types across Medicare Advantage and standalone Part D such as Individual, Special Needs Plans, and Group.
• 3+ years of experience in a Medicare managed care organization
• 3+ years of testing experience, ensuring quality and accuracy
• 2+ years of experience of directly working with CMS and their infrastructure (HPMS)
• 2+ years of experience with automation including data-based rule writing
• Expert knowledge of the CMS defined Plan Benefit Package (PBP) and associated tools such as eMedicareSync
• Demonstrated ability to achieve high performance in a matrix environment
• Demonstrated ability to communicate with all levels of the organization
• Proven analytical skills
• Proven attention to detail and accuracy

Responsibilities

• Bid Submission, including interpreting CMS guidance and CMS collaboration
• Work with Underwriting, Actuarial, and Pharmacy to define requirements for plan/bid updates
• Accountable for CMS materials (ANOC, EOC, SB) content across CMS and internal partners
• Quality controls across bid filing teams and related testing of CMS digital properties
• Lead multiple teams and develop a pipeline of early career talent

Skills

Bid filing

Medicare Advantage

CMS/HPMS

Data automation

Analytical skills

Stakeholder comms

People leadership

Tools

eMedicareSync

MAPS

eMS

MCARE tools

Job description

UnitedHealthcare is seeking a seasoned Medicare Product specialist to manage timely bid submissions and CMS data dissemination across teams. This role provides SME guidance on product definitions, risk identification, and standard benefit models with high regulatory impact.

You will collaborate with Underwriting, Actuarial, and Pharmacy to drive plan updates, manage CMS materials (ANOC, EOC, SB), and ensure quality controls.