Medicare Product Strategy Lead

Blue Cross and Blue Shield of Kansas Inc.; Chicago, Northern (IL, KY); Hybrid; USD 130,000 - 183,000; Full time

Benefits offered by this job

Paid time off

11 holidays

Medical/dental/vision insurance

Generous 401(k) matching

Lifestyle spending account

Job summary

Blue Cross Blue Shield Association (BCBSA) in the United States seeks a Lead Consultant to drive Medicare Advantage product strategy and cross-functional execution. You will coordinate with Compliance, Legal, Actuarial, Clinical, Network, Sales, and Operations to align regulatory, pricing, and program design with enterprise goals.

The role requires deep analytics, market intelligence, and leadership to shape benefit configurations, roadmap decisions, and go-to-market plans across CMS bid cycles

Qualifications

• BS in Healthcare, Business Administration, Public Health, or related field; or equivalent experience.
• 7+ years experience in healthcare product development, Medicare product management, or health plan operations.
• Ability to independently execute and coordinate across functions.

Responsibilities

• Lead benefit design decisions across core and supplemental benefit categories.
• Review competitive intelligence and translate population health insights into benefit configurations.
• Partner with actuarial to review benefit cost assumptions against enrollment and risk score scenarios.
• Drive pricing decisions and financial modeling to support product decisions.
• Own product roadmap towards CMS bid cycles, regulatory requirements and governance timelines.
• Synthesize regulatory guidance and policy developments; adjust product strategy accordingly.
• Support go-to-market strategy and Plan engagement across the MA function.
• Develop strategic materials and analytical frameworks for compliant member-facing and broker-facing program execution.
• Coordinate with Plan partners on engagement activities, distribution strategy, and training support.
• Monitor go-to-market performance and adjust to improve penetration, acquisition, and retention.
• Support MA program strategy including Part D formulary, network, and Stars/Quality with cross-functional partners.
• Represent Medicare product function in working groups and stakeholder discussions with analytical input.
• Build and maintain relationships across the BCBS Medicare ecosystem for enterprise-aligned execution.

Skills

Analytical thinking

Cross-functional coordination

Communication

Stakeholder management

Regulatory knowledge

Education

BS in Healthcare, Business Administration, Public Health, or related field

Tools

Excel

PowerPoint

Job description

Blue Cross Blue Shield Association (BCBSA) in the United States seeks a Lead Consultant to drive Medicare Advantage product strategy and cross-functional execution. You will coordinate with Compliance, Legal, Actuarial, Clinical, Network, Sales, and Operations to align regulatory, pricing, and program design with enterprise goals.

The role requires deep analytics, market intelligence, and leadership to shape benefit configurations, roadmap decisions, and go-to-market plans across CMS bid cycles