PM - Medicare Advantage

SCAN Health Plan; City of Long Beach (NY); Remote; USD 106,000 - 154,000; Full time

Benefits offered by this job

Robust Wellness Program

Generous PTO

Eleven paid holidays per year

Excellent 401(k) with employer match

Tuition reimbursement

Employee recognition program

Annual bonus program

Job summary

SCAN Health Plan is seeking a Product Manager for Medicare Advantage, Service Area, to drive strategy, design differentiated benefits, and oversee cross-functional execution across multiple states.

The ideal candidate brings strategic thinking and experience in product management or consulting, with adaptability to healthcare and CMS requirements. This mostly remote role offers a strong bonus program and comprehensive benefits.

Qualifications

• Bachelor's Degree or equivalent experience
• 5+ years of experience in product management, strategy, or consulting; healthcare experience preferred but not required
• 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

Responsibilities

• Lead product strategy & benefit development across Medicare Advantage markets
• Coordinate product implementation, requirements gathering, and vendor integration
• Translate market insights into actionable benefit concepts and recommendations
• Support regulatory awareness and CMS filing coordination
• Monitor market trends and collaborate with Finance to evaluate profitability
• Partner with cross-functional teams to align strategy with execution
• Identify innovative vendor opportunities to differentiate offerings
• Support Medicare bids, filings, and communication of benefits

Skills

Cross-functional leadership

Executive communication

Market analysis

Stakeholder engagement

Benefit development

Strategic thinking

Vendor partnerships

Analytical skills

Business acumen

Presentation skills

MS Office Suite

Education

Bachelor's degree or equivalent experience

Tools

MS Office Suite

Job description

About SCAN

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that older adults deserve to stay healthy and independent. That belief was championed by a group of community activists we still honor today as the “12 Angry Seniors.” Their mission continues to guide everything we do. Today, SCAN is a nonprofit health organization serving more than 500,000 people across Arizona, California, Nevada, New Mexico, Texas, and Washington, with over $8 billion in annual revenue. With nearly five decades of experience, we have built a distinctive, values-driven platform dedicated to improving care for older adults. Our work spans Medicare Advantage, fully integrated care models, primary care, care for the most medically and socially complex populations, and next-generation care delivery models. Across all of this, we are united by a shared commitment: combining compassion with discipline, innovation with stewardship, and growth with integrity. At SCAN, we believe scale should strengthen—not dilute—our mission. We are building the future of care for older adults, grounded in purpose, accountability, and respect for the people and communities we serve.

The Product Manager – Medicare Advantage, Service Area

The Product Manager - Medicare Advantage, Service Area will lead the development, implementation, and performance of innovative Medicare Advantage plan offerings across multiple states. This strategic role is focused on driving differentiated benefit design, managing vendor partnerships, and supporting cross‑functional execution to deliver high‑performing, market‑aligned products.

The ideal candidate is a strategic thinker with a background in product management, consulting, or business strategy, who thrives in a fast‑paced environment and excels at synthesizing complex information into clear, executive‑ready insights. Experience in Medicare Advantage is a plus but not required; candidates must demonstrate adaptability and the ability to quickly gain subject matter expertise.

You Will

Product Strategy & Benefit Development

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.

Regulatory Awareness & Compliance Coordination

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.

Market & Competitive Analysis

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.

Stakeholder Engagement & Leadership

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.

Vendor Strategy & Innovation

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.

CMS Submission and Benefit Communication

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.

Other

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.

Your Qualifications

• Bachelor's Degree or equivalent experience
• 5+ years of experience in product management, strategy, or consulting; healthcare experience preferred but not required.
• 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.

What in it for you?

Base Pay Range: $106,200 to $153,705 annually

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

We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.

SCAN is proud to be an Equal Employment Opportunity and affirmative action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law.

A background check is required.

Why consider a career at SCAN?

• A competitive compensation and benefits program;
• An annual employee bonus program;
• Generous paid‑time‑off (PTO);
• Eleven paid holidays per year;
• Excellent Retirement Savings program;
• A work‑life balance;
• An opportunity to become part of a team that makes a difference to our members and our community every day!