Product Manager III - Medicare Advantage

Medica; Hopkins (MN); On-site; USD 79,000 - 135,000; Full time

Benefits offered by this job

401K contributions

PTO

Holidays

Caregiver services

Job summary

Medica is a nonprofit health plan dedicated to delivering coordinated, high-quality care in Minnesota and beyond. This role focuses on developing, implementing, and managing the Medicare Advantage product portfolio, ensuring accurate member materials and CMS bid readiness.

The candidate will support annual benefit decisions, perform competitive analyses, and collaborate across teams. Office-based, onsite 3 days/week with a strong emphasis on cross-functional execution.

Qualifications

• Bachelor's degree or equivalent experience in related field.
• 5+ years of work experience beyond degree.
• 2+ years of experience working with Medicare Advantage plans.
• Excellent materials review skills and high-level attention to detail.

Responsibilities

• Leads the Product team review process for materials and ensures clarity, accuracy and on-schedule delivery.
• Maintains Medicare Advantage product information in source documents; interprets plan benefits.
• Completes CMS bid submission responses for annual HPMS processes and understands PBP definitions.
• Supports operational readiness; acts as SME for key functions; coordinates vendor implementation.
• Conducts competitor analyses and assembles reports to inform product strategy.

Skills

Attention to detail

Interpersonal communication

Project management

Education

Bachelor's degree or equivalent experience

Tools

HPMS software

CMS bid cycle

Job description

Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for.

We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration - because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued.

Responsible for assisting with the development, implementation and management of the portfolio of Medicare Advantage products. The role helps maintain accurate member materials, product information across pricing, CMS bid submission, and system configuration; supports year-round operational readiness as a resource on product intent; and conducts competitor analysis and monitors regulatory developments. Performs other duties as assigned.

Key Accountabilities

• Leads the Product team review process for required and non-required materials to ensure benefit information is clear, accurate, and delivered on schedule. Coordinates with Government Document Production and Marketing on all material reviews
• Maintains accurate Medicare Advantage product information in source of truth documents and supports consistent interpretation and implementation of plan benefits and deep understanding of product intent
• Assists with the completion of plan benefit package (PBP) software responses for annual CMS bid submission through its Health Plan Management System (HPMS) and understands the PBP category definitions
• Supports year-round operational readiness and serves as liaison and subject matter expert for key operational functions; assists vendor implementation and ongoing management activities; represents Medicare Advantage Product on cross-functional workgroups
• Conducts competitor analysis, collects competitor materials and assembles competitive reports and analyses that informs Medicare Advantage product strategy and annual benefit decisions.

Required Qualifications

• Bachelor's degree or equivalent experience in related field.
• 5+ years of work experience beyond degree.
• 2+ years of experience working with Medicare Advantage plans.
• Excellent materials review skills and high-level attention to detail.

Preferred Qualifications

• Experience working with CMS bid cycle and CMS Health Plan Management System (HPMS) software.
• Operational experience in a health plan.
• Experience conducting competitive analysis.
• Experience in the analysis, summary, and presentation of business reports to organizational leaders and regulatory officials.
• Excellent organizational skills with proven ability to manage projects from kick-off to implementation.
• Excellent interpersonal communication skills with proven ability to establish and maintain strong relationships at multiple levels of organization.
• Ability to quickly adapt to change and work independently.

This position is an Office role, which requires an employee to work onsite, on average, 3 days per week. We are open to candidates located near one of the following office locations: Minnetonka, MN, Madison, WI, St. Louis, MO, or Omaha, NE.

The full salary grade for this position is $78,700 - $134,900. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $78,700 - $118,020. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to compensation, Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.

The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.

Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States.

We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

This employer is required to notify all applicants of their rights pursuant to federal employment laws.

For further information, please review the Know Your Rights notice from the Department of Labor.