Senior Product Analyst - Government Insurance Products

Highmark Health; Pittsburgh (Allegheny County); Vor Ort; USD 90.000 - 120.000; Vollzeit

Zusammenfassung

Highmark Health in Pittsburgh is seeking a product management professional focused on government insurance offerings. The role guides analysis, defines complex product requirements, and contributes to product strategies within the government insurance portfolio.

The candidate should bring strong analytical abilities, a solid grasp of CMS/state filing processes, and the ability to mentor team members in a hybrid, office/remote setting.

Qualifikationen

• 5+ years of product management or related insurance experience.
• Experience with CMS and state filing for Medicare Advantage / SNP.
• Experience with supplement benefit vendors.

Aufgaben

• Ensures compliance with insurance industry regulations and internal policies.
• Oversees the preparation of detailed design specifications for product enhancements within their insurance product portfolio, ensuring alignment with product strategy.
• Provides business training on existing insurance products as well as training on product changes;
• Provides subject matter expertise and consultation for product management.
• Leads market analysis and competitor analysis, providing insights for strategic decision-making.
• Other duties as assigned or requested.

Kenntnisse

Advanced analytics

Problem solving

Communication skills

Team leadership

Product management

Ausbildung

Bachelor's degree in Business/Marketing/Finance/Healthcare Administration

Tools

Microsoft Office Suite

Jobbeschreibung

Company : Highmark Inc. Job Description : JOB SUMMARY **If you live within a 50 mile radius of one of our locations in (PA, NY, DE or WV) this would be a hybrid role requiring 3 days a week in office (T/W/TH) This job supports product management activities and projects, providing guidance and expertise in the realm of government insurance products, with a focus on ensuring compliance with all pertinent industry regulations and internal policies. This role supports product management by leading analysis efforts, defining complex product requirements, and contributing to the development of product strategies specific to government insurance offerings.

ESSENTIAL RESPONSIBILITIES

• Ensures compliance with insurance industry regulations and internal policies.
• Oversees the preparation of detailed design specifications for product enhancements within their insurance product portfolio, ensuring alignment with product strategy.
• Provides business training on existing insurance products as well as training on product changes;
• Provides subject matter expertise and consultation for product management.
• Leads market analysis and competitor analysis, providing insights for strategic decision-making.
• Other duties as assigned or requested.

EXPERIENCE

Required 5 years of relevant experience in product management or a related field within the insurance industry

Preferred Experience with CMS and state filing activities for Medicare Advantage and Special Needs Plans

Experience with supplemental benefit vendors.

SKILLS

Advanced analytical and problem-solving skills.

Proficiency in Microsoft Office Suite.

Excellent communication and interpersonal skills.

Ability to lead and mentor team members.

In-depth understanding of product management principles and methodologies within the insurance sector.

EDUCATION

Required Bachelor’s degree in Business, Marketing, Finance, Healthcare Administration or relevant experience and/or education as determined by the company in lieu of bachelor's degree.

Preferred None

LICENSES or CERTIFICATIONS

Required None

Preferred None

Language (Other than English):

None

Travel Required:

25% - 50%

PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS

Position Type Office-Based or Remote Position Physical work site required Constantly

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies. As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy. Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law. California Consumer Privacy Act Employees, Contractors, and Applicants Notice Highmark Health is a national, blended health organization that includes one of America’s largest Blue Cross Blue Shield insurers and a growing regional hospital and physician network. Based in Pittsburgh, Pa., Highmark Health’s 35,000 employees serve millions of customers nationwide through the nonprofit organization’s affiliated businesses, which include Highmark Inc., Allegheny Health Network, HM Insurance Group, United Concordia Dental, HM Health Solutions and HM Home & Community Services. Highmark Health’s businesses proudly serve a broad spectrum of health‑related needs including health insurance, health care delivery, population health management, dental solutions, reinsurance solutions, and innovative, technology solutions.