Senior Strategic Medicare Product Manager

HCSC Group; Nashville (TN); Hybrid; USD 102,000 - 184,000; Full time

Job summary

HCSC is seeking a market lead to drive Medicare Advantage product strategy and lead cross-functional teams in identifying opportunities in new and complex markets. The role oversees development from inception to launch, coordinating with finance, actuarial, digital experience, and other partners to create multi-year roadmaps and performance benchmarks.

The ideal candidate will have deep Medicare economics understanding, bid process knowledge, and a proven ability to align stakeholders across

Qualifications

• Bachelor degree in Business or Health Administration; 6+ years in health care/health insurance or 11 years in related field.
• Experience leading and mentoring staff.
• Experience in managed care product development, benefits consulting or project management.
• Experience interfacing with corporate leadership at all levels of the organization.
• Strong organizational and written/verbal communication skills.

Responsibilities

• Lead cross-functional teams to identify product opportunities in new and complex markets.
• Drive development, execution, and ongoing management of Medicare Advantage product strategies from inception to launch.
• Develop multi-year product roadmaps and performance benchmarks; support market expansion initiatives.
• Collaborate with market, finance, actuarial, digital experience, and other partners to inform go/no-go decisions and investments.
• Cultivate vendor relationships and support health equity strategies.

Skills

Cross-functional leadership

Project management

Stakeholder management

Communication

Mentoring

Analytical thinking

Education

Bachelor degree in Business or Health Administration

Tools

Excel

Job description

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.

Join HCSC and be part of a purpose-driven company that will invest in your professional development.

This market lead position is responsible for leading cross-functional teams in identifying product opportunities in new and complex emerging markets and supporting the development, execution, and ongoing management of Medicare Advantage product strategies. Leads the development process from inception to product launch for new products, spearheading market expansion initiatives and supporting the launch of new Medicare products. Works to ensure that new products are clearly defined and that HCSC leadership has the necessary information (e.g., proformas, financial analysis, competitive intelligence, market assessments, and internal capabilities assessments) to make informed go/no-go decisions and strategic investments. This role drives differentiated product design by integrating member engagement insights, clinical data, and competitive intelligence; collaborates with market, finance, actuarial, digital experience, and other cross-functional partners to develop multi-year product roadmaps and performance benchmarks; serves as a product lead on digital transformation initiatives; supports health equity strategies; cultivates key vendor relationships. The individual in this role must have deep Medicare economics understanding and bid process knowledge.

Required Job Qualifications:

• Bachelor degree in Business or Health Administration and 6 years experience in health care, health insurance, or strategic consulting environment OR 11 years experience in health care, health insurance, or strategic consulting
• Experience leading and mentoring other staff.
• Experience in managed care product development, benefits consulting or project management.
• Experience working with corporate leadership, interfacing and communicating at all levels of the organization.
• Experience managing multiple complex priorities and a heavy workload.
• Organizational skills and detail-oriented.
• Verbal and written communication skills.

Preferred Job Qualifications:

• Experience developing and presenting to internal and external clients
• Health insurance or healthcare industry experience
• Previous responsibility for the management of a product or product line, including development of products from inception to launch, and product introduction and monitoring for success or need for reengineering.
• Experience leading cross-functional projects and managing stakeholder relationships, including influencing decision-making, aligning priorities, and driving execution across multiple teams and organizational levels.
• 3+ years experience in Medicare Advantage Bid with an understanding of MA economics and bid requirements
• Proven analytical and strategic abilities in decision making and problem solving
• Strong understanding of Medicare Advantage Star Ratings and quality programs, including the relationship between Stars performance, member outcomes, regulatory requirements, quality bonus payments, and product growth strategies.
• Excel experience necessary.

Work From Home

This is a fully remote position, available in the US only, not limited to the posted location.

Sponsorship

Sponsorship is not available.

Compensation

$102,000.00 - $184,300.00

Exact compensation may vary based on skills, experience, and location

HCSC Employment Statement

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

To learn more about available benefits, please click https://careers.hcsc.com/totalrewards