Medicare Product Development Manager Jobs (NOW HIRING)

About Us
Community Health Choice, Inc. (Community) is a non-profit managed care organization (MCO), licensed by the Texas Department of Insurance. Through its network of more than 10,000 providers and 94 hospitals, Community serves over 400,000 Members with the following programs:
¿ Medicaid State of Texas Access Reform (STAR) program for low-income children and pregnant women
¿ Children's Health Insurance Program (CHIP) for the children of low-income parents, which includes CHIP Perinatal benefits for unborn children of pregnant women who do not qualify for Medicaid STAR
¿ Health Insurance Marketplace Plans that offer individual health coverage that includes preventive care, emergency services, prescription drugs, and hospitalization available to all, regardless of pre-existing conditions.
¿ Community Health Choice (HMO D-SNP), a Medicare Advantage Dual Special Needs plan for people with both Medicare and Medicaid that combines Medicare Part A and Part B benefits, Medicare Part D prescription drug coverage, and Medicaid benefits with additional health benefits like dental, vision, transportation, and more.
Improving Members' experiences is at the heart of every Community position. We strive every day to make sure that our Members have access to the high-quality health care they need and deserve.
Community is accredited by URAC for its health plan operations. We offer care management programs for asthma, diabetes, and high-risk pregnancy. An affiliate of the Harris Health System (Harris Health), Community is financially self-sufficient and receives no financial support from Harris Health or from Harris County taxpayers.
Job Profile
JOB SUMMARY
The Product Development Manager will play a pivotal role in assisting with driving the success and growth of our organization by overseeing and managing the development of new product lines. In addition, they are responsible for monitoring and evaluating the performance of our existing products, (STAR+PLUS, STAR, CHIP, Medicare (D-SNP), and Marketplace) analyzing key metrics and making data-driven recommendations for product enhancements or strategic pivots. The Product Development Manager is responsible for managing product by aggregating market intelligence to identify and develop future benefit plan designs; recommends product positioning for new and existing products and modifies current products as necessary to be compliant with regulatory requirements. The Product Development Manager will manage new product initiatives from concept to implementation and provide ongoing monitoring. This individual will lead cross-functional teams, collaborate with key stakeholders, and leverage market insights to design and deliver innovative products that meet the needs our members and drive business growth. This position will collaborate with Business Development, Finance, Compliance and Operations to report market dynamics, trends and ensure competitive offerings.
JOB SPECIFICATIONS
Collaborates with executive management to build out the infrastructure (technical, sales, account management, billing, etc.) to service commercial accounts and builds consensus across departments during the product development and implementation to drive innovation
Manages implementation teams created and ensures full transition to operational models
Leads, coordinates, and manages monthly service meetings with clients to champion a customer-centric approach; develops and ensures distribution of performance monitoring reports both internally and with clients
Effectively advances Community's brand and promotes the organization throughout its markets and communities by volunteering (40 or more hours per year) for, community-based, governmental, industry, accreditation, provider, or business development entities whose purpose aligns with Community's mission, or that impact Community's operational success or organizational sustainability
Responsible for completing and submitting the RFPs and bid submissions and for new and existing programs
Remains current with trends in new product development, distribution strategies (brokers, etc.), HHSC and TDI regulations relevant to these lines of business
Other duties as assigned
Product Development Manager (D-SNP)
MINIMUM QUALIFICATIONS:
Education/Specialized Training/Licensure: Bachelor's degree in business administration, Healthcare Management, or related field required.
Work Experience (Years and Area):
5+ years relevant and comprehensive knowledge of the field's concepts and principles.
5 + years of Medicare (D-SNP) experience in product management or development roles within the healthcare or managed care industry preferred.
Benefits & EEOC
Community employees' benefits are provided by Harris Health. These benefits are designed to provide you with flexibility and choices in meeting your specific needs.
Community is an Equal Opportunity Employer.
Harris Health's benefits program is designed to provide you with more flexibility and choices in meeting your specific needs. Harris Health's benefits program allows you to protect your income in case of illness, death and disability, and to help you save for retirement.
It is the policy of Harris Health to provide equal opportunity for all applicants for employment regardless of political affiliation, race, color, national origin, age, sex, religious creed or disability. Applicants may request any reasonable accommodation(s) to participate in the application process.