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Medicare Product Development Jobs in Oregon (NOW HIRING)

Bcbsa

Medicare Operations Senior Program Manager

OR · On-site +1

Supports Product Development team with strategic planning, multi-year operational roadmaps, and ... Deep knowledge of Medicare Advantage, Part D, and CMS regulations. * Experience leading/supporting ...

PacificSource

Medicare Sales Executive

Portland, OR · On-site

Educate and train producers on Medicare Advantage products, compliance and processes. Provide ... Prefer well-developed relationships within the insurance community. Competencies: Assignment ...

PacificSource

Medicare Sales Executive

Bend, OR · On-site

Educate and train producers on Medicare Advantage products, compliance and processes. Provide ... Prefer well-developed relationships within the insurance community. Competencies: Assignment ...

PacificSource

Medicare Sales Executive

Bend, OR · On-site

$80 - $100/hr

Build positive producer relationships through education of company products and services ... Prefer well-developed relationships within the insurance community.**Competencies:**Assignment ...

PacificSource

Medicare Sales Executive

Portland, OR · On-site

Educate and train producers on Medicare Advantage products, compliance and processes. Provide ... Prefer well-developed relationships within the insurance community. Competencies: Assignment ...

PacificSource

Medicare Sales Executive

Springfield, OR · On-site

$80 - $100/hr

Build positive producer relationships through education of company products and services ... Prefer well-developed relationships within the insurance community.**Competencies:**Assignment ...

PacificSource

Medicare Sales Executive

Bend, OR

Educate and train producers on Medicare Advantage products, compliance and processes. Provide ... Prefer well-developed relationships within the insurance community. Competencies: Assignment ...

Allstate

Licensed Medicare Benefit Advisor

OR · On-site +1

$55K - $100K/yr

Meet sales and productivity goals on a daily, weekly, monthly, and annual basis Certifications and ... Professional Development - Learn and advance within a Fortune 100 company * Best-In-Class Leaders ...

PacificSource

VP and Chief Actuary

Bend, OR · On-site

Partner with Product Development, Sales, Marketing, Government Programs, and other leaders to support competitive positioning and strategic growth across Individual, Medicare Advantage, Medicaid, and ...

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Medicare Product Development information

What is Medicare Product Development?

Medicare Product Development involves creating, enhancing, and managing health insurance plans specifically designed for Medicare beneficiaries. Professionals in this field analyze market trends, regulatory requirements, and customer needs to design products like Medicare Advantage and Medicare Supplement plans. They collaborate with cross-functional teams such as compliance, marketing, and actuarial departments to ensure products are competitive, compliant, and meet the evolving needs of seniors. Their work helps insurance companies offer attractive and effective health coverage options for people eligible for Medicare.

What are the key skills and qualifications needed to thrive in Medicare Product Development, and why are they important?

To thrive in Medicare Product Development, you need expertise in healthcare regulations, product management, and data analysis, often supported by a degree in healthcare administration, business, or a related field. Familiarity with CMS guidelines, market research tools, and product lifecycle management systems is typically required. Strong project management, communication, and problem-solving skills help professionals collaborate across teams and address complex regulatory challenges. These skills ensure compliant, competitive, and innovative Medicare products that meet both business objectives and beneficiary needs.

What are some common challenges faced by professionals in Medicare Product Development, and how can they be addressed?

One of the most common challenges in Medicare Product Development is keeping up with frequent regulatory changes and ensuring products remain compliant with CMS guidelines. Additionally, balancing market competitiveness with cost-effectiveness can be complex, as it requires ongoing analysis of competitor offerings and member needs. Success in this role often involves close collaboration with actuarial, compliance, and marketing teams to swiftly adapt to changes and develop innovative products. Staying informed through continuous learning and cross-functional teamwork is key to overcoming these challenges.

What is the difference between Medicare Product Development vs Medicare Underwriting?

AspectMedicare Product DevelopmentMedicare Underwriting
Primary FocusDesigning and creating new Medicare plans and productsAssessing risk and determining eligibility for Medicare plans
Required SkillsMarket research, product design, regulatory complianceRisk analysis, data evaluation, policy assessment
Work EnvironmentCollaborative teams with marketing, compliance, and actuarial departmentsAnalytical setting, often within insurance or health plans
CertificationsHealth insurance licenses, actuarial credentials (optional)Health insurance licenses, actuarial credentials (optional)

Medicare Product Development focuses on creating new Medicare plans, while Medicare Underwriting evaluates risks and eligibility. Both roles require knowledge of health insurance regulations and may involve similar certifications, but their core responsibilities differ significantly in scope and daily tasks.

What are popular job titles related to Medicare Product Development jobs in Oregon?

For Medicare Product Development jobs in Oregon, the most frequently searched job titles are:

What job categories do people searching Medicare Product Development jobs in Oregon look for?

The top searched job categories for Medicare Product Development jobs in Oregon are:

Medicare Product Development jobs near you
Infographic showing various Medicare Product Development job openings in Oregon as of September 2026, with employment types broken down into 81% Full Time, and 19% Contract. Highlights an 82% In-person, 9% Hybrid, and 9% Remote job distribution.

Medicare Operations Senior Program Manager

Bcbsa

OR • On-site, Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 8 days ago

Key responsibilities

  • Oversee day-to-day operational work streams supporting Medicare products and services to ensure compliance and operational efficiency.

  • Manage business requirements, system implementations, UAT, and change management in collaboration with cross-functional stakeholders.

  • Monitor operational performance, identify gaps, and implement corrections to maintain product integrity and compliance.

Job description

This role will be responsible for operations management of the Federal Employee Program (FEP) Medicare Advantage (MA) EGWP line of business. Responsible for overseeing day-to-day operational work streams that support Medicare products and services to ensure operational/regulatory compliance consistent with FEP, Office of Personnel Management (OPM), and Centers for Medicare and Medicaid Services (CMS), and EGWP policies and procedures. Manage operational efficiencies/continuous improvement initiatives and support operational implementation of cross-functional initiatives to enhance member and provider experiences.
This position partners closely with FEPOC MA Operations, Compliance, Product, Clinical, Network, and Inter Plan & Products (IPP) teams to ensure product builds are compliant, timely, and operationally sound. Position will serve as the primary interface with operations and implementation partners throughout the product cycle and will play a critical role in driving the success of the company's product portfolio by delivering products that meet business objectives.
  • Manages business requirements, system implementations, UAT, and change management in partnership with the FEP Operations Center and cross-functional stakeholders. Ensures adherence to FEP program and ITS processes/procedures and applies deep Medicare Advantage regulatory and operational expertise to ensure CMS compliance and audit readiness.
  • Manages pre/post-launch operational monitoring, identifies execution gaps, and drives in-year corrections to maintain product integrity and compliance.
  • Relationship management skills to build and maintain a positive, collaborative working relationship across various internal and external functional areas/stakeholders. Establish cohesive relationships and influence decisions without having a direct functional reporting structure. Build trust, exhibit sense of urgency, drive consensus in resolving conflicts and decision making. Resolve or escalate issues, propose alternatives and set or manage expectations in a timely fashion.
  • Manages product implementation and operational readiness as directed by product development team in ensuring benefit builds at the operations and implementation partner level align precisely with approved CMS-compliant specifications. Support enrollment, member services, provider network operations, ANOC/EOC planning, and member experience initiatives.
  • Supports Product Development team with strategic planning, multi-year operational roadmaps, and process optimization using Lean Six Sigma and industry benchmarking. Manages vendor relationships, contracts, and RFPs; represent MA operations in governance forums and with CMS.
  • Manages collating MA product operational performance reporting including all applicable KPIs, SLAs, regulatory, and operational reporting metrics and appropriately distributes to BCBSA leadership.
  • Serves as a liaison and communicator to FEPOC Operations team, presenting recommendations to leadership and mentoring operational staff.

The posting range for this position is:

105,400.00 - 152,800.00


Qualifications:
Education

  • Required BS in Healthcare, Business Administration, Public Health, or related field; or equivalent experience

Experience

  • Required 8+ Years experience in Medicare/Medicare Advantage Operations, healthcare operations, and health insurance or managed care.


Knowledge Skills and Abilities

  • Deep knowledge of Medicare Advantage, Part D, and CMS regulations.
  • Experience leading/supporting large, cross functional programs/projects, including working with TPAs/BPOs.
  • Experience working with core processing platforms like - Facets, HealthEdge, QNXT etc.
  • Strong analytical skills with ability to interpret utilization data, competitive benchmarking, and quality/Stars metrics to drive benefit enhancement decisions.
  • Excellent written, oral communication, and presentation skills; proven ability to develop and deliver executive-level materials and represent product initiatives to senior stakeholders.
  • Proficiency in Microsoft Office (Word, Excel, PowerPoint); familiarity with project management tools and data visualization platforms.
  • Strong stakeholder management and relationship-building skills with the ability to influence without authority across Legal, Compliance, Actuarial, Clinical, and Operations functions.


Extra Posting Information:

#LI-Remote

The posted salary range is the lowest to highest salary we, in good faith, believe we would pay for this role at the time of this posting. We may ultimately pay more or less than the hiring range and this hiring range may also be modified in the future. A candidate's position within the hiring range may be based on several factors including, but not limited to, specific competencies, relevant education, qualifications, certifications, relevant experience, skills, seniority, performance, shift, travel requirements, and business or organizational needs.This job is also eligible for annual bonus incentive pay.

We offer a comprehensive package of benefits including paid time off, 11 holidays, medical/dental/vision insurance, generous 401(k) matching, lifestyle spending account and many other benefits to eligible employees.

Note: No amount of pay is considered to be wages or compensation until such amount is earned, vested, and determinable. The amount and availability of any bonus, commission, or any other form of compensation that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.

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