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Medicare Product Development Jobs in Oregon (NOW HIRING)

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

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

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

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

VP, Risk & Pharmacy Compliance - Fuze Health

OR · On-site +1

$125K - $168K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... HIPAA, HITECH, Medicare Part D, Medicaid, state pharmacy regulations, and other healthcare ... product development. * Advise leadership on regulatory implications associated with strategic ...

... Medicare Advantage plans, and commercial insurers. Backed by a national network of registered ... accelerated our product development lifecycle. The next CTO inherits an infrastructure and a ...

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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:

Infographic showing various Medicare Product Development job openings in Oregon as of August 2026, with employment types broken down into 1% As Needed, 80% Full Time, 17% Part Time, and 2% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution.

Medicare Sales Executive

PacificSource

Portland, OR • On-site

Full-time

Posted 13 days ago


PacificSource rating

6.3

Company rating: 6.3 out of 10

Based on 12 frontline employees who took The Breakroom Quiz

282nd of 309 rated insurance


Job description

Looking for a way to make an impact and help people?

Join PacificSource and help our members access quality, affordable care!

PacificSource is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to status as a protected veteran or a qualified individual with a disability, or other protected status, such as race, religion, color, sex, sexual orientation, gender identity, national origin, genetic information or age. PacificSource values the diversity of our community, including those we hire and serve. We are committed to creating and fostering a work environment in which individual differences and diversity are appreciated, respected and responded to in ways that fully develop and utilize each person's talents and strengths.

Represent PacificSource in the marketplace and solicit clients for PacificSource's Medicare Advantage products and services via the broker distribution systems and group presentations. Build positive producer relationships through education of company products and services.

Essential Responsibilities:

  • Represent PacificSource Medicare Advantage sales solutions via alternate distribution channels and marketing efforts to brokers.
  • Establish and maintain relationships with producers. Qualify new producers for potential appointment with PacificSource.
  • Effectively maintain, manage and share territory data, including competitive intelligence reports.
  • Educate and train producers on Medicare Advantage products, compliance and processes. Provide producers with marketing tools and materials.
  • Maintain regular communications with producers to keep them current on information vital to appropriate representation and sale of Medicare Advantage products (i.e. trend, processes, and products).
  • Act as liaison for producers in communicating issues and opportunities to sales leadership.
  • Coordinate with and assist the Regional Manager to determine broker needs and process improvements.
  • Promote the Company's Medicare Advantage plans throughout the community via Group sales presentations, general Medicare information presentations, Member meetings, presentations with affiliated organizations (SHIBA, Sr Care Network, etc.), provider group referral channels, community-based organizations (Rotary, Veterans organizations etc.), and community events.
  • Assist in development of sales, broker and member materials and presentations including sales presentations, ANOC presentations, and producer training presentations.
  • Train internal staff on Medicare and the Company's Medicare products.
  • Engage with external agency leadership and downline brokers as appropriate
  • Collaborate with internal departments as appropriate to support member retention efforts.
  • Meet or exceed production goals for new applications, service area membership targets, compliance, and sales activities.
  • Monitor sales results and activities and report out to sales leadership on a regular basis.

Supporting Responsibilities:

  • Work closely with brokers, and business partners (Medicare related). Interact with all departments and employees in the PacificSource offices in the course of business.
  • Meet department and company performance and attendance expectations.
  • Follow the PacificSource privacy policy and HIPAA laws and regulations concerning confidentiality and security of protected health information.
  • Operate in compliance with Medicare's Marketing Guidelines.
  • Perform other duties as assigned.

SUCCESS PROFILE

Work Experience: Minimum 3 years of healthcare industry experience required. Insurance experience preferred.

Education, Certificates, Licenses: Current Department of Insurance Health and Life Licenses, or eligible. Licensed driver. Bachelor's degree preferred. High school diploma or equivalent required.

Knowledge: Ability to gain a thorough understanding of PacificSource products, internal procedures, and the competitive environment. A working knowledge of underwriting and risk factors. Responsible to support the mission of PacificSource Health Plans, meeting departmental goals and performance standards. Timely and accurate response to client needs and requests. Responsible to represent the entire staff in the marketplace through expertise, reliability and professionalism. Prefer well-developed relationships within the insurance community.

Competencies:

Assignment Management

Becoming a Business Advisor

Building Trusting Relationships

Devising Sales Approaches and Solutions

Marshaling Resources

Sales Disposition

Sustaining Customer Satisfaction

Environment: Work inside in a general office setting with ergonomically configured equipment. Local travel is required approximately 50% of the time.

Skills:

Accountability, Business & financial acumen, Collaboration, Developing Networks, Effective communication, Flexibility, Listening (active), Strategic Thinking

Compensation Disclaimer

The wage range provided reflects the full range for this position. The maximum amount listed represents the highest possible salary for the role and should not be interpreted as a typical starting wage. Actual compensation will be determined based on factors such as qualifications, experience, education, and internal equity. Please note that the stated range is for informational purposes only and does not constitute a guarantee of any specific salary within that range.

Base Range:

$65,296.83 - $111,004.62Our Values

We live and breathe our values. In fact, our culture is driven by these seven core values which guide us in how we do business:

  • We are committed to doing the right thing.

  • We are one team working toward a common goal.

  • We are each responsible for customer service.

  • We practice open communication at all levels of the company to foster individual, team and company growth.

  • We actively participate in efforts to improve our many communities-internally and externally.

  • We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.

  • We encourage creativity, innovation, and the pursuit of excellence.

Physical Requirements:Stoop and bend. Sit and/or stand for extended periods of time while performing core job functions.Repetitive motions to include typing, sorting and filing. Light lifting and carrying of files and business materials. Ability to read and comprehend both written and spoken English. Communicate clearly and effectively.

Disclaimer:This job description indicates the general nature and level of work performed by employees within this position and is subject to change. It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position. Employment remains AT-WILL at all times.


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