San Francisco Health Plan · 1 day ago
Product Specialist, Medicare Programs
San Francisco, CA
Full-time
Hybrid
Entry, Mid Level
$33.65/hr - $38.94/hr
2+ years expSan Francisco Health Plan (SFHP) is an award-winning managed care health plan focused on providing affordable healthcare to low and moderate-income residents in San Francisco County. The Product Specialist for Medicare Programs is responsible for ensuring compliance with CMS regulatory requirements, supporting product development and implementation, and engaging with teams to monitor performance and resolve issues.
Health Care
Responsibilities
Understand CMS regulatory requirements and work with teams to maintain compliance
Support competitive analysis and works with Director or Manager to develop presentations and communications for external and internal audiences
Monitor KPIs and provide findings to Director/Manager for resolution. Represent Product Team in cross functional workgroups
Support community engagement activities, marketing campaigns and product promotional events
Engage with our teams and vendors to ensure performance, resolution of issues and clarify intent of product/benefit
Support product strategy development
Support the Director/Manager with administrative tasks involved in the annual CMS Bid submission. Participate in cross-functional teams for Bid
Support program manager and manager with planning and delivery of training for internal and external teams
Understand feedback from our team and external team members on benefits to inform benefit recommendations
Facilitate meetings across impacted teams to ensure attention to and efficient implementation of CMS and DHCS directives. Prepare and collect information for audits
Qualification
Required
Bachelor's degree in Business, Public Health, Sociology, or other related areas; or equivalent work experience
Two years of experience in a Medicare health plan compliance, operations, or product organization
Preferred
Experience working with low-income, vulnerable populations, especially those with low health literacy
Benefits
Health Benefits
Medical: You'll have a choice of medical plans, including options from Kaiser and Blue Shield of California, heavily subsidized by SFHP.
Dental: You'll have a choice of a basic dental plan or an enhanced dental plan which includes orthodontic coverage.
Vision: Employee vision care coverage is available through Vision Service Plan (VSP).
Retirement – Employer-matched CalPERS Pension and 401(a) plans, 457 Plan.
Time off – 23 days of Paid Time Off (PTO) and 13 paid holidays.
Professional development: Opportunities for tuition reimbursement, professional license/membership.
Company
San Francisco Health Plan
San Francisco Health Plan is a community health plan that provides affordable & high-quality health care coverage for San Franciscans.
201-500 employees
H1B Sponsorship
San Francisco Health Plan has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (2)
2024 (6)
2023 (3)
2022 (3)
2021 (11)
2020 (6)
Funding
Current Stage
Growth StageLeadership Team
John F. Grgurina Jr.
CEO
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