Independent Health · 1 month ago
Product Manager-Medicare
Buffalo, NY (14221)
Full-time
Hybrid
Mid Level
$72K/yr - $85K/yr
4+ years expIndependent Health is seeking a Product Manager-Medicare responsible for the development and maintenance of Medicare products. The role involves assessing market needs, monitoring product performance, and serving as a liaison among various functional areas within the organization for product-related issues.
Health CareInsuranceNon Profit
No H1B
Responsibilities
Lead and/or participate in development and documentation of repeatable product development processes, including active participation from Health Care Services, Pharmacy/PBD, Network Contract Management, Actuarial Services/Finance, Market Research, Marketing, Sales, and Product Operations, among others. Evaluate current products, pricing, membership, financial performance, competitor information, and game theory in the development of an individual, small group, and large group product strategy that aligns with corporate strategy
Identify risks and opportunities in a timely manner, take initiative and respond quickly to take corrective action and/or maximize opportunities
Share recommendations, proposals, and status updates with senior leadership for approval. Work with communications to develop collateral to promote products to targeted customers. Provide training to internal departments on products and the product portfolio, as well as any changes within these
Work collaboratively with sales, marketing, operations, and servicing to understand what customers are buying and why. Understand industry trends and product innovation opportunities to develop new products and features designed to retain, grow, and further engage targeted membership
Ensure robust QA process is implemented and performed using available resources for regulatory filings, including PBP forms for CMS bid submission, and other required applications and documents
Ensure operational efficiency through utilization of available systems and software to ensure accurate data management and oversight to downstream processes such as collateral development for summary of benefits, annual notice of change, and evidence of coverage. Provide support and leadership to ensure smooth downstream processes
Function as subject matter expert in the review of proposed laws/regulations, providing interpretation and understanding of implications for the industry and Independent Health, including recommendations for how best to proceed to ensure compliance and alignment with organizational strategic objectives. Manage development and maintenance efforts for Medicare policies and procedures to ensure compliance with requirements
Work with outside vendors, regulatory entities such as CMS, and industry trade associations as needed to support the Medicare product portfolio
Qualification
Required
Bachelor's degree required. An additional four (4) years of experience will be considered lieu of degree
Four (4) years of operational healthcare experience with a focus on Medicare programs to include working with government or regulatory agencies such as Centers for Medicare and Medicaid Services (CMS), Department of Health (DOH), Office of Mental Health (OMH), Office of Health Insurance Programs (OHIP), or Office of Medicaid Inspector General (OMIG) required
Strong understanding of Medicare guidelines, benefit design, and regulatory filing processes
The ability to synthesize data into useful information and provide recommendations for action. Strong analytical skills, attention to detail and organizational skills
Successful project management experience with the ability to develop and execute project plans, manage time effectively and stay organized
Excellent written and public speaking/group presentation skills for all levels. Able to present persuasive arguments related to product recommendations both verbally and in writing
Proven examples of displaying the IH values: Passionate, Caring, Respectful, Trustworthy, Collaborative and Accountable
Benefits
Scorecard incentive
Full range of benefits
Generous paid time off
Company
Independent Health
As one of Western New York's first HMOs, Independent Health covers approximately 355,000 people here and across the country with more than 100 plans, services and products.
1001-5000 employees
Funding
Current Stage
Late StageTotal Funding
unknown2025-11-18Acquired
Leadership Team
Michael W. Cropp, M.D., M.B.A.
President and CEO
Jim Dunlop Jr.
Executive Vice President and Chief Financial Officer
Recent News
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2025-11-19
2025-11-19
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