Commercial Product Specialist III - Self Funded Products jobs in United States
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Medica · 2 months ago

Commercial Product Specialist III - Self Funded Products

Medica is a nonprofit health plan serving communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. The Commercial Product Specialist serves as the primary representative for Medica’s Self-Funded capabilities, coordinating responses for large self-funded clients and managing annual benefit change processes.

Health CareMedical
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Responsibilities

Lead coordination of client-specific requests and performance guarantee responses submitted to the Capability Review Committee (CRC) while reviewing and supporting product design changes and customization initiatives
Produce and maintain annual Self-Funded Change Grids for benefit updates and communicate changes to account teams
Participate in workgroups to inform benefit and policy decisions impacting self-funded clients
Support alignment efforts across Commercial and IFB workgroups
Build strong cross-functional relationships with Operations, Technical teams, Underwriting, Sales, and Marketing to execute product changes and client commitments
Monitor and respond to requests from large self-funded clients, ensuring compliance and operational feasibility
Contribute to strategic planning and process improvement initiatives for self-funded product offerings

Qualification

Self-funded markets knowledgeExcel proficiencyProject managementMicrosoft Office SuiteManage prioritiesInterpersonal skillsWritten communicationAttention to detail

Required

Bachelor's degree or equivalent experience in a related field
5+ years of relevant experience beyond the degree

Preferred

Project management and communications experience for coordinating complex initiatives
Excel skills for managing CRC data and performance guarantee tracking
Strong attention to detail and ability to manage multiple priorities under tight deadlines
Knowledge of self-funded markets, claims, and benefits administration
Ability to navigate organizational structures and build relationships across multiple teams
Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook)
Independent, self-driven professional with strong interpersonal and written communication skills

Benefits

Competitive medical
Dental
Vision
PTO
Holidays
Paid volunteer time off
401K contributions
Caregiver services
Many other benefits to support our employees

Company

Medica is a company that provides health coverage to meet customers needs for health plan.

Funding

Current Stage
Late Stage

Leadership Team

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John Naylor
President and CEO
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Jeni Alm
Vice President, Provider Partnerships and Solutions
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Company data provided by crunchbase