AmeriHealth Caritas · 3 days ago
Medicare Product Manager
United States
Full-time
Remote
Mid Level
3+ years expAmeriHealth Caritas is a company focused on managing Medicare products and supporting strategic initiatives. The Medicare Product Manager will oversee the product management cycle, drive market expansion, and ensure compliance with regulations while collaborating with various teams to enhance plan performance.
Health CareInformation Technology
Responsibilities
Oversee the full end-to-end product management cycle for Medicare products, ensuring competitive plan offerings and operational readiness
Lead the bid development process by partnering with actuaries and internal teams to define product inputs, pricing strategies, and key assumptions; ensure timely submission of required Health Plan Management System (HPMS) documentation
Collaborate with the Vendor Program/Supplemental Benefits Team to conduct product-related research and engage vendors that meet portfolio needs
Conduct ongoing competitive analysis and market research to inform product positioning, identify trends, and support strategic decision-making
Identify priority populations and opportunities to support near-term and long-term membership growth across products and geographic regions
Partner with Analytics to review utilization, cost trends, and performance insights to guide product enhancements
Work closely with regional leadership to localize product offerings based on the provider landscape and service-area needs
Support initiatives related to growth, retention, Stars performance, member experience, and overall plan optimization
Develop and maintain detailed plan design materials, including Plan Benefit Package (PBP) documentation, benefit grids, and internal summary tools
Provide guidance regarding benefit interpretation to claims configuration to ensure operational accuracy
Deliver annual product training to internal and external partners, such as customer service, sales, and market leadership teams
Contribute product information for regulatory communications, including Annual Notice of Coverage (ANOC), Evidence of Coverage (EOC), and Summary of Benefits
Maintain expertise in Centers for Medicare & Medicaid Services (CMS) regulations, guidelines, and annual updates; translate changes into actionable product updates and strategic recommendations
Lead documentation, project tracking, and process improvement efforts across the product lifecycle
Perform other duties as assigned
Qualification
Required
Bachelor's degree required
Three to five years of experience in Medicare product management, project management, or a related healthcare field
Experience preparing CMS regulatory documents and submissions
Demonstrated experience managing complex processes and executing continuous improvement initiatives
Ability to analyze data, interpret trends, and apply insights to product strategy
Excellent communication and presentation skills to support cross-functional collaboration and stakeholder engagement
Strong organizational skills with the ability to manage multiple priorities and deadlines
Proficiency in building documentation, developing training, and supporting operational execution
Ability to work effectively across diverse teams
Preferred
Master's degree preferred
Company
AmeriHealth Caritas
AmeriHealth Caritas is the health care solutions provider for those in most need and the chronically ill.
10001+ employees
H1B Sponsorship
AmeriHealth Caritas 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 (18)
2024 (17)
2023 (12)
2022 (14)
2021 (4)
2020 (11)
Funding
Current Stage
Late StageLeadership Team
Kathleen Giblin
SVP Clinical Operations
Ash Hanson
Executive Vice President & Chief Human Resources Officer
Recent News
2025-11-06
The Philadelphia Inquirer
2025-10-02
2025-10-01
Company data provided by crunchbase