Product Specialist

Position Summary:

The Product Specialist is responsible to work alongside the Heads of Product & Marketing with navigating product management, management of administrative traffic flow with an emphasis on Medicare Lines of Business, assist with health plan expansion and plan benefit bid process, market research, competitive analysis and employer group business.

General Duties/Responsibilities (May include but are not limited to):

·       Familiar with the competitive environment of Medicare Advantage plans within your region of responsibility.

·       Research and obtain knowledge of both Medicare HMO and PPO regulations and competitors.

·       Product research of key competitors for filings, bids and selling periods as required

·       Assist with health plan Service Area Expansion filings through both State and Federal agencies.

·       Assist with annual plan benefit bid process and actuarial/finance review.

·       Knowledgeable of all elements of product portfolio associated eligibility guidelines for various election periods with Medicare.

·       Maintain good working knowledge of competitor products in the markets and highlight opportunities for the company.

·       Ensure the accuracy of a variety member facing media for specific Medicare Advantage plans.

·       Maintain subject matter knowledge related to Medicare Advantage service area expansions, notice of intent to apply, bid and implementation planning

·       Prepare and deliver presentations to senior management, staff members, brokers and external audiences.

·       Maintain knowledge of state and national government programs, health insurance markets, the reform environment and product trends.

·       Work closely with the following departments: Compliance, Pharmacy, Finance, Healthcare Services, Quality, Marketing, Enrollment, Sales.

Supervisory Responsibilities:

N/A

Minimum Requirements:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  The requirements listed below are representative of the knowledge, skill, and/or ability required.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1.       Minimum Experience:

a.       Experience working with department staff; ability to work well with staff and with minimal direction.

b.       Prior experience in the Medicare healthcare field a plus. 

2.       Education/Licensure:

1. High school diploma or general education degree (GED) with two or more years of Medicare knowledge preferred

3.       Other:

1. Ability to navigate multiple assignments and understand the ever-changing Medicare environment.
2. Computer proficiency, including Microsoft Office suite, as well as the use of internet, web-based applications.
3. Bilingual English/Spanish preferred.

1. Work Environment

1. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Essential Physical Functions:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.
2. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.