The Sr. Product Manager position is responsible for D-SNP Product Development and implementation of Individual Medicare products to downstream systems with a focus on quality assurance, ensuring end-to-end that what we implement is consistent with our product filings.
This position is accountable for Individual Medicare Advantage D-SNP product development
Candidate must have experience with various Medicare Advantage plan types, bid mechanics such as CMS PBP filing, knowledge of local state regulations for integration, and experience with solving for the challenges unique to the D-SNP product design.
Understand and communicate CMS regulation changes impact to benefit design and system set up.
Ensure all CMS bid submission activities are on time and accurate with respect to CMS requirements, corporate systems requirements, and strategic initiatives.
Ensure accuracy of benefit data in bid submission, member materials, sales/marketing materials and internal/external websites.
Partner with local market and operational partners to implement new plans and benefits.
Identify, research and review large amounts of competitive, market and financial and benefit datasets.
Other product development activities and assignments as needed.
4+ years related cross-functional, project management experience including product strategy and implementation.
3+ years experience with product, sales and marketing of Dual Eligible Special Needs (D-SNP) Plans
4+ years CMS Bid submission experience, including Plan Benefit Package (PBP) software setup, PBP entry and Health Plan Management System (HPMS) submission
4+ years experience collaborating and partnering with Markets and Sales leadership to support product development initiatives
Highly organized and detail oriented with proof-reading and quality control skills
Have strong interpersonal skills and the ability to work independently and in a team environment
Proven and demonstrated strong project management skills: multi-tasking priorities and facilitating/executing multiple product related programs
Strong written and verbal communication skills
Proven ability to collaborate across boundaries
COVID-19 Vaccination Requirement
CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated.
You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.
Experience with Fully Integrated Dual Special Needs Plans and Medicaid Program Policy and Benefits
The highest level of education desired for candidates in this position is a Bachelor's degree or equivalent experience
At Aetna, a CVS Health company, we are joined in a common purpose: helping people on their path to better health. We are working to transform health care through innovations that make quality care more accessible, easier to use, less expensive and patient-focused. Working together and organizing around the individual, we are pioneering a new approach to total health that puts people at the heart.
We are committed to maintaining a diverse and inclusive workplace. CVS Health is an equal opportunity and affirmative action employer. We do not discriminate in recruiting, hiring or promotion based on race, ethnicity, gender, gender identity, age, disability or protected veteran status. We proudly support and encourage people with military experience (active, veterans, reservists and National Guard) as well as military spouses to apply for CVS Health job opportunities.