Manager Medicaid Products

JOB REQUIREMENTS: Description The Manager, Medicaid Products is a keyinfluencer and contributor in the Medicaid product portfolio byidentifying, implementing, and managing strategic partnerships andexternal vendors. The Manager collaborates extensively with governmentalagencies such as CMS and DHS and other regulators in applicable states.The Manager has managerial responsibility for development,implementation, and ongoing management of assigned products, (inaddition to possible expansion areas), within the Medicaid segment, aswell as management of direct report(s). The Manager leads contractrequirement efforts. This Manager works with numerous Medica functionalareas to determine the market need and feasibility for development ofnew products, enhancements to existing products, all member managementinitiatives, and all aspects of regulatory filings at both the state andfederal level. The Manager is responsible for overall market success ofthe products, oversight of policy document development, timely andaccurate federal and state submissions (and meeting of requirements),and benefit structure. The Manager will set, maintain, document andpreserve intent of product and plan design. The Manager works closelywith market and segment leadership, sales, operations, compliance,legal, network, finance, pharmacy, operations, clinical, quality, andactuarial, to continuously improve market competitiveness and marketposition as applicable, communicate and train staff on product details,and ensure proper administration and understanding of product intent.The Manager is subject matter expert on assigned product planperformance and will work on strategies to improve product performance.Key Accountabilities: Medicaid Products Leadership & StrategyResponsible for analyzing data, evaluating risks, and making informedchoices to support the success of the product. Exercises high level ofdecision making. Supports and influences portfolio strategy with datainformed approach. Strong ability to influence and negotiate withinternal and external stakeholders. Leads product project teams in theinitiation, planning, development and successful delivery of Medicaidproduct solutions by collaborating with segment leadership andfunctional leaders across the organization, to identify, document andresolve product-related issues and opportunities for improvement. Drivesproduct intent and acts as a SME on all benefits including pharmacycoverage as appropriate, including interpretation of CMS and otherfederal and state regulatory guidance and impacts on benefit design.Researches and interprets CMS and other federal and state laws andrules, and develops/ implements appropriate corresponding policies thatare in compliance with federal and state laws Understands andcontinuously analyzes elements of Medicaid programs to identify... Forfull info follow application link. Equal Opportunity Employer includingVeterans and Disabled Individuals APPLICATION INSTRUCTIONS:Apply Online: ipc.us/t/29B72900BC764D1F

Created: 2025-10-04