Are you passionate about turning complex regulations into meaningful solutions that improve the customer experience? As a Product Management Advisor, you will play a key role in shaping and enhancing Medicare-focused capabilities while ensuring compliance, operational excellence, and client satisfaction. This is an opportunity to partner across the organization, influence strategic initiatives, and help deliver innovative solutions in a highly regulated environment. If you enjoy solving complex problems, leading through collaboration, and driving measurable results, we'd love to hear from you.
ResponsibilitiesDrive Medicare Product Excellence- Serve as the subject matter expert and trusted advisor for assigned Medicare and regulated market capabilities.
- Monitor and interpret CMS regulations and guidance, translating requirements into actionable product enhancements and business processes.
- Lead implementation of Medicare Advantage, Medicare Part D, Medicare Part B, and MOOP-related initiatives that support compliance and business goals.
- Partner with business and technical teams to prioritize, design, and deliver product enhancements using Agile methodologies.
Influence Business Outcomes- Analyze performance trends, compliance metrics, and client requirements to identify opportunities for improvement and recommend solutions.
- Ensure performance guarantees, operational metrics, and regulatory expectations are consistently achieved.
- Support internal and external audits by providing documentation, insights, and subject matter expertise.
- Document project scope, timelines, deliverables, risks, and status updates to keep stakeholders informed and aligned.
Build Capability Through Collaboration- Develop and deliver training, presentations, and communications for clients, account teams, and internal partners.
- Establish and maintain policies, procedures, and business documentation that support compliance and operational consistency.
- Partner across functional areas to solve complex business challenges and contribute to strategic initiatives beyond assigned products.
- Support cross-training efforts and share expertise to strengthen team capabilities and organizational readiness.
QualificationsRequired Qualifications- 3+ years of experience in product management, project leadership, Medicare operations, healthcare, health insurance, PBM operations, or a related field.
- Experience reviewing, interpreting, and applying complex regulatory requirements or business guidance.
- Understanding of Medicare Advantage, Medicare Part B, Medicare Part D, and/or MOOP regulations.
- Strong analytical, problem-solving, and project management skills.
- Ability to collaborate effectively across teams and influence stakeholders at varying levels of the organization.
- Strong written, verbal, presentation, and documentation skills.
- Experience managing multiple priorities in a fast-paced environment.
Preferred Qualifications- Bachelor's degree in Business, Healthcare Administration, Pharmacy, Information Systems, or a related field.
- Experience with pharmacy benefit management (PBM) operations, including pharmacy adjudication processes.
- Knowledge of the healthcare, health insurance, or PBM industry.
- Experience supporting Agile product development practices.
- Advanced proficiency with Microsoft Excel, Microsoft Access, and SQL.
- Familiarity with industry organizations and standards, including NCPDP and PCMA.
- Experience presenting to clients, account teams, or senior business leaders.
If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.
