This is a hybrid - field position in Orange County, CA.

The Product Manager is responsible for the development, implementation, and ongoing management of Medicare Advantage products, benefits, and member experiences across assigned markets and member segments. This role translates market intelligence, regulatory requirements, demographic trends, consumer insights, and business objectives into product strategies that drive membership growth, retention, member satisfaction, and financial performance.
The Product Manager serves as a cross-functional leader partnering with Actuarial, Finance, Compliance, Operations, Marketing, Sales, Network, Digital, Community Engagement, and other stakeholders to develop competitive, compliant, and member-centered products. The role may support specialized product portfolios, including multicultural populations, targeted growth segments, service area expansions, or other strategic initiatives.

Job Responsibilities

1. Lead Product Strategy and Lifecycle Management

Develop, implement, and manage Medicare Advantage product strategies across assigned markets or member segments. Monitor product performance and market trends, identify opportunities for enhancement, and recommend actions that improve competitiveness, member experience, and business outcomes.

2. Drive Benefit Design and Product Development

Lead the development and refinement of benefit offerings, plan features, and member experience enhancements. Partner with Actuarial, Finance, Compliance, and Operations to evaluate affordability, utilization impact, regulatory requirements, and long-term sustainability.

3. Support CMS Bid and Regulatory Activities

Participate in annual bid development, product implementation activities, service area expansion initiatives, and other Medicare Advantage product planning efforts. Ensure products, materials, and business processes align with CMS regulations and organizational compliance standards.

4. Conduct Market and Competitive Analysis

Analyze market conditions, demographic trends, consumer insights, competitive benefit offerings, and healthcare industry developments to identify growth opportunities and product differentiation strategies. Present recommendations to leadership and key stakeholders.

5. Manage Member Communications and Experience

Oversee the development and review of member-facing communications, enrollment materials, benefit documentation, and digital experiences to ensure accuracy, compliance, accessibility, and alignment with member needs. This may include multilingual or culturally tailored communications when applicable to the assigned portfolio.

6. Partner on Marketing and Growth Initiatives

Collaborate with Marketing, Sales, Community Engagement, and other stakeholders to support go-to-market strategies, member acquisition efforts, retention programs, broker education, and community outreach initiatives.

7. Lead Cross-Functional Product Initiatives

Serve as the product lead for assigned initiatives by coordinating stakeholders, developing project plans, managing timelines, identifying risks, and driving execution across matrixed teams.

8. Monitor Product Performance and Deliver Insights

Track and analyze product performance metrics, including membership growth, retention, benefit utilization, market share, operational outcomes, and member experience indicators. Develop recommendations and present findings to leadership to support strategic decision-making.

9. Maintain Market and Regulatory Expertise

Maintain current knowledge of Medicare Advantage regulations, CMS guidance, healthcare market trends, competitor activities, and emerging opportunities affecting product strategy and performance.

Supervisory Responsibilities:  

This position does not have direct supervisory responsibilities. It is expected to lead cross-functional initiatives and influence outcomes through collaboration and stakeholder engagement.

Job Requirements:

Experience:

Required:

• 5+ years of experience in Medicare Advantage product management, health plan operations, benefit design, healthcare strategy, or related disciplines.
• Experience managing complex cross-functional initiatives in a highly regulated environment.
• Experience analyzing market, competitive, operational, or member data to support product decisions.
• Experience working across multiple business functions to deliver strategic initiatives.

Preferred:

• Experience with Medicare Advantage bid development, product implementation, service area expansions, or managed care operations.
• Experience supporting multicultural, underserved, or diverse member populations.
• Experience with member experience, digital engagement, marketing strategy, or community-based growth initiatives.

Education

Required:

Bachelor's degree in Business, Healthcare Administration, Public Health, Marketing, Finance, or a related field; equivalent experience may be considered.

Preferred:

MBA, MPH, MHA, or other related advanced degree.

Specialized Skills

• Medicare Advantage product management and benefit design.
• CMS regulatory knowledge and compliance awareness.
• Product lifecycle management.
• Market analysis and competitive intelligence.
• Project and program management.
• Cross-functional leadership and stakeholder influence.
• Data analysis, performance measurement, and strategic planning.
• Member experience and customer-centric product development.
• Communication and presentation skills.
• Ability to translate market, consumer, operational, and regulatory insights into product strategies and recommendations.

Licensure:

Required: None specified for this role.

Preferred: PMP (Project Management Professional) certification or equivalent.

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.

Pay Range: $85,696.00 - $128,543.00

Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.