The Medicaid Insurance Product Management – Covered Services team purpose is to ensure the accurate administration and communication of covered services in our Medicaid health plans, thereby improving the health and well-being of those we serve.

We are a diverse set of accomplished people with deep Medicaid subject matter expertise who work in an agile, collaborative environment. To achieve our goals, we empower associates to pioneer simplicity, rethink routine and seek talent with the following attributes:

• Creative – Adept at research to determine the opportunity and a structured yet flexible approach to problem solving.
• Adaptive - Rapidly learn new knowledge, skills, and behaviors in response to changing circumstances.
• Self-sufficient - Ability to navigate complex situations produce high quality deliverables.
• Consultative – Build/sustain relationships and inform the work of others through actionable, objective insights.
• Strategic – Forward thinking able to provide frameworks to maximize available resources to achieve growth.

The Senior Insurance Product Content Professional creates content for insurance products through project management, product development collaboration, and capabilities alignment. The Senior Insurance Product Content Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Responsibilities include:

• Partner with subject matter experts to define and deliver applicable Member Handbook content adherent to contract requirements, RFPs and established processes.
• Develop comprehensive project plans to outline scope, timelines, resources, and deliverables for New Builds, Annual Reviews and Readiness.
• Coordinates and manages the end-to-end project lifecycle, ensuring all states, from initial planning to final delivery, are executed effectively.
• Works with leaders to establish project milestones and ensure project deliverables are met on time and within scope.
• Facilitate regular project meetings, ensure clear communication of progress, updates, and any roadblocks.
• Communicate project timelines, deliverables, and changes effectively to internal and external stakeholders.
• Manages document control processes, ensuring that all versions of the handbook are properly stored and documented.
• Maintain training and process documents on updates, and usage of member handbooks.
• Partner with leaders in offering ongoing support to internal stakeholders regarding handbook content and related inquiries.
• Work as a liaison with Print Team and Web Team to load handbooks to web, load to OES system and print management.
• Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction.
• Exercises considerable latitude in determining objectives and approaches to assignments.

Required Qualifications

• Bachelor's Degree OR 4+ years in the field of health insurance, managed care, or healthcare advisory services.
• Working knowledge of health insurance products with a focus on covered and enhanced services and major annual communications of member handbooks, summary of benefits, provider directories, etc.
• Demonstrated experience building templates, creating content, standard documentation, policy, and procedures.
• Proven experience in project management - Expertise in driving operational efficiencies and management of timelines and processes, highly adept at managing processes from concept to completion ensuring on-time, on-budget, and on-target results.
• Excellent communication skills to all levels, written, verbal, presentation skills, as well as interpersonal skills.
• Experience working collaboratively across multiple functional areas (e.g. operations, provider network, contracting) while promoting teamwork.
• Prior experience working in a fast-paced environment with the ability to quickly adapt to changes and completing tasks with successful outcomes.
• Proficiency in project management software, document control systems, and Microsoft Excel, Word, PowerPoint, Teams and Adobe.
• Basic understanding of Medicaid.
• High level of flexibility due to state expectations.

Preferred Qualifications

• Experience with Medicaid and/or Dual Eligible lines of business.
• Agile Content Development and/or Project Management certifications.
• Prior experience at a health plan reviewing and approving member facing documents while meeting tight deadlines.
• Experience with Medicaid policies and/or Medicaid health plan operations, such as compliance regulations, materials review, auditing, and/or creative writing/editing.

Additional Information:

• Workstyle: Remote, work at home.
• Travel: Minimal, once or twice a year for in person team meetings.
• Core Workdays & Hours: Typically, Monday – Friday 8:00am – 5:00pm Eastern Standard Time (EST).

Scheduled Weekly Hours

Pay Range

Description of Benefits