Medicare Product Associate Jobs

At Devoted Health, we’re on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That’s why we’re gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company — one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission!

The Medicare Product Associate (Associate) will be instrumental in the end-to-end development of new product and benefit initiatives, assist in CMS bid development and submission, and other tasks to support the Medicare Product team.

The Associate will play an integral role in the development of the annual bid submission to the Centers for Medicare and Medicaid (CMS) for multiple Medicare markets and the implementation of plan benefits ahead of each plan year

S/he will also assist in the development of products and benefits for existing Devoted Health Plan markets and future markets, including the development of market assessments to drive product management and new business opportunities. S/he will assess product opportunities, such as new supplemental benefits or understanding competitive positioning, by conducting competitive assessment, reviewing regulations and operational considerations, developing business cases, and presenting to colleagues across the organization.

CMS Bid Deliverable Preparation: Assemble bid deliverables for internal and external audiences to inform product strategy. Will play a key role in the entry and review of Plan Benefit Package (PBP) submissions to ensure accuracy in filing prior to final bid submission. Support project management of bid deliverables. Collaborate with other team members to ensure that plan and benefit development aligns with overall product strategy. Support vendor selection process for supplemental benefits and implementation deliverables. Act as a key member of the regulatory development team to ensure accurate Evidence of Coverage (EOC), Annual Notice of Change (ANOC), Summary of Benefits (SOB), etc.

Product Management: Provide support to internal and external partners by resolving day-to-day issues impacting product performance, including internal business processes as well as external vendors. Act as a benefit subject matter expert. Support interdepartmental team to address cross functional product issues, mid-year CMS updates, and new benefit implementation.

Benefit Configuration & Quality Assurance: Post bid submission, work closely with claims and benefit configuration teams to ensure that products/benefits are implemented and configured as designed and in compliance with business, Medicare/CMS requirements. Act as subject matter expert representing the Medicare Product team. Work will include development of test cases for claims adjudication, benefit category review at CPT code level, etc.

Product Strategy Development: Participate in the year-round Product strategy process. Assist in the annual performance review of existing markets, including competitor and market analysis, to inform bid development. Identify opportunities for new product features, benefits, enhancements etc.

Market Analysis: Gather and analyze quantitative and qualitative data and research on existing and potential markets, as well as the creation of market assessment deliverables.

New Business Opportunities: Play a key role in the assessment and development of new product initiatives for multiple states, including potential new markets, owning specific components of the overall plan. Examples include assessing the launch of a new product line or a new joint venture.

Assessment of Other Business Initiatives: Partner with Medicare Product colleagues as needed to conduct in-depth analysis of high priority business initiatives.

Healthcare equality is at the center of Devoted’s mission to treat our members like family. We are committed to a diverse and vibrant workforce. If you lack a specific credential for this position but believe that your strengths and life experiences will propel our mission, we would love to hear from you.

If you love running towards complex challenges and transforming them into solutions, if you want to make a potentially huge impact on many lives, and if you are looking for a disruptive startup with an inspiring and talented team, Devoted Health may be the place for you!

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Salary Range: $88,100 - $98,700 per year

Our Total Rewards package includes:

The salary and/or hourly range listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, years of relevant experience, education, credentials, budget and internal equity).

Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business.

As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.