Product Development Director

Adecco ดูงานทั้งหมด

  • กรุงเทพฯ
  • งานประจำ
  • ฟูลไทม์
  • 14 วันที่ผ่านมา
About This RoleThe Product Development Director for Medicare is responsible for leading the strategic design, development, and enhancement of Medicare products, including Medicare Advantage, Medicare Supplement, and Part D plans. This role ensures that product offerings are competitive, compliant with federal and state regulations, financially sustainable, and aligned with member needs. The director collaborates closely with actuarial, compliance, clinical, sales, operations, and marketing teams to drive product innovation and long-term growth in the Medicare portfolio.Qualifications
  • Bachelor's degree in Business, Healthcare Administration, Finance, Actuarial Science, or related field required.
  • Master's degree (MBA, MHA, MPH) preferred.
  • 8+ years of experience in Medicare product development, health insurance, or healthcare strategy.
  • Strong understanding of CMS regulations, Medicare Advantage bid process, and benefit design.
  • Expertise in Medicare Advantage, Part D, or MedSupp products.
  • Strong analytical skills with experience in financial modeling and product performance analysis.
  • Excellent leadership and cross-functional collaboration abilities.
  • Strategic thinker with strong problem-solving and decision-making skills.
  • Excellent communication skills (written and verbal).
  • Ability to manage complex projects with multiple stakeholders under tight deadlines.
  • Experience working with actuarial or health plan pricing teams.
  • Prior involvement in STAR rating improvement initiatives.
  • Knowledge of provider contracting, care management programs, and value-based models.
  • Experience leading teams in a matrixed environment.
Key Responsibilities
  • Develop and execute the annual Medicare product strategy, including market positioning, benefit design, and pricing direction.
  • Identify emerging trends, competitive insights, and regulatory opportunities to inform innovation in benefit offerings and care models.
  • Lead cross-functional initiatives to design new Medicare products or enhancements based on customer needs, CMS guidelines, and business goals.
  • Oversee end-to-end product development cycles, from ideation through launch.
  • Collaborate with actuarial and finance teams to build financially viable products and ensure profitability.
  • Ensure all product designs are compliant with CMS regulations, state rules, and company policies.
  • Evaluate existing product performance and implement enhancements based on analytics and member feedback.
  • Partner with compliance, legal, medical management, provider networks, and operations to ensure successful product implementation.
  • Work closely with marketing and sales teams to develop product positioning, sales materials, and go-to-market strategies.
  • Lead product steering committees and manage collaboration across multiple departments.
  • Stay current with CMS regulations, bid requirements, and policy changes affecting Medicare products.
  • Oversee preparation of CMS bid submissions and required product documentation.
  • Ensure all products meet required CMS standards, filing deadlines, and audit expectations.
  • Track product performance against key metrics such as enrollment, profitability, STAR ratings, member satisfaction, and quality outcomes.
  • Use data analytics to drive actionable improvements and corrective actions.
  • Provide regular reporting to executive leadership.

Adecco