Product Manager

SCAN Group
paid holidays, tuition reimbursement, 401(k)
United States, California, Long Beach
Mar 02, 2025
Description About SCAN SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation's leading not-for-profit Medicare Advantage plans, serving more than 285,000 members in California, Arizona, Nevada, and Texas. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 40 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere. Employees are provided in-depth training and access to state-of-the-art tools necessary to do their jobs, as well as development and growth opportunities. SCAN takes great pride in recognizing our team members as experts in their fields and rewarding them for their efforts. If you are interested in becoming part of an organization that is innovating senior healthcare visit www.thescangroup.org, www.scanhealthplan.com, or follow us on LinkedIn; Facebook; and Twitter. The Job SCAN Health Plan is seeking a Product Manager to lead the design, implementation, and performance of Medicare Advantage products across multiple states. This role is responsible for benefit design, product operations, regulatory compliance, vendor collaboration, market expansion initiatives, and cross-functional coordination to ensure competitive and compliant offerings. The Product Manager will work closely with Actuarial, Finance, Compliance, Sales, and Operations teams to drive product performance, optimize benefit structures, and support strategic growth initiatives. You Will Product Strategy & Benefit Development Direct the design, implementation, and evaluation of Medicare Advantage products across multiple markets. Lead benefit design, PBP entry and review, vendor collaboration, and operational execution to support plan competitiveness and compliance. Develop and maintain CMS filing guides and resources covering Medicare-covered benefits, Supplemental Benefits, Part D, and VBID/SSBCI programs. Ensure compliance of all benefit designs, supporting audit readiness and regulatory accuracy. Evaluate product impact and ensure benefits are implemented as filed and administered per CMS guidelines. Regulatory Compliance & CMS Filings Achieve 100% accuracy in the timely filing of annual Medicare bids while ensuring compliance with CMS regulations. Assist with annual Medicare Advantage and Fully Integrated Dual Eligible Special Needs Plan (FIDE-SNP) applications and maintain regulatory documentation. Serve as the Product Team liaison in Regulatory and Compliance meetings, providing informed responses and ensuring alignment with CMS guidance. Provide centralized year-round support for the development and review of mandated marketing materials (EOC, ANOC, SB, Plan Guides) for designated regions. Financial Analysis, Market Monitoring & Business Readiness Work closely with Actuarial and Finance teams to enhance financial modeling and strategic analysis. Conduct rate comparisons and competitive assessments to ensure cost-effective and competitive plan offerings. Monitor market trends, sales performance, and member feedback to refine product strategy and ensure alignment with market demands. Support Medicare business readiness initiatives, ensuring seamless implementation of new or modified plan offerings. Stakeholder Engagement & Leadership Partner with leadership, regional teams, and key stakeholders to develop market-specific product strategies. Serve as a Subject Matter Expert (SME) for product operations, supporting cross-functional teams and business constituents on product-related inquiries. Provide mentorship and training to team members, enhancing knowledge retention and product expertise. Assist in the development of executive reporting, presentations, and documentation to support strategic product initiatives. Project & Vendor Management Oversee multiple projects across the product lifecycle, ensuring adherence to key milestones and regulatory deadlines. Lead end-to-end product implementation efforts, coordinating across business units to ensure seamless execution. Partner with vendors and internal teams to optimize supplemental benefits and service offerings. Participate in the concept development of new product initiatives, framing options for leadership and decision-makers. Provide direct support to Customer Service teams, addressing product-related inquiries and ensuring member and provider engagement. Manage ad hoc strategic initiatives, corporate requests, and product enhancement projects. Your Qualifications 5+ years of experience in Medicare Advantage product development, benefit administration, or product operations. 3 years of Management experience Proven success in Medicare bid filings, regulatory compliance, and benefit design. Strong understanding of CMS regulations, PBP entry, bid filing, and Medicare product strategy. Experience with financial modeling, rate comparisons, vendor negotiations, and competitive market analysis. Experience with business readiness, implementation, and ensuring operational alignment with CMS requirements. What's in it for you? Base Pay Range: $106,200.00 to $169,900.00 (Annually) Work Mode: Mostly Remote An annual employee bonus program Robust Wellness Program Generous paid-time-off (PTO) 11 paid holidays per year, plus 1 additional floating holiday Excellent 401(k) Retirement Saving Plan with employer match Robust employee recognition program Tuition reimbursement An opportunity to become part of a team that makes a difference to our members and our community every day! We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now! At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more. SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required. #LI-AC1 #LI-Hybrid Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c)