Job Description

Job Title: Product Specialist II - Community HealthChoices
Job ID: 695751
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility: UPMC Health Plan
Department: Community HealthChoices
Location: 600 Grant St, Pittsburgh PA 15219

Description

Community HealthChoices (CHC) is Pennsylvania's managed care long term services and supports (LTSS) program serving seniors and individuals with physical disabilities in the Commonwealth who are covered by Medicare and Medicaid.

 

The Product Specialist II will join the CHC Strategy & Analytics team and will
assist with the development of the CMS required marketing materials (e.g., ANOCs, Summary of Benefits, and Enrollment Applications), conduct competitive analysis, completion of product information for custom group RFPs and interface with a variety of functional areas throughout the UPMC Health Plan and System.

Responsibilities:

  • Assist with the development of new and other team members, teaching them how to develop Medicare Product Development materials.
  • Assist with the development of training materials and preparing manuals for the classes.
  • Attend at least 3 continuous education classes per year to increase knowledge in the health care industry.
  • Communicate all market intelligence information to Marketing, Sales and Broker staff to ensure the understanding of competitive threats and issues
  • Communicate effectively all issues that impact daily and ongoing operations.
  • Coordinate submission of marketing materials for federal or state approval and report outstanding issue to management.
  • Coordinate the responses to all custom group RFPs for Medicare product development.
  • Develop and review (proofreading) the Medicare ANOCs, Summary of Benefits and Evidence of Coverage for Individual and Group Products. Also review and update of
  • Evaluate the impact of new Federal and state mandates on Medicare products.
  • Lead the development of annual enrollment applications and ID cards.
  • Medicare Supplement product materials.
  • Meet CMS and PID deadlines for mailing annual marketing materials to individual and group members.
  • Meet RFP deadlines for input of Medicare information for new group business.
  • Meet deadlines as set by executive management.
  • Project lead over the development of employer group grid requests, GEF requests and rider creation for Medicare products.
  • Project leader over gathering market intelligence and competitive analysis for Medicare products.
  • Submit weekly reports to Sr. Manager Product Management and Development that outlines all activities and meetings.
  • Work with a variety of functional areas within Health Plan System that assist with the creation of Medicare products and required marketing materials.

Qualifications

  • B.S. degree in Business Administration or Marketing or a related field required.
  • 3-5 years experience in health insurance, product development, or product management.
  • 2-3 years minimum relevant product experience required.
  • Computer Skills with proficiency in Microsoft Office including: Internet Explorer, Excel, Word, PowerPoint, Visio and Access Software packages.
  • Proficient in using HPMS (CMS system), and CMS websites.
  • Demonstrated success in leading projects.
  • Ability to multi-task and meet very tight deadlines.
  • Excellent attention to details and organizational abilities.
  • Self-starter with the ability to work independently.
  • Strong written and oral communication skills.

    Licensure, Certifications, and Clearances:
    UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with Disabilities

Salary Range: $24.27 to $41.99

Union Position: No

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