Senior Product Manager – Medicare, EGWP
SmithRx
full-time
Posted on:
Location Type: Remote
Location: Remote • 🇺🇸 United States
Visit company websiteJob Level
Senior
About the role
- Define and drive the multi-year product roadmap for the company's Medicare Part D and EGWP offerings, identifying key opportunities for differentiation, cost management, and member experience improvement.
- Serve as the internal Subject Matter Expert (SME) on CMS Part D and EGWP rules, including annual bid processes, benefit design (e.g., Coverage Gap and Catastrophic phases), compliance requirements, and recent changes (e.g., IRA impacts like the $2,000 Out-of-Pocket Cap).
- Lead the full product lifecycle from ideation and market research through development, launch, performance tracking, and continuous optimization, leveraging an Agile methodology.
- Collaborate with stakeholders across Engineering, Design, Operations, Clinical, Finance, Legal, and Compliance teams to define detailed product requirements (user stories), manage the product backlog, and ensure seamless delivery and operational readiness.
- Conduct competitive analysis and build robust business cases, including financial modeling and KPI definition, to justify product investments and optimize product positioning, pricing, and profitability.
- Present product strategies, compliance updates, and performance results to internal leadership, client-facing teams, and potentially external clients, influencing decision-making and driving adoption.
Requirements
- 5+ years of progressive experience in Product Management or related domain, with a minimum of 3 years dedicated to Medicare Part D, EGWP, or Managed Care products within the PBM, Health Plan, or Healthcare Technology space.
- Expert-level knowledge of Medicare Part D benefit structure, the regulatory environment (including CMS guidance), and the operational nuances of Employer Group Waiver Plans (EGWP).
- Proven ability to lead cross-functional collaboration across engineering, operations, and design to deliver high-impact solutions.
- Strong analytical skills with experience leveraging AI tools for efficiency
- Ability to prioritize and deliver in a fast-paced, cross-functional environment.
- Excellent communication skills, with the ability to translate technical concepts into business impact for diverse audiences.
- Bachelor’s degree in Business, Healthcare Administration, or a related field. Advanced degree (MBA, MHA) or relevant certifications are a plus.
Benefits
- Highly competitive wellness benefits including Medical, Pharmacy, Dental, Vision, and Life Insurance and AD&D Insurance
- Flexible Spending Benefits
- 401(k) Retirement Savings Program
- Short-term and long-term disability
- Discretionary Paid Time Off
- 12 Paid Holidays
- Wellness Benefits
- Commuter Benefits
- Paid Parental Leave benefits
- Employee Assistance Program (EAP)
- Well-stocked kitchen in office locations
- Professional development and training opportunities
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
product managementMedicare Part DEGWPAgile methodologyfinancial modelingKPI definitioncompetitive analysisuser storiesoperational readinessAI tools
Soft skills
cross-functional collaborationanalytical skillscommunication skillsprioritizationinfluencing decision-makingproblem-solvingstakeholder managementpresentation skillsadaptabilityteam leadership
Certifications
MBAMHA