Product Specialist, Integrated Products

4 weeks ago


New York, New York, United States Athari Full time
Job Description

At Athari, we are seeking a highly skilled Product Specialist, Integrated Products to support our Medicare Operations team. The successful candidate will play a critical role in ensuring product excellence, implementation, and regulatory compliance for our Integrated Medicare lines of business.

Key Responsibilities:

  • Provide analytical support and project management to the Senior Manager of Medicare Operations to ensure timely and accurate compliance and execution of Medicare projects.
  • Support the Senior Manager of Medicare in providing oversight of Integrated Plans and vendor operations, aligning outcomes to strategic goals & regulatory requirements.
  • Analyze and trend data to provide insights to the Senior Manager of Medicare Operations & management on Integrated Products operations including but not limited to membership, benefits, market trends & position, claims and oversight.
  • Provide project management support to ensure projects are completed on time & meet the needs of the organization including but not limited to Integrated Products implementation and coordination of CMS model materials.

Requirements:

  • Bachelor's degree from an accredited college or university in an appropriate discipline required.
  • Minimum 4 years of experience in Medicare Managed Care, preferably with a Health Plan, in a compliance/regulatory/legal/product/operations or project management role.
  • Minimum 1 year of experience managing complex projects, including complex product development processes.


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