Commercial Product Specialist II, Small Group and Level Funded

1 week ago


Minnetonka, MN, United States Medica Full time
Description

Medica is a nonprofit health plan with more than a million members that serves communities in Minnesota, Nebraska, Wisconsin, Missouri, and beyond. We deliver personalized health care experiences and partner closely with providers to ensure members are genuinely cared for.

We're a team that owns our work with accountability, makes data-driven decisions, embraces continuous learning, and celebrates collaboration - because success is a team sport. It's our mission to be there in the moments that matter most for our members and employees. Join us in creating a community of connected care, where coordinated, quality service is the norm and every member feels valued.

Medica's Commercial Product Specialist II, Small Group and Level Funded, is responsible for collaborating with the Commercial Product team and internal departments on the development and deployment of new and existing Small Group and Level Funded products. This role will complete product analysis, implementation activities, research product/program challenges, and identify trends for improvements that are incorporated into a 3-5 year roadmap. Performs other duties as assigned.

Key Accountabilities

  • Collaborates with Underwriting, Actuary, Legal, and Regulatory teams during the product life cycle
  • Develops training materials for brokers and sales teams
  • Maintains and updates product grids
  • Engages with functional and matrix partners (Regulatory, Legal, Sales, Product, Marketing)
  • Enhances product performance and supports growth goals
  • Reviews customization requests related to product design
  • Conducts market segment research
  • Monitors trends using internal and external resources
  • Assists with gathering and executing product requirements
  • Partners with Underwriting and Actuary teams for rating and pricing
  • Considers overall customer experience and product performance
  • Collaborates with Product Managers to provide recommendations
  • Supports other product segments as needed (Fully Insured, Self-funded)
  • Performs other duties as assigned
  • Works collaboratively and effectively communicates with the product team
  • Identifies process improvements
  • Develops templates, workflows, and process documentation

The Product Specialist reports to the Manager of Small Group and Level Funded Products and works with internal stakeholders within Actuary, Underwriting, Finance, Legal, Regulatory, Sales, and Marketing.

Required Qualifications

  • Bachelor's degree or equivalent experience in a related field
  • 3+ years of related experience beyond the degree

Preferred Qualifications

  • Knowledge of Small Group actuarial values, ACA and CMS guidelines, and products
  • Understanding of Level Funded cost structure (stop-loss insurance, claims, and admin fees) and products
  • Understanding of the overall customer experience and the product performance lifecycle
  • Ability to support other product segments
  • Ability to perform tactical execution, identify areas of process improvement, and streamline processes
  • Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook)
  • Detail-oriented
  • Strong interpersonal skills, with strong written and verbal communication skills
  • Ability to manage competing priorities and meet tight deadlines
  • Independent, self-driven professional

This position is an Office role, which requires an employee to work onsite, on average, 3 days per week. We are open to candidates located near one of the following office locations: Minnetonka, MN, Madison, WI, Omaha, NE, or St. Louis, MO

The full salary grade for this position is $49,800 - $85,300. While the full salary grade is provided, the typical hiring salary range for this role is expected to be between $49,800 - $71,100. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to compensation, Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.

The compensation and benefits information is provided as of the date of this posting. Medica's compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.

Eligibility to work in the US: Medica does not offer work visa sponsorship for this role. All candidates must be legally authorized to work in the United States at the time of application. Employment is contingent on verification of identity and eligibility to work in the United States.

We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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