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Orange, Connecticut, United States
Hybrid
Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.
This is a hybrid - field position in Orange County, CA.Job Responsibilities
1. Lead Product Strategy and Lifecycle Management
Develop, implement, and manage Medicare Advantage product strategies across assigned markets or member segments. Monitor product performance and market trends, identify opportunities for enhancement, and recommend actions that improve competitiveness, member experience, and business outcomes.
2. Drive Benefit Design and Product Development
Lead the development and refinement of benefit offerings, plan features, and member experience enhancements. Partner with Actuarial, Finance, Compliance, and Operations to evaluate affordability, utilization impact, regulatory requirements, and long-term sustainability.
3. Support CMS Bid and Regulatory Activities
Participate in annual bid development, product implementation activities, service area expansion initiatives, and other Medicare Advantage product planning efforts. Ensure products, materials, and business processes align with CMS regulations and organizational compliance standards.
4. Conduct Market and Competitive Analysis
Analyze market conditions, demographic trends, consumer insights, competitive benefit offerings, and healthcare industry developments to identify growth opportunities and product differentiation strategies. Present recommendations to leadership and key stakeholders.
5. Manage Member Communications and Experience
Oversee the development and review of member-facing communications, enrollment materials, benefit documentation, and digital experiences to ensure accuracy, compliance, accessibility, and alignment with member needs. This may include multilingual or culturally tailored communications when applicable to the assigned portfolio.
6. Partner on Marketing and Growth Initiatives
Collaborate with Marketing, Sales, Community Engagement, and other stakeholders to support go-to-market strategies, member acquisition efforts, retention programs, broker education, and community outreach initiatives.
7. Lead Cross-Functional Product Initiatives
Serve as the product lead for assigned initiatives by coordinating stakeholders, developing project plans, managing timelines, identifying risks, and driving execution across matrixed teams.
8. Monitor Product Performance and Deliver Insights
Track and analyze product performance metrics, including membership growth, retention, benefit utilization, market share, operational outcomes, and member experience indicators. Develop recommendations and present findings to leadership to support strategic decision-making.
9. Maintain Market and Regulatory Expertise
Maintain current knowledge of Medicare Advantage regulations, CMS guidance, healthcare market trends, competitor activities, and emerging opportunities affecting product strategy and performance.
Supervisory Responsibilities:
This position does not have direct supervisory responsibilities. It is expected to lead cross-functional initiatives and influence outcomes through collaboration and stakeholder engagement.
Job Requirements:
Experience:
Required:
Preferred:
Education
Required:
Bachelor's degree in Business, Healthcare Administration, Public Health, Marketing, Finance, or a related field; equivalent experience may be considered.
Preferred:
MBA, MPH, MHA, or other related advanced degree.
Specialized Skills
Licensure:
Required: None specified for this role.
Preferred: PMP (Project Management Professional) certification or equivalent.
Essential Physical Functions:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.
2. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.
Pay Range: $85,696.00 - $128,543.00Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.
Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.
*DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at https://reportfraud.ftc.gov/#/. If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health’s talent acquisition team, please email careers@ahcusa.com.