AmeriHealth Caritas Jobs

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AmeriHealth Caritas Medicare Product Development Manager in Philadelphia, Pennsylvania

Medicare Product Development Manager

Location: Philadelphia, PA

Primary Job Function: Medicare

ID**: 21325

Job Brief

Responsible for leading the development and enhancement of all new products and certain key strategic initiatives for Medicare

Your career starts now. We’re looking for the next generation of health care leaders.

At AmeriHealth Caritas, we’re passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we’d like to hear from you.

Headquartered in Philadelphia, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Discover more about us at .


Responsible for leading the development and enhancement of all new products and certain key strategic initiatives for Medicare. This position owns the end-to-end development of new products and supports the development of strategy for the Medicare division including leading the development of market assessments, modeling tools, and business cases. This position leads assessing new business opportunities by conducting competitive assessment, managing cross-functional work groups to build consensus, developing business cases, and presenting to leadership.

Job Responsibilities

  • Manage the creation and refresh of long and near-term performance metrics, goals and targets, including strategic and financial goals for Medicare.

  • Drives evaluation of Medicare product development and new business opportunities; collaborates cross functionally to assure successful and comprehensive analysis.

  • Manage and support creation and updates to business cases for current and target markets.

  • Create a documented process to assess new product opportunities, executions and delivery.

  • Gather, analyze and track quantitative/qualitative data and research on existing and potential markets, as well as the creation of market assessment deliverables (i.e. market pipeline).

  • Serve as internal consultant or strategic evaluator of business initiatives and business solutions, such as new product or market entry; strategic partnerships; joint ventures; or acquisitions.

  • Own membership projections for new business strategies and products. Leverage internal and external research, as well as knowledge of the competitive environment, to inform assumptions. Partner with leadership to pressure test assumptions.

  • Manage highly strategic projects or short-term internal consulting engagements aligned with overall strategy across business areas and functions (i.e. Medicare Rural Strategy).

  • Partner with Medicare brand, marketing and communications teams to develop and execute aligned products with strategic plans.

  • Work collaboratively with internal business teams to integrate new products and programs.

  • Developing and presenting materials supporting various product and market recommendations.

  • Assemble deliverables for internal and external audiences, e.g. product pipeline reports, CMS applications, etc.

  • Managing high-level work plans for meeting various deadlines and deliverables.

  • Additional duties as assigned.

Education/ Experience:

  • Bachelor’s Degree Healthcare, Business Administration or related area of study or equivalent combination of education and/or relevant work experience.

  • Proven experience developing strategic initiatives that align with business goals and budget; experience with financial modeling and return-on-investment analysis.

  • Ability to organize, analyze, and synthesize large sets of qualitative and quantitative information to influence strategic decisions.

  • Experience in diagnosing, isolating, and resolving complex issues and recommending and implementing strategies to resolve problems.

  • Experience collaborating with both internal and external resources to develop strategies that meet departmental goals within budget and established timelines.

  • Strong communication and presentation skills.

  • Demonstrated ability to manage multiple priorities and deadlines.

  • 3-5 years’ work experience in business development, product development, marketing or managed care; 3-5 years in a strategic capacity.

Other Skills:

  • Understanding and experience with the Medicare program; knowledge of Medicare Part D preferred.

  • Project management experience.

  • Proficient in Microsoft Office and industry related software programs.

EOE Minorities/Females/Protected Veterans/Disabled