Product Manager, Medicare Enrollment & Benefits

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a Product Manager, Medicare Enrollment & Benefits in United States.

This is a high-impact opportunity for an experienced healthcare product professional with deep expertise in Medicare enrollment operations and benefit configuration. In this role, you will lead the development of product capabilities that support Medicare Fee-for-Service enrollment workflows, benefit package management, and regulatory compliance within a modern payer technology platform. You will collaborate closely with engineering, QA, implementation, and client-facing teams to ensure product functionality aligns with evolving CMS mandates and industry requirements. The position combines strategic product ownership with hands-on regulatory analysis and cross-functional collaboration in a fast-paced SaaS environment. Ideal candidates are analytical, detail-oriented, and passionate about improving healthcare operations through technology-driven solutions. This fully remote role offers the opportunity to contribute to products that directly support health plans and millions of members nationwide

Accountabilities

• Own and manage product requirements for Medicare Fee-for-Service enrollment workflows, benefit package configuration, and enrollment reconciliation processes.
• Define and maintain system behavior requirements for benefit structures, cost-sharing rules, coverage limitations, and benefit period logic within the payer platform.
• Drive product requirements related to accumulator functionality, including deductibles, out-of-pocket maximums, benefit limits, and coordination of benefits scenarios.
• Analyze CMS rule changes and annual Medicare benefit updates, translating regulatory requirements into structured product enhancements, user stories, and acceptance criteria.
• Maintain a regulatory change calendar aligned with CMS implementation timelines to support efficient product release planning and client readiness.
• Partner with implementation, QA, and client success teams to validate enrollment outputs, benefit configurations, and compliance with CMS expectations.
• Serve as the internal subject matter expert for Medicare enrollment and benefit design, prioritizing and managing regulatory-driven product backlog items.
• Collaborate cross-functionally with engineering and stakeholders to ensure accurate, scalable, and compliant product delivery.
  
  

Requirements

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• 5+ years of experience in product management, healthcare payer operations, Medicare benefit administration, or enrollment processing environments.
• Deep knowledge of Medicare Fee-for-Service enrollment workflows, CMS enrollment transactions, and Medicare benefit package structures.
• Proven ability to translate regulatory requirements into detailed product specifications, user stories, and Agile acceptance criteria.
• Strong understanding of accumulator logic, including deductible tracking, out-of-pocket maximums, benefit limits, and multi-claim-type scenarios.
• Familiarity with coordination of benefits (COB) processes and their impact on Medicare benefit configurations.
• Excellent collaboration, communication, and stakeholder management skills across technical and non-technical teams.
• Experience with healthcare payer platforms or core administrative processing systems is highly preferred.
• Knowledge of CMS enrollment reconciliation processes, 834 enrollment transactions, and healthcare SaaS implementation environments is a plus.
• Strong analytical mindset with exceptional attention to detail and regulatory compliance requirements.
  
  

Benefits

• Competitive annual base salary ranging from approximately $132,000 to $141,000, depending on experience and qualifications.
• Fully remote work opportunity within the United States.

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• Opportunity to work on innovative healthcare technology solutions with meaningful industry impact.
• Collaborative and mission-driven work culture focused on improving healthcare operations and member experiences.
• Exposure to cutting-edge payer platform technologies and evolving regulatory initiatives.
• Professional development opportunities within a rapidly growing healthcare technology environment.
• Flexible work environment supporting collaboration across multiple time zones.
• Inclusive and diverse workplace committed to equal opportunity employment and employee well-being.
  
  

How Jobgether Works

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.

We appreciate your interest and wish you the best!

Why Apply Through Jobgether?

Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.