Manager of Product, Commercial Large Group Fully Insured

Manager of Product, Commercial Large Group Fully Insured

Job Category: Operations

Requisition Number: MANAG
006140

• Posted :
  August 4, 2026
• Full-Time

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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.

The Manager of Product is responsible for development, implementation and ongoing management of a broad portfolio of Large Group Fully Insured (LGFI) products, across four or more states (in addition to possible expansion areas), within the Commercial Market Division Segment, as well as management of direct report(s).

This Manager works with numerous Medica functional areas to determine the market need and feasibility for development of new products, enhancements to existing products, and all aspects of regulatory filings at both the state and federal level. The Manager is responsible for overall market success of the products, oversight of policy document development, timely and accurate CMS and state submissions (and meeting of requirements), and benefit structure.

The Manager will set, maintain, document and preserve intent of product and plan design. The Manager works closely with segment leadership, sales, operations, compliance, legal, network, finance, pharmacy, underwriting and actuarial, to continuously improve market competitiveness and market position as applicable, communicate and train staff on product details, and ensure proper administration and understanding of product intent.

The Manager is subject matter expert on assigned product plan performance, including membership, income, medical loss ratio (MLR) and operating margin, and will work directly with internal leadership on strategies to improve product performance.

The incumbent contributes to the strategic planning process for Medica’s Commercial’s product portfolio by identifying, implementing and managing strategic partnerships and external vendors. The Manager collaborates extensively with legal and governmental agencies such as CMS, MN Department of Commerce and regulators in multiple states. Performs other duties as assigned.

Key Accountabilities

Product Strategy and Development (40%)

• Product Strategy and Project Leadership:
  • Leads product strategy and project teams to develop and deliver Large Group Fully Insured (LGFI) product solutions.
  • Collaborates with segment leadership and functional leaders to address product-related issues and identify opportunities for improvement.
• Benefit Design and Compliance:
  • Acts as a subject matter expert (SME) on LGFI benefits, including pharmacy coverage.
  • Interprets federal and state regulatory guidance and ensures compliance in benefit design.
  • Researches and implements policies aligned with federal and state laws.
• Analyzes LGFI programs to identify enhancements in benefits, networks, clinical aspects, and formularies.
• Collaborates with finance and actuarial teams to validate findings and recommend improvements.
• Product Knowledge:
  • Understands LGFI products and markets.
  • Familiar with stop loss insurance, claims platforms, and processes.
  • Knowledgeable about ERISA and non-ERISA benefits.
• Ensures benefit designs align with market trends, member needs, and financial goals.
• Manages competitive intelligence gathering for strategic decision-making.

Product and Project Management (40%)

• Project Execution and Control:
  • Manages project costs, schedule, and scope using established processes and metrics.
  • Ensures timely submission and response to contractual reporting requirements from state and federal governments.
• Effective Communication:
  • Communicates project status and key metrics to all levels of…