Product Manager, Medicare Enrollment & Benefits (Medtech)

TL;DR

Product Manager, Medicare Enrollment & Benefits (Medtech): Leading 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 with an accent on regulatory analysis and cross-functional collaboration. Focus on translating regulatory requirements into structured product enhancements and ensuring accurate, scalable, and compliant product delivery.

Location: Fully remote within the United States

Salary: $132,000 to $141,000

Company

hirify.global uses an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements.

What you will do

• 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.
• Partner with implementation, QA, and client success teams to validate enrollment outputs, benefit configurations, and compliance with CMS expectations.

Requirements

• 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.

Nice to have

• 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.

Culture & 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.
• 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.
• Flexible work environment supporting collaboration across multiple time zones.
• Inclusive and diverse workplace committed to equal opportunity employment and employee well-being.