Medica
Product Operations Specialist
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Job Description
- Req#: PRODU005251
- Lead coordination of the Benefit Assessment Team (BAT) for commercial products
- Manage intake, vetting, and documentation of benefit and language change requests
- Create and maintain business requirements documents for benefit changes
- Coordinate annual product and benefit change communications and training
- Maintain a “source of truth” for benefit change tracking and lifecycle communication
- Support certificate alignment and management activities
- Conduct market segment research and competitor intelligence (e.g., Competiscan, CRC assets)
- Gather and execute product requirements and milestones
- Partner with Underwriting and Actuary on pricing strategies
- Support annual industry research and roadmap development
- Assist in QA testing and validation of annual plan changes (e.g., SBC outputs)
- Support portfolio management for Large Group Fully Insured products
- Coordinate with Underwriting, Actuary, Legal, and Regulatory teams
- Develop and deliver training materials for brokers and sales teams
- Manage change and customization requests related to product design
- Provide backup support for CRC and assist in asset delivery to the PLM team
- Identify and implement process improvements through templates, workflows, and documentation
- Support other product segments (e.g., Self-Funded, Level-Funded, Small Group) as needed
- Demonstrate flexibility and adaptability in supporting team and organizational goals
- Pull and analyze data using tools like Qlik Sense and Stepwise
- Bachelor's degree or equivalent experience in related field
- 5+ years of related experience beyond degree
- Strong knowledge of Large Group Fully Insured products, claims platforms, and benefits
- Familiarity with self-funded/ASO products, stop loss insurance, and ERISA/non-ERISA regulations
- Proficiency in Microsoft Office Suite and data tools (e.g., Qlik Sense)
- Excellent written and verbal communication skills
- Strong analytical, organizational, and interpersonal skills
- Ability to manage competing priorities and meet tight deadlines
- Independent, self-driven, and collaborative team player
Medica's Product Operations Specialist plays a critical role in supporting the strategic and operational execution of products across all Commercial lines of business, with a primary focus on Large Group Fully Insured products. This role serves as a key liaison between the Commercial Product team and cross-functional departments to ensure the successful implementation, optimization, and continuous improvement of both new and existing products.
The Product Operations Specialist is responsible for conducting product analysis, coordinating implementation activities, resolving product and program challenges, and identifying trends to inform a 3–5 year product roadmap. This role also supports product compliance, benefit change management, and process improvement initiatives.
Key Accountabilities
1. Product Benefit and Compliance Support
2. Product Development Support
3. Product Management Support
4. Process Improvement and Other Duties
Qualifications:
Additional Experience, Skills and Abilities:
This position is a hub-based role which requires onsite presence. To be eligible for consideration, candidates must reside within a commuting distance to one of the following office locations: Minnetonka, MN & St.Louis, MO. Onsite frequency is determined by business need as decided by leadership and may be up to 2-3 days a week.
The full salary range for this position is $55,400-$95,000. Annual salary range placement will depend on a variety of factors including, but not limited to, education, work experience, applicable certifications and/or licensure, the position's scope and responsibility, internal pay equity and external market salary data. In addition to compensation, Medica offers a generous total rewards package that includes competitive medical, dental, vision, PTO, Holidays, paid volunteer time off, 401K contributions, caregiver services and many other benefits to support our employees.
The compensation and benefits information is provided as of the date of this posting. Medica’s compensation and benefits are subject to change at any time, with or without notice, subject to applicable law.
We are an Equal Opportunity employer, where all qualified candidates receive consideration for employment indiscriminate of race, religion, ethnicity, national origin, citizenship, gender, gender identity, sexual orientation, age, veteran status, disability, genetic information, or any other protected characteristic.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.About the company
Offering health insurance plans in IA, MN, KS, MO, NE, ND, OK, SD, and WI. Includes group, individual and family, Medicaid, and Medicare plans.
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