VP, Insurance Product Design – Implementation, Government Markets

Highmark Health

. Define and execute the end-to-end product strategy, design, and delivery for Medicare Advantage, ACA Marketplace, and Medicaid products .

Posted 10/30/2026full-timeUnited StatesLead💰 $185,000 - $335,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in defining and executing product strategies for Medicare Advantage, ACA Marketplace, and Medicaid products, with a strong focus on regulatory compliance and cross-functional collaboration. Proven ability to lead complex product implementations and drive transformational change within the healthcare and insurance industries.

Highest-signal resume keywords

Product ManagementHealthcare Strategy ExecutionRegulatory ComplianceAnalytic Problem-SolvingLeadership in Matrixed Environments

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Product StrategyBenefit DesignRegulatory Bid and FilingProduct DeliveryHealthcare OperationsFinancial ManagementDesign ThinkingMarket AnalysisQuality ControlReimbursement Systems

Soft Skills

Team LeadershipRelationship BuildingStrategic ThinkingMentoringCollaboration

Industry Keywords

Medicare AdvantageACA MarketplaceMedicaidInsurance AdministrationHIPAA ComplianceHealthcare ExpertiseMarket TrendsBusiness PlanningData-Security GuidelinesCode of Business Conduct

About the role

Key responsibilities & impact

Define and execute the end-to-end product strategy, design, and delivery for Medicare Advantage, ACA Marketplace, and Medicaid products
Drive the multi-year product roadmap, benefit design, regulatory bid and filing strategy, and cross-functional implementation
Partner with actuarial, clinical, network, operations, market leadership, segment, finance, sales, and other functional teams
Integrate benefits, networks, medical management, reimbursement design, ancillary benefits, digital tools, and customer-service features into insurance product design
Prepare detailed design specifications and coordinate or lead complex product portfolio implementations
Work with benefit coding, network coding, claims, and reimbursement systems to ensure timely, cost-effective, and accurate implementation
Provide regulatory and operational subject-matter expertise for new and enhanced products, solutions, and benefits
Identify opportunities to improve product delivery tools and capabilities
Administer compliant insurance products across markets and segments
Prepare applications and filings to federal and state regulators
Manage compliance with federal and state mandates
Draft, update, and file insurance product contracts with regulatory agencies
Perform benefit and collateral quality control
Provide product-related sales support, including RFP support and internal/external sales training
Lead structured product portfolio reviews and streamline, simplify, or retire underperforming products
Develop product-performance targets and assess membership and financial performance
Use analytics to improve enrollment, medical-cost management, customer value, and product performance
Identify lessons from market experience and opportunities for improvement

Requirements

What you’ll need

Bachelor’s Degree in Business Administration or other advanced degree
7–10 years of experience in healthcare strategy execution
7 years of experience with deep breadth and depth of business knowledge across relevant functions in healthcare or a similarly regulated product industry
5 years in a leadership role, with demonstrated ability to work in a matrixed organizational environment
Demonstrated program/product delivery, analytic and strategic problem-solving skills
Deep healthcare expertise
Experience managing complex delivery initiatives in the healthcare or insurance industry
Track record of driving transformational change, leading teams, developing talent, and building relationships
Experience in Product Management, Design Thinking, and/or similar processes and methods
Thorough knowledge of insurance, healthcare, insurance administration, marketing, business planning, financial management, reimbursement, and healthcare operations
Strong understanding of market trends, business requirements, and balancing them successfully
Ability to lead, mentor, and develop a high-performing team
Compliance with HIPAA, data-security guidelines, the Code of Business Conduct, applicable laws, regulations, company policies, and training requirements

Benefits

Comp & perks

Hybrid/remote-based work arrangement
Travel requirement of 0%–25%