<p>HealthPartners is currently hiring a Medicare Product Consultant. This role serves as a regulatory subject matter expert for Medicare Part D and leads the management of vended Medicare benefit solutions, including Fitness and Over the Counter (OTC) programs.</p> <p>The consultant plays a pivotal role in optimizing cost management by evaluating benefit design and vendor performance to ensure financial sustainability and maximize member value. The role also oversees strategic relationships with vendors and partners to deliver seamless, high-quality member experiences.</p> <p>Reporting to the Manager, Medicare Programs, the consultant will collaborate closely with a small, focused team that includes a Senior Medicare Programs Coordinator</p> <p>Required Qualifications:</p> <ul> <li>Bachelor's degree or equivalent years of related work experience. </li><li>4 years of professional experience in a health plan or managed care setting, with relevant work in Medicare Part D, Medicare Advantage, or other Medicare products </li><li>Strong analytical skills with proficiency in Excel and contract review. </li><li>Demonstrated ability to read, interpret, and summarize complex Part D regulations and policies. </li><li>Excellent internal and external communication and stakeholder engagement abilities. </li><li>Proven history of building and sustaining collaborative relationships across all levels of an organization, including senior leadership and cross-functional teams. </li></ul> <p>Preferred Qualifications:</p> <ul> <li>In-depth knowledge of Medicare products, regulations </li><li>Medicare Part D Program experience </li><li>Previous experience with vendor management and/or collaboration. </li><li>Experience with managing Medicare supplemental benefits </li></ul> <p>Responsibilities:</p> <p>(50%) - Part D</p> <ul> <li>Serve as a subject matter expert on Medicare Part D regulations and compliance. </li><li>Monitor changes in legislation and policy affecting Part D. </li><li>Analyze CMS guidance and ensure organizational adherence. </li><li>Support formulary development and benefit design. </li><li>Collaborate with pharmacy teams, compliance, member experience teams and actuarial departments. </li><li>Maintain up-to-date knowledge of the Medicare Part D program and evolving Federal landscape, including evolving formulary design strategies and management, benefit configuration, and reporting standards. </li></ul> <p>(40%) - Vendor Management & Oversight</p> <ul> <li>Serve as the primary vendor liaison, negotiating contracts and overseeing execution, amendments, and service delivery. </li><li>Manage vendor onboarding and offboarding processes. </li><li>Led end-to-end RFP process for Medicare services, synthesizing vendor responses across pricing, implementation, service models, and data integration, and evaluating alignment with program goals. </li><li>Maintain and update operational documentation and work instructions to reflect vendor solutions. </li></ul> <p>(10%) - Compliance & Reporting</p> <ul> <li>Ensure adherence to CMS regulations and internal compliance standards. </li><li>Prepare and present data-driven insights to leadership and workgroups for program optimization. </li><li>Track and report on vendor performance, eligibility file accuracy, and operational outcomes. </li><li>Job description rankings/percentages are intended to reflect normal averages over an extended period of time and are subject to daily variances. Quality and efficiency standards should at no time be compromised to meet the average expectations expressed above. Job descriptions are subject to change to accommodate organization or department needs. </li></ul> <p>At HealthPartners we believe in the power of good - good deeds and good people working together. As part of our team, you'll find an inclusive environment that encourages new ways of thinking, celebrates differences, and recognizes hard work.</p> <p>We're a nonprofit, integrated health care organization, providing health insurance in six states and high-quality care at more than 90 locations, including hospitals and clinics in Minnesota and Wisconsin. We bring together research and education through HealthPartners Institute, training medical professionals across the region and conducting innovative research that improve lives around the world.</p> <p>At HealthPartners, everyone is welcome, included and valued. We're working together to increase diversity and inclusion in our workplace, advance health equity in care and coverage, and partner with the community as advocates for change.</p> <p>Benefits Designed to Support Your Total Health</p> <p>As a HealthPartners colleague, we're committed to nurturing your diverse talents, valuing your dedication, and supporting your work-life balance. We offer a comprehensive range of benefits to support every aspect of your life, including health, time off, retirement planning, and continuous learning opportunities. Our goal is to help you thrive physically, mentally, emotionally, and financially, so you can continue delivering exceptional care.</p> <p>Join us in our mission to improve the health and well-being of our patients, members, and communities.</p> <p>We are an Equal Opportunity Employer and do not discriminate against any employee or applicant because of race, color, sex, age, national origin, religion, sexual orientation, gender identify, status as a veteran and basis of disability or any other federal, state or local protected class.</p>