Product Operations Specialist

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

• 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

2. Product Development Support

• 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)

3. Product Management Support

• 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

4. Process Improvement and Other Duties

• 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

Qualifications:

• Bachelor's degree or equivalent experience in related field
• 5+ years of related experience beyond degree

Additional Experience, Skills and Abilities:

• 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