Director, Medicare Advantage Strategy

Posted 1hrs ago

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Job Description

Medicare Advantage strategy leader shaping Twin Health’s AI-powered metabolic care for members and health plans. Guiding product, clinical, commercial, and market strategy.

Responsibilities:

  • Serve as Twin's subject matter expert on Medicare Advantage
  • Develop an evolving understanding of Medicare Advantage members' health needs, motivations, technology comfort, accessibility needs, care-seeking behaviors, social needs, engagement barriers, and expectations
  • Advise Product, Design, Clinical, and Operations teams on the Medicare member experience and care model
  • Partner with the Medicare Advantage Product Lead to shape the end-to-end member journey and product roadmap
  • Monitor MA market changes, CMS policy, health plan priorities, competitive offerings, emerging care models, and member expectations
  • Translate market and policy changes into implications for Twin
  • Partner with Commercial and Product Marketing on health plan priorities, value proposition, customer conversations, positioning, and differentiation
  • Build and maintain Twin's internal Medicare Advantage knowledge base
  • Educate teams and leadership on the Medicare Advantage ecosystem, population, terminology, incentives, and trends
  • Establish relationships with external experts, health plans, industry organizations, and stakeholders
  • Represent Twin externally through customer conversations, panels, conferences, webinars, and other forums
  • Identify new Medicare Advantage opportunities involving populations, partnerships, capabilities, and care models
  • Perform other duties as assigned

Requirements:

  • 10+ years of experience in Medicare Advantage, Medicare, managed care, or closely related healthcare roles, with significant direct exposure to MA
  • Deep understanding of the Medicare population and the practical realities of engaging and caring for older adults and other Medicare beneficiaries
  • Strong understanding of how Medicare Advantage plans operate, make decisions, measure performance, and evaluate partners and solutions
  • Working expertise across Stars, CAHPS/member experience, clinical programs, care management, supplemental benefits, risk adjustment, health equity, retention, and regulatory requirements
  • Comfortable helping design improved Medicare experiences
  • Strong communication skills and executive presence
  • Experience presenting to executive audiences
  • Applicants must be authorized to work for any employer in the U.S.
  • Twin Health is unable to sponsor or take over sponsorship of an employment visa

Benefits:

  • Opportunity for equity participation
  • Unlimited vacation with manager approval
  • 16 weeks of 100% paid parental leave for delivering parents
  • 8 weeks of 100% paid parental leave for non-delivering parents
  • 100% employer-sponsored healthcare, dental, and vision for you
  • 80% healthcare, dental, and vision coverage for your family
  • Health Savings Account and Flexible Spending Account options
  • 401k retirement savings plan
  • High level of flexibility