Lead Product Manager, Compliance Ops

🕒 Yesterday

🇺🇸 United States – Remote

💵 $126.3k - $173.7k / year

⏰ Full Time

🟠 Senior

✅ Product Manager

🦅 H1B Visa Sponsor

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Humana

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1961

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.

📋 Description

• Own day-to-day operations of Humana’s FHIR APIs and healthcare interoperability products • Monitor API operational performance, production issues, support trends, incidents, dependencies, and operational risks • Coordinate with IT and stakeholder teams to investigate and resolve API incidents, service issues, defects, and production concerns • Establish operational ownership, escalation paths, procedures, and handoffs across Product, IT, Architecture, Security, Identity and Access Management, and supporting teams • Communicate API operational health, incidents, risks, dependencies, and remediation status to leadership and stakeholders • Own end-to-end onboarding for providers, payers, third-party applications, and approved partners • Manage onboarding through request, registration, access/authentication coordination, connectivity, testing, production enablement, and transition to support • Develop and maintain onboarding processes, documentation, intake procedures, partner communications, and escalation paths • Own the post-onboarding support model for FHIR APIs and external interoperability partners • Establish processes for support requests, production issues, incident escalation, issue triage, and partner communications • Coordinate technical investigation and resolution while maintaining ownership of the overall support experience • Analyze incidents, support trends, onboarding friction, operational metrics, recurring issues, and partner feedback • Identify opportunities for process simplification, automation, improved monitoring, documentation, and scalable support • Translate operational needs into enhancements and backlog items and prioritize implementation with Product Owners and delivery teams • Support Regulatory Compliance with operational information, API/onboarding/support/performance data, documentation, and audit-readiness records • Define and maintain operational reporting and metrics for API operations, onboarding, support demand, issue resolution, service performance, and improvements • Drive collaboration across Product, IT, Architecture, Security, Identity and Access Management, Regulatory Compliance, Operations, and stakeholder teams • Serve as central operational coordinator for FHIR API onboarding, production support, and operational issues • Communicate performance, risks, trends, and improvement opportunities to senior leadership • Maintain operational procedures, onboarding materials, support documentation, requirements, and business artifacts • Mentor Product Managers and Product Owners on FHIR API operations, onboarding, production support, and operational product management

🎯 Requirements

• Bachelor’s degree or equivalent experience • 5+ years of experience in Product Management, Product Operations, Healthcare Technology, Technical Operations, Business Analysis, or a related field • 3+ years of experience leading cross-functional initiatives involving business and technology teams • Experience owning or supporting production APIs, integration platforms, technology products, or healthcare data exchange capabilities • Experience with partner onboarding, implementation, production operations, or technical support • Experience coordinating production issues and escalations across business and technology teams • Experience working within healthcare payer, provider, healthcare technology, or interoperability environments • Knowledge of healthcare interoperability technologies and standards, including APIs, FHIR, HL7, OAuth, or related healthcare data exchange technologies • Experience developing and managing operational processes, support models, procedures, documentation, and performance metrics • Experience translating operational needs and production findings into prioritized backlog items • Strong stakeholder management, communication, facilitation, and presentation skills • Ability to lead and influence cross-functional teams without direct authority • Strong analytical and problem-solving skills with the ability to assess operational, business, technical, and compliance impacts • Experience working in Agile environments and collaborating with Product Owners and technology delivery teams • Minimum home internet speed of 25 Mbps download and 10 Mbps upload • Ability to work from a dedicated space without ongoing interruptions to protect member PHI/HIPAA information • Preferred: Master’s degree in Business Administration, Healthcare Administration, Public Health, Information Systems, or related field • Preferred: SAFe Agile, Product Management, ITIL, or related product/operations certification • Preferred: Experience operating FHIR APIs in a production healthcare environment • Preferred: Experience supporting CMS interoperability capabilities • Preferred: Experience managing provider, payer, or third-party application API onboarding and production support • Preferred: Experience with API registration, authentication, authorization, identity and access management, and partner connectivity processes • Preferred: Knowledge of incident management, problem management, root-cause analysis, escalation management, monitoring, and service performance • Preferred: Experience using operational data and support trends for continuous improvement and backlog prioritization • Preferred: Experience defining or managing operational KPIs, SLAs, onboarding metrics, and support performance metrics • Preferred: Familiarity with healthcare integration technologies, HIT, EDI, API gateways, and API management platforms • Preferred: Experience with Azure DevOps and Agile product management practices

🏖️ Benefits

• Bonus incentive plan based on company and/or individual performance • Medical benefits • Dental benefits • Vision benefits • 401(k) retirement savings plan • Paid time off • Company holidays • Personal holidays • Paid parental leave • Paid caregiver leave • Short-term disability • Long-term disability • Life insurance • Internet service requirements/support for home or hybrid employees • Occasional travel to Humana offices for training or meetings

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