
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.
đź•’ 4 days ago
🇺🇸 United States – Remote
đź’µ $115.2k - $158.4k / year
⏰ Full Time
đźź Senior
âś… Product Manager
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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.
• Translate product strategy and regulatory requirements into actionable work for Agile delivery teams supporting Humana's Interoperability Compliance portfolio • Lead backlog management, feature input, user story development, acceptance criteria definition, and delivery execution • Maximize product value for Electronic Prior Authorization (ePA) APIs, FHIR-based interoperability solutions, and regulatory compliance initiatives • Serve as the primary liaison among business stakeholders, compliance teams, product management, architects, and delivery teams • Interpret CMS interoperability regulations, prior authorization requirements, implementation timelines, and industry standards • Provide Agile teams with context and direction for strategic initiatives while balancing compliance, business value, and technical priorities • Serve as the Agile team's primary contact for information, work prioritization, and decision-making • Exercise independent judgment on regulatory interpretation, product execution, stakeholder alignment, and delivery priorities • Guide and mentor others in developing best practices • Facilitate requirements discussions, backlog refinement, sprint planning, and user acceptance activities • Create and maintain product documentation, backlog artifacts, training materials, process flows, user stories, operational procedures, and presentation content • Occasionally travel to Humana offices for training or meetings
• Bachelor's degree in Business, Healthcare Administration, Information Systems, Computer Science, or related field • 4+ years of experience as a Product Owner, Business Analyst, Product Manager, or related role supporting healthcare technology initiatives • Experience with Agile methodologies, Scrum practices, and Agile product management tools such as Azure DevOps (ADO) or Jira • Experience translating complex business, regulatory, and operational requirements into user stories and product backlogs • Strong understanding of healthcare interoperability concepts, APIs, and healthcare data exchange workflows • Experience working with cross-functional Product Management, Engineering, Architecture, Compliance, Operations, and Business stakeholders • Ability to prioritize competing requirements while balancing business value, compliance obligations, and technical dependencies • Strong analytical, problem-solving, communication, and stakeholder management skills • Experience facilitating requirements discussions, backlog refinement, sprint planning, and user acceptance activities • Ability to work independently and manage multiple initiatives in a fast-paced, highly regulated environment • Experience creating and maintaining product documentation, backlog artifacts, training materials, process flows, user stories, operational procedures, and presentation content for technical and non-technical audiences • Knowledge of Electronic Prior Authorization (ePA) workflows, FHIR APIs, Da Vinci Implementation Guides, HL7 FHIR standards, and healthcare interoperability frameworks • Experience supporting CMS Interoperability and Prior Authorization Final Rule requirements is preferred • Experience with Prior Authorization systems, utilization management processes, payer-provider workflows, or healthcare operations is preferred • SAFe Agile Certification, Certified Scrum Product Owner (CSPO), or related Agile certification is preferred • Experience collaborating with vendors, healthcare providers, EHR partners, or interoperability solution providers is preferred • Familiarity with Patient Access, Provider Access, Payer-to-Payer, and Prior Authorization APIs is preferred • Experience with Azure DevOps backlog management, feature planning, and Agile reporting is preferred • Knowledge of healthcare regulatory compliance, CMS mandates, and health information exchange initiatives is preferred • Experience participating in interoperability testing, implementation, or production support activities is preferred • Master's degree in Business Administration, Healthcare Administration, Public Health, Information Systems, or related field is preferred • Home internet service with at least 25 Mbps download and 10 Mbps upload speed • Ability to work from a dedicated space without ongoing interruptions to protect member PHI/HIPAA information • Occasional travel to Humana offices may be required
• 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 • Personal wellness and healthcare decision support benefits • Remote work arrangement • Dedicated home workspace requirement to protect member PHI/HIPAA information • Employer-provided home internet service arrangement meeting minimum speed requirements
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