Product Manager – Medicaid, Duals

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🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $86.3k - $118.7k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

✅ Product Manager

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Humana

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1961

⚕️ 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

• Serve as a strategic partner to Medicaid Market teams, supporting growth through tailored benefit insights and services. • Enhance member and market experiences by delivering impactful, consumer-centric products. • Lead the product lifecycle for assigned markets—from strategic planning through go-to-market execution. • Deliver ongoing client support by designing and implementing scalable, operationally sound solutions. • Educate and empower associates to ensure effective benefit delivery. • Translate contracts and regulation requirements into actionable product and operational strategies. • Organizing market research including analyzing industry trends and assessing strengths and weaknesses of competitors. • Ensure effective and compliant implementation of benefits across internal and external stakeholders. • Analyze benefit performance and generate data-driven insights to inform product strategy. • Collaborate cross-functionally with clinical, financial, actuarial, and operational teams to design, administer and deliver benefits and services. • Lead benefit filing processes with regulatory agencies, ensuring timely and compliant submissions. • Provide subject matter expertise to resolve complex benefit-related issues and inquiries. • Support the creation of accurate internal and external communications related to benefits. • Mentor junior team members and foster a collaborative, high-performance culture.

🎯 Requirements

• Bachelor’s degree • 3+ years of experience in Medicaid and Dual Eligible product management. • Experience interpreting regulatory and contractual guidance. • Experience in ensuring regulatory and operational compliance in cross functional environments. • Experience understanding health plan coverage and benefit design. • Experience conducting competitive analysis and synthesizing market insights. • Experience with agile delivery and project management. • Ability to drive process optimization, improve efficiency and deliver measurable outcomes • Must have the ability to accommodate EST/CST working hours

🏖️ Benefits

• medical, dental and vision benefits • 401(k) retirement savings plan • time off (including paid time off, company and personal holidays, paid parental and caregiver leave) • short-term and long-term disability • life insurance • many other opportunities