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Medicaid Insurance Product Manager
HumanaRemote US, United States, United StatesRemotefull_timeVerifiedPosted 9 Oct 2025
💰 $118,700/yr($86,300/yr – $118,700/yr)
About the role
Become a part of our caring community and help us put health first
Humana Medicaid is seeking a dynamic and strategic Senior Insurance Product Manager to join our Medicaid Product Strategy Organization, supporting the continued growth and innovation of our Medicaid and Dual Eligible lines of business. This is a unique opportunity to shape the future of healthcare for vulnerable populations while contributing to Humana’s mission to improve the health and well-being of the communities we serve.About Us
We are a collaborative, agile team of experts with deep Medicaid knowledge and a shared commitment to excellence. We value creativity, adaptability, and strategic thinking, and we empower our associates to challenge convention, simplify complexity, and drive meaningful change.
Ideal Candidate Attributes
We’re looking for individuals who are:
• Creative – Skilled in research and structured problem-solving with a flexible mindset.
• Adaptive – Quick to learn and evolve in response to changing environments.
• Self-Sufficient – Capable of navigating ambiguity and delivering high-quality outcomes independently.
• Consultative – Relationship builders who offer actionable insights to guide decision-making.
• Strategic – Visionaries who can design frameworks that optimize resources and drive growth.
As a Senior Insurance Product Manager, you will:
- 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.
- Educate and empower associates to ensure effective benefit delivery.
- Translate federal and state regulatory guidance into actionable product and benefit designs.
- Communicate product details clearly and accurately to operational stakeholders.
- Conduct consumer research to design intuitive, compliant benefits that meet member needs.
- Monitor industry trends to ensure Humana’s offerings remain competitive and relevant.
- Analyze benefit performance and generate data-driven insights to inform product strategy.
- Collaborate cross-functionally with clinical, financial, actuarial, and operational teams to develop value-added 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.
- Deliver clear, concise updates and recommendations to executive leadership.
- Mentor junior team members and foster a collaborative, high-performance culture.
Use your skills to make an impact
Required Qualifications
- Bachelor’s degree in healthcare, business administration, or a related field.
- 3+ years of experience in Medicaid and Dual Eligible product management.
- Strong understanding of health plan coverage and benefit design.
- Proven ability to interpret regulatory and contractual guidance with precision.
- Experience conducting competitive analysis and synthesizing market insights.
- Background in agile delivery and project management.
- Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint).
- Demonstrated success in cross-functional collaboration.
- Excellent written, verbal, and presentation communication skills.
- Growth mindset with a passion for innovation and continuous improvement.
Preferred Qualifications
- Advanced degree (MPH, MBA, or similar).
- Experience in clinical operations or medical coding.
- Strong financial acumen.
- Experience designing benefits for successful RFP responses.
Work-at-Home (WAH) Internet Statement
To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
- At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
- Satellite, cellular and microwave connection can be used only if approved by leadership.
- Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
- Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
- Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
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