Medicaid Product Manager - Clinical Intake

Medicaid Clinical Operations Intake Product Manager

Become a part of our caring community and help us put health first. The Medicaid Clinical Operations Intake Product Manager applies professional concepts, industry knowledge, and organizational policies to independently make recommendations about priorities and process changes, as well as champions Agile methodologies and tools for workflow adoption. Work is performed under general direction and often guided by precedent and professional standards with some interpretation. The Medicaid Clinical Operations Intake Product Manager 2 leads all phases of the product and intake lifecycle from request submission through evaluation, prioritization, and transition to delivery by designing, managing, and continuously improving the intake process to meet organizational goals. This role partners across product, operations, and technology teams to :

Develop and manage the Clinical operations intake process using Agile product tools and provides information relevant to decision criteria that is used to balance business value, compliance risk, ROI, and technical feasibility.

Capture and validate requests from cross-functional teams, ensuring submissions meet Medicaid-specific documentation guidelines.

Facilitate governance reviews and decision-making forums to evaluate requests against capacity and strategic alignment.

Translate approved requests into actionable work items for product delivery teams to consume.

Monitor process performance metrics (cycle time, volume, backlog, market satisfaction) and identify opportunities for improvement.

Ensure the intake process maintains alignment with Medicaid business priorities and enterprise portfolio standards.

Drive communication and visibility of intake status and decision outcomes across stakeholders.

Use your skills to make an impact.

Required Qualifications :

Bachelors degree or 2+ years of relevant work experience.

2+ years of experience in product management, operations, or process improvement preferably in Medicaid or healthcare delivery.

Experience with product intake or portfolio management tools (Jira, SmartSheet, Sharepoint), process governance, and stakeholder engagement in regulated environments.

Additional Information :

Schedule : Monday through Friday, 8 : 00 AM 5 : 00 PM with flexibility to work overtime as needed.

Work Location : US, Nationwide.

Work Style : Remote.

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.

Travel : While this is a remote position, occasional travel to Humanas offices for training or meetings may be required.

Scheduled Weekly Hours : 40

Pay Range : $78,400 - $107,800 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and / or individual performance.

Description of Benefits : Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental, and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance, and many other opportunities.

Application Deadline : 11-17-2025

About Us : Humana Inc. (NYSE : HUM) is committed to putting health first for our teammates, our customers, and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer : It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability, or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation, and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity, or religion. We also provide free language interpreter services. See our https : / / www.humana.com / legal / accessibility-resources?source=Humana_Website.