Talent.com
Senior Medicaid & Duals Insurance Product Manager

Senior Medicaid & Duals Insurance Product Manager

Rhode Island StaffingProvidence, RI, US
3 days ago
Job type
  • Full-time
Job description

Senior Insurance Product Manager Medicaid & Duals

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.
  • Lead the product lifecycle for assigned marketsfrom 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.
  • Required Qualifications

  • Bachelor's degree in healthcare, business administration, or a related field.
  • Minimum of 3+ years of experience in Medicaid and Dual Eligible product management.
  • Ability to drive process optimization, improve efficiency and deliver measurable outcomes.
  • Experience in ensuring regulatory and operational compliance in cross functional environments.
  • 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.
  • Demonstrated success in cross-functional collaboration.
  • Excellent written, verbal, and presentation communication skills.
  • Growth mindset with a passion for innovation and continuous improvement.
  • Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint).
  • Background in agile delivery and project management.
  • 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.
  • Additional Information

  • Schedule : Monday through Friday, 8 : 00 AM 5 : 00 PM with flexibility to work overtime as needed.
  • Work Location (Address) : US, Nationwide.
  • Work Style : Remote.
  • Travel Requirements : 10%
  • 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.
  • Pre-Screening & Interview Format : As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

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

    Scheduled Weekly Hours : 40

    Pay Range : The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $86,300 - $118,700 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 : 11-11-2025

    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 accessibility resources page.

    Create a job alert for this search

    Senior Product Manager • Providence, RI, US

    Related jobs
    • Promoted
    Senior Product Manager - Customer Tech

    Senior Product Manager - Customer Tech

    CollettePawtucket, RI, US
    Full-time
    Collette is seeking a Senior Product Manager - Customer Tech to join our growing Technology Team.This is a hybrid role based at our headquarters in Pawtucket, RI. About Collette : Let Us Show You the...Show moreLast updated: 28 days ago
    • Promoted
    Senior Product Manager - Retirement Distributions

    Senior Product Manager - Retirement Distributions

    eTeamProvidence, RI, US
    Full-time
    We are seeking an experienced Senior Product Manager to lead our retirement distributions product portfolio, including systematic withdrawals, participant loans, and terminated employee processes.T...Show moreLast updated: 7 days ago
    • Promoted
    Manager, Digital Product - Pricing

    Manager, Digital Product - Pricing

    CVS HealthCumberland, RI, US
    Full-time
    At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading h...Show moreLast updated: 30+ days ago
    • Promoted
    Director - Technical Product Leader

    Director - Technical Product Leader

    Rhode Island StaffingWoonsocket, RI, US
    Full-time
    Director Of Technical Product Management.At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transform...Show moreLast updated: 4 days ago
    • Promoted
    Senior Product Manager

    Senior Product Manager

    Solv HealthProvidence, RI, US
    Full-time
    Being sick or injured is painful.At Solv, we're building a mobile-first digital health marketplace that enables convenient, quality healthcare for millions of people. As part of our growing team, yo...Show moreLast updated: 7 days ago
    • Promoted
    Principal Product Manager

    Principal Product Manager

    AssuredProvidence, RI, US
    Full-time
    Assured is on a mission to modernize insurance.It's currently highly manual, involving phone calls, faxes, and gut instinctcosting tens of billions of dollars a year. At Assured, we provide large in...Show moreLast updated: 7 days ago
    • Promoted
    Insurance Service Professional 92759

    Insurance Service Professional 92759

    Rhode Island StaffingJohnston, RI, US
    Full-time
    Insurance Service Professional New Business Processing.Join our Field Service Team, the driving force behind the delivery of exceptional experiences for New York Life's agents and clients.As part ...Show moreLast updated: 13 days ago
    • Promoted
    Product Manager - Carrier Content

    Product Manager - Carrier Content

    E-HealthProvidence, RI, US
    Full-time
    Join Us In Creating A Better Way!.At eHealth, our mission is to expertly guide consumers through their health insurance and related options when, where, and how they prefer.We're creating a better ...Show moreLast updated: 7 days ago
    • Promoted
    Senior Product Manager

    Senior Product Manager

    InstrumentlProvidence, RI, US
    Full-time
    We're a mission-driven startup helping the nonprofit sector to drive impact, and we're well on our way to becoming the #1 most-loved grant discovery and management tool. To help us get there, we're ...Show moreLast updated: 7 days ago
    • Promoted
    Product Development Senior Manager-Store Brands

    Product Development Senior Manager-Store Brands

    Rhode Island StaffingWoonsocket, RI, US
    Full-time
    At CVS Health, we are building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading ...Show moreLast updated: 4 days ago
    • Promoted
    Senior Product Manager - Growth Incentives

    Senior Product Manager - Growth Incentives

    Rhode Island StaffingProvidence, RI, US
    Full-time
    Coinbase Incentives Product Manager.Ready to be pushed beyond what you think you're capable of? At Coinbase, our mission is to increase economic freedom in the world. It's a massive, ambitious oppor...Show moreLast updated: 4 days ago
    • Promoted
    Manager, Product Growth

    Manager, Product Growth

    Rhode Island StaffingProvidence, RI, US
    Full-time
    Meta), formerly known as Facebook Inc.When Facebook launched in 2004, it changed the way people connect.Apps and services like Messenger, Instagram, and WhatsApp further empowered billions around t...Show moreLast updated: 14 days ago
    • Promoted
    Product Development Senior Manager-Store Brands

    Product Development Senior Manager-Store Brands

    CVS HealthWoonsocket, RI, US
    Full-time
    At CVS Health, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care.As the nation's leading h...Show moreLast updated: 11 days ago
    • Promoted
    Senior Product Manager - Clinical AI Agents

    Senior Product Manager - Clinical AI Agents

    Rhode Island StaffingProvidence, RI, US
    Full-time
    The Oracle Clinical AI Agent team's mission is to deliver an AI platform that serves as the foundation for Oracle's health applications. By embedding generative and conversational AI into these appl...Show moreLast updated: 14 days ago
    • Promoted
    Senior Product Manager, Growth

    Senior Product Manager, Growth

    AgencyAnalyticsProvidence, RI, US
    Full-time
    Senior Product Manager, Growth.We're looking for a Senior Product Manager, Growth to join the AgencyAnalytics team! AgencyAnalytics enables digital marketing agencies by streamlining client reporti...Show moreLast updated: 7 days ago
    • Promoted
    Senior Product Manager III

    Senior Product Manager III

    WorkMotionProvidence, RI, US
    Full-time
    WorkMotion Senior Product Manager III.Tired of the 9-to-5 grind? Imagine a world without borders, where opportunities are endless. That's the future of work, and we're building it at WorkMotion.Our ...Show moreLast updated: 6 days ago
    • Promoted
    Product Manager

    Product Manager

    Rhode Island StaffingProvidence, RI, US
    Full-time
    Meta Product Managers work with cross-functional teams to build products.We are looking for entrepreneurial Product Managers to help innovate and execute product initiatives across the company.This...Show moreLast updated: 14 days ago
    • Promoted
    Sr Product Manager

    Sr Product Manager

    TE ConnectivityProvidence, RI, US
    Full-time
    The Industrial Business Unit of TE Connectivity has an opportunity for a Regional (Americas) Product Manager within the Medical Business Unit. Product Managers at TE act as "Mini-GMs" and in this ro...Show moreLast updated: 6 days ago