Senior Medicaid & Duals Insurance Product Manager

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 :

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

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.