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Senior Medicaid & Duals Insurance Product Manager

Senior Medicaid & Duals Insurance Product Manager

Humana IncBoston, MA, United States
1 day ago
Job type
  • Full-time
Job description

Senior Insurance Product Manager – Medicaid & Duals

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.

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

  • 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 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.
  • Organize 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.
  • 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

    $86,300 - $118,700 per year

    Application Deadline

    11-11-2025

    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 .

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