Product Manager-Medicaid & Duals

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The Product Manager-Medicaid & Duals manages insurance product offerings for each market and customer need. Reporting to the AD Product Manager, you will work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

• 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
• 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.

• Bachelor’s degree
• 3+ years of experience in Medicaid and Dual Eligible product management.
• Experience interpreting regulatory and contractual guidance.
• Experience in ensuring regulatory and operational compliance in cross functional environments.
• Experience understanding health plan coverage and benefit design.
• Experience conducting competitive analysis and synthesizing market insights.
• Experience with agile delivery and project management.
• Ability to drive process optimization, improve efficiency and deliver measurable outcomes
• Must have the ability to accommodate EST/CST working hours

• Strong financial acumen
• Advanced degree (MPH, MBA, or similar).
• Experience in clinical operations or medical coding.
• Experience designing benefits for successful RFP responses.

Location: Remote Nationwide

Work at Home Requirements:
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. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. 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: 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.

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…