Associate Director, Medicaid Insurance Product Management
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Job Description
Associate Director of Medicaid Product Management at Humana overseeing benefit package design and compliance. Collaborating with market leaders to ensure the execution of high-quality Medicaid products.
Responsibilities:
- Act as internal advisor to markets, translating state guidance and federal rules into covered services and operational requirements.
- Serve as a liaison between National Product Strategy and Market leadership, translating business goals into actionable innovation and initiatives.
- Oversee design and execution of Medicaid and Dual Eligible benefit packages, ensuring compliance, competitiveness, and member-centricity.
- Own product lifecycle from design, feasibility, implementation to optimization.
- Monitor and manage the Market’s benefit performance and ensure compliance.
- Design and execute on benefit audits and perform operational analyses to proactively identify compliance gaps.
- Lead and manage enterprise initiatives driven by legislative changes, provider/vendor changes, policy initiatives, and benefit filings/readiness.
- Use internal operational data and KPIs to evaluate product performance and identify opportunities for improvement.
- Lead and develop a team of Senior Insurance Product Managers, providing coaching, workflow oversight, and performance management.
- Partner with clinical, utilization/care management, actuarial/finance, network, operations, and technology teams; coordinate dependencies across squads in matrixed environments.
Requirements:
- Bachelor’s degree in healthcare, business administration, public policy, or a related field.
- 3+ years of experience in Medicaid and Dual Eligible product management
- 2+ years management experience
- Strong financial acumen
- Exceptional communication skills, including executive-level presentation and stakeholder engagement.
- Demonstrated success in mentoring and developing high-performing teams.
- Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint).
Benefits:
- 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
- many other opportunities
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