Product Manager – Medicaid, Duals
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Job Description
Product Manager at Humana managing Medicaid & Dual Eligible insurance offerings. Collaborating with market teams and delivering consumer-centric products while ensuring regulatory compliance.
Responsibilities:
- 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.
Requirements:
- 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
Benefits:
- medical, dental and vision benefits
- 401(k) retirement savings plan
- time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
- short-term and long-term disability
- life insurance
- many other opportunities
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