Inactive
H

Humana

Sells Medicare health plans and runs senior clinics

Manager – Insurance Product Management

Business OperationsPosted on Nov 6
Full-timeRemote in USA

About the Job

Requirements

  • A bachelor's degree or equivalent professional credential, licensure, or experience, with 5 or more years of relevant healthcare, health plan, product, operations, or related experience.
  • Demonstrated experience leading people, teams, or complex work, including coaching, prioritization, and accountability for results.
  • Experience managing regulated, operational, or product deliverables with firm deadlines and quality requirements.
  • Demonstrated ability to prioritize work and allocate resources across competing deliverables.
  • Strong communication and problem-solving skills, with the ability to work effectively across functional teams.
  • Demonstrated ability to use data, quality measures, or operational metrics to identify issues and improve performance.
  • Ability to lead through changing priorities and periods of high-volume, deadline-driven work.
  • Ability to work from a dedicated home workspace that protects member PHI and HIPAA information, with internet service offering at least 25 Mbps download and 10 Mbps upload.

Responsibilities

  • Lead, coach, and develop a team of Insurance Product Managers by establishing performance expectations, development goals, and accountability for results.
  • Translate portfolio and enterprise priorities into team objectives, work assignments, and delivery expectations.
  • Prioritize and allocate resources across bid development, CMS filings, AEP readiness, implementation, validation, and other regulatory deliverables.
  • Monitor workloads and rebalance assignments as business priorities, deadlines, and portfolio needs change.
  • Provide regular coaching and actionable feedback to strengthen associates’ product knowledge, judgment, quality orientation, and ability to work independently.
  • Foster a collaborative and accountable environment, helping associates understand how their work connects to regional portfolio and member outcomes.
  • Lead shared-service support for product quality, validation, testing, and delivery across regional Medicare Advantage portfolio teams.
  • Establish workflows, service expectations, and handoffs between the shared-services team and Senior Product Managers.
  • Coordinate team capacity and priorities across regional portfolio needs, balancing planned work with emerging regulatory, implementation, and business issues.
  • Partner with Senior Product Managers to translate product direction and decisions into accurate downstream deliverables and implementation requirements.
  • Identify recurring portfolio needs and create standardized approaches, tools, and practices that improve efficiency, consistency, or quality.
  • Provide visibility into shared-service capacity, priorities, delivery status, and risks so portfolio teams can plan effectively.
  • Oversee team delivery across the Medicare Advantage product lifecycle, including validation, testing, filing support, implementation, and readiness activities.
  • Establish and reinforce team-level quality standards for ANOCs, EOCs, SBs, Aprimo, Provider Directories, PBP, HPMS, and other applicable product and regulatory deliverables.
  • Oversee validation and testing across applicable product tools and processes, including bid management tools, PBP, NPD, service area, and claims implementation reviews.
  • Ensure reviews and validations are completed accurately and on time, with issues documented, assigned, and tracked through resolution.
  • Monitor defects, rework, and recurring quality issues and use findings to improve team processes and controls.
  • Escalate significant product, compliance, or delivery risks to Product leadership and appropriate partners when resolution exceeds the team’s authority.
  • Maintain team workflows and controls supporting timely and accurate completion of Medicare Advantage regulatory and product requirements.
  • Drive audit readiness by ensuring required documentation, validations, controls, and corrective actions are complete, accurate, and current.
  • Track deliverables against CMS, regulatory, and business milestones; identify risks early and develop mitigation plans within the team’s scope.
  • Partner with Compliance and other functional teams to address findings and ensure corrective actions are implemented.
  • Reinforce disciplined documentation, version control, and evidence retention across team processes.
  • Use performance, quality, and workflow data to identify opportunities to improve accuracy, cycle time, capacity, and productivity.
  • Lead changes that improve team processes, tools, and ways of working.
  • Identify opportunities to standardize or automate repeatable work while maintaining quality and regulatory controls.
  • Conduct root-cause analysis on recurring defects or process breakdowns and implement sustainable corrective actions.
  • Establish practical metrics and operating routines that provide visibility into workload, quality, risks, and delivery performance.
  • Share lessons learned and effective practices across the team and regional portfolio partners.
  • Set clear expectations, provide regular feedback, address performance issues, and create development opportunities.
  • Maintain standards for product accuracy, validation, and regulatory deliverables while minimizing defects and avoidable rework.
  • Provide regional Product Management teams with consistent, responsive support and clear visibility into priorities, capacity, and delivery.
  • Balance competing portfolio needs, regulatory deadlines, and available resources, adjusting as priorities change.
  • Identify issues early, assess downstream impacts, implement mitigation within the team’s authority, and escalate when broader decisions are required.
  • Make resource, workflow, prioritization, and tactical operating decisions within the team’s area of responsibility.
  • Apply product and operational knowledge to moderately complex issues and determine when broader leadership involvement is needed.
  • Coordinate with regional portfolio teams and functional partners across departments.
  • Use metrics and operational insights to monitor performance and inform decisions.
  • Create clarity and structure during ambiguity or rapidly changing priorities.
  • Model transparent decisions, curiosity, continuous learning, clear expectations, accountability, and partnership across organizational boundaries.
  • Help associates understand the purpose of their work while creating an environment where they can grow and contribute.
  • Provide concise, timely updates on delivery, capacity, risks, and issues to Product leaders and cross-functional partners.
  • Maintain team engagement and execution when priorities, requirements, or business conditions change.
  • Work closely with Compliance, Operations, Marketing, Claims, Senior Product Managers, and regional portfolio teams.
  • Accommodate occasional extended hours and weekend work during periods of heightened regulatory and business deadlines.

Desired Qualifications

  • Medicare Advantage product, implementation, or operational experience.
  • Experience with the Medicare Advantage bid cycle, PBP, and HPMS.
  • Experience supporting ANOC, EOC, SB, Provider Directory, or other Medicare Advantage product deliverables.
  • Experience with product validation, testing, implementation, or quality assurance.
  • Audit, compliance, or regulatory-readiness experience.
  • Experience developing operational metrics, quality controls, or performance reporting.
  • Process improvement experience or training, including Lean or Six Sigma.
  • Experience leading process standardization, automation, or workflow improvements.

About the Company

Humana

Sells Medicare health plans and runs senior clinics

Humana sells health insurance paid for by government programs, chiefly Medicare Advantage plans that private insurers run for Americans 65 and older in place of traditional Medicare. It ranks among the largest Medicare Advantage insurers in the country and also runs Medicaid plans for low-income families in several states. Its CenterWell business operates senior primary care clinics, a mail-order pharmacy and home health services, so many members get care from a company the insurer owns. Medicare and states pay Humana a set monthly amount per member, and it keeps the difference between those payments and members' medical costs. Humana was founded in 1961 as a nursing home company and is based in Louisville, Kentucky.

Company size
10,001+
Company stage
IPO
Headquarters
Louisville, KY
Founded
1961

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