Medicare Insurance Product Management Lead

Humana, Inc.; Honolulu (HI); Remote; USD 104,000 - 143,000; Full time

Job summary

Humana, Inc. in the United States is seeking a senior leader to guide a team of Insurance Product Managers.

You will steer priorities into actionable workplans, allocate resources, monitor delivery, and ensure filings, implementation and member experience meet high standards. You will partner with senior managers to translate product direction into downstream deliverables, build a culture of quality, and drive readiness across CMS filings and regulatory deliverables.

Qualifications

• Hands-on leadership with ability to develop talent and build a culture of quality and accountability.
• Ability to translate portfolio priorities into clear team objectives and deliverables.

Responsibilities

• Lead a team of Insurance Product Managers, establishing clear performance expectations and development goals.
• Translate portfolio and enterprise priorities into clear 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 that strengthens associates’ product knowledge, judgment, quality orientation and independence.
• Foster a collaborative, accountable environment where associates understand how their work connects to regional portfolio and member outcomes.
• Lead a shared-service model that provides consistent product quality, validation, testing and delivery support across regional Medicare Advantage portfolio teams.
• Establish clear workflows, service expectations and handoffs between the shared-services team and Senior Product Managers.
• Coordinate team capacity and priorities across multiple 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 needs across portfolios and create standardized approaches, tools and practices where they 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 activities across applicable product tools and processes, including bid management tools, PBP, NPD, service area and claims implementation reviews.
• Ensure appropriate 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 extends beyond the team’s authority.
• Maintain team workflows and controls that support 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 appropriate 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 give the team and leadership visibility into workload, quality, risks and delivery performance.
• Share lessons learned and effective practices across the team and regional portfolio partners.
• Lead primarily through the work of your team while remaining close enough to the work to provide effective direction, coaching and quality oversight.
• Make resource, workflow, prioritization and tactical operating decisions within the team’s area of responsibility.
• Apply strong product and operational knowledge to moderately complex issues and determine when broader leadership involvement is needed.
• Coordinate effectively with regional portfolio teams and functional partners across multiple departments.
• Balance immediate regulatory and delivery demands with continuous improvement of team processes.
• Use metrics and operational insights to monitor performance and make informed decisions.
• Create clarity and structure for the team during periods of ambiguity or rapidly changing priorities.
• You’ll report to the Associate Director or Director, Insurance Product Management and lead a team of Insurance Product Managers. You’ll serve as a shared-service partner to Senior Product Managers and regional portfolio teams and work closely with Compliance, Operations, Marketing, Claims and other functional partners.

Job description

Humana, Inc. in the United States is seeking a senior leader to guide a team of Insurance Product Managers.

You will steer priorities into actionable workplans, allocate resources, monitor delivery, and ensure filings, implementation and member experience meet high standards. You will partner with senior managers to translate product direction into downstream deliverables, build a culture of quality, and drive readiness across CMS filings and regulatory deliverables.