Remote Senior Medicaid Product Owner & Configuration Lead

Humana

Baton Rouge (LA)

Remote

USD 95,000 - 131,000

Full time

5 days ago
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Benefits offered by this job

Bonus incentive plan
Medical, dental and vision benefits
401(k) retirement savings plan
Paid time off

Job summary

Humana is seeking a Senior Configuration Professional to lead Medicaid-related product capabilities and backlog management within our care management and utilization platforms. You will translate business needs into actionable requirements, partner with cross-functional stakeholders, and drive configuration governance to support regulatory and member outcome goals.

The role emphasizes senior configuration management with product ownership, ensuring tested, documented, and optimized system

Qualifications

  • Bachelor's degree in Business, Healthcare Administration, IT, or related field.
  • 5+ years experience supporting healthcare technology platforms in a Product Owner, Business Analyst, Product Manager, Configuration Professional, or similar role.
  • Hands-on experience with GuidingCare, Epic, or comparable care management, utilization management, case management, or population health platforms.
  • Strong understanding of Medicaid care management, utilization management, case management, prior authorization, member engagement, clinical workflows, and operational processes.
  • Experience in Agile delivery environments (Scrum, SAFe, or similar).
  • Excellent verbal and written communication skills and strong documentation abilities.

Responsibilities

  • Serve as the product owner for Medicaid-related capabilities within the care management platform.
  • Define product vision, roadmap, priorities, and business outcomes with stakeholders.
  • Own and prioritize the product backlog based on value, regulatory requirements, and operational impact.
  • Translate business needs into features, user stories, and configuration specs.
  • Lead backlog refinement, sprint planning, reviews, and demos with Agile teams.

Skills

GuidingCare/Epic
Agile methodologies
Communication skills
Documentation skills
Medicaid knowledge

Education

Bachelor's degree in Business, Healthcare Administration, IT, or related field

Tools

Jira
Azure DevOps
ServiceNow
Confluence
Rally
Git
CI/CD tools
CMDB platforms

Job description

Humana is seeking a Senior Configuration Professional to lead Medicaid-related product capabilities and backlog management within our care management and utilization platforms. You will translate business needs into actionable requirements, partner with cross-functional stakeholders, and drive configuration governance to support regulatory and member outcome goals.

The role emphasizes senior configuration management with product ownership, ensuring tested, documented, and optimized system

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