Product Manager-Medicaid & Duals
The Product Manager-Medicaid & Duals manages insurance product offerings for each market and customer need. Reporting to the AD Product Manager, you will work assignments involving moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
About the role
- Serves as a strategic partner to Medicaid Market teams, supporting growth through tailored benefit insights and services.
- Enhances member and market experiences by delivering impactful, consumer-centric products.
- Led the product lifecycle for assigned markets—from strategic planning through go-to-market execution.
- Delivers ongoing client support by designing and implementing scalable, operationally sound solutions.
- Educates and empowers associates to ensure effective benefit delivery.
- Translates contracts and regulation requirements into actionable product and operational strategies.
- Organizes market research including analyzing industry trends and assessing strengths and weaknesses of competitors.
- Ensures effective and compliant implementation of benefits across internal and external stakeholders.
- Analyzes benefit performance and generates data-driven insights to inform product strategy.
- Collaborates cross-functionally with clinical, financial, actuarial, and operational teams to design, administer, and deliver benefits and services.
- Leads benefit filing processes with regulatory agencies, ensuring timely and compliant submissions.
- Provides subject matter expertise to resolve complex benefit-related issues and inquiries.
- Mentors junior team members and fosters a collaborative, high-performance culture.
Responsibilities
- Required Qualifications:
- 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
- Preferred Qualifications:
- Strong financial acumen
- Advanced degree (MPH, MBA, or similar)
- Experience in clinical operations or medical coding
- Experience designing benefits for successful RFP responses
Requirements
- Required Qualifications:
- 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
- Preferred Qualifications:
- Advanced degree (MPH, MBA, or similar)
- Experience in clinical operations or medical coding
- Experience designing benefits for successful RFP responses
Qualifications
- Required Qualifications:
- 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
- Preferred Qualifications:
- Advanced degree (MPH, MBA, or similar)
- Experience in clinical operations or medical coding
- Experience designing benefits for successful RFP responses
Skills
- Strategic thinking
- Collaboration
- Client relationship management
- Market analysis
- Regulatory compliance
- Product development
- Project management
- Financial acumen
- Competitive analysis
- Healthcare knowledge
Benefits
- Medical, dental, and vision benefits
- 401(k) retirement savings plan
- Paid 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
Pay
- $86,300 - $118,700 per year
Work from Home Requirements
- To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
- Humana reserves the right to require associates to upgrade their internet service if necessary.
- Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Travel
- While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
- 40
About Us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.