Senior Product Owner - Claims Adjudication

About the role

The Senior Product Owner is responsible for conveying the product vision and roadmap to an Agile delivery team by defining user stories and prioritizing their product backlog. This role partners closely with Product Management, business stakeholders, and delivery teams to ensure the right work is prioritized and delivered to achieve meaningful business outcomes.

Responsibilities

• Represent the voice of business, operations, members, providers, and associates in product decisions.
• Define problems, opportunities, and desired outcomes that improve accuracy, efficiency, compliance, and experience.
• Own and prioritize the team backlog based on business value, customer impact, and strategic goals.
• Translate business needs into clearly defined user stories with measurable acceptance criteria.
• Partner closely with delivery teams and subject-matter experts to provide business context, clarify requirements, and ensure stories meet intended outcomes.
• Participate in Agile ceremonies, provide timely guidance, and make informed decisions in dynamic environments.
• Collaborate with stakeholders across Claims, Operations, Compliance, and peer Product Owners to coordinate cross-teamwork.
• Validate delivered solutions to ensure they address the right problems within the claims process and support compliance and future-ready solutions.

Requirements

• Minimum 5 years of experience in product ownership and/or project management.
• Experience with Agile development processes and tools.
• Willing/able to support Eastern Standard Time (EST) business hours.

Qualifications

• Undergraduate degree.
• Experience with health insurance claims systems, operational processes, or industry standards.
• Experience with Scaled Agile Framework (SAFe).
• Certified SAFe® Product Owner/Product Manager.

Preferred Qualifications

• Experience with health insurance claims systems, operational processes, or industry standards.
• Experience with Scaled Agile Framework (SAFe).
• Certified SAFe® Product Owner/Product Manager.

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.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides 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 and many other opportunities.

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.

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.