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Lead Insurance Product Manager

at Humana

HumanaRemote NationwidePosted 2026-06-11
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Job description

Become a part of our caring community The Lead Insurance Product Manager is responsible for the end-to-end development, implementation, and oversight of Integrated Dual Eligible Special Needs Plans (D-SNPs). This role partners across Medicare and Medicaid markets to design integrated products, ensure regulatory compliance, support CMS bid submissions, and deliver a seamless member experience.The ideal candidate possesses deep knowledge of Medicare Advantage and/or Medicaid, D-SNP product development, benefit design, CMS regulations, and member-facing communications. This role serves as a key liaison across cross-functional teams to drive product strategy, manage complex initiatives, resolve issues, mitigate risks, and ensure successful implementation of integrated health plan offerings.Key Role FunctionsLead the design, development, and implementation of Integrated D-SNP products across multiple marketsPartner with Medicare and Medicaid leaders to align benefits, identify product opportunities, and ensure regulatory complianceSupport CMS bid development, plan configuration, and submission activitiesOversee the accuracy and compliance of member-facing materials, including ANOCs, EOCs, Summary of Benefits, and other required communicationsCollaborate with compliance, actuarial, operations, provider network, communications, technology, and market teams to support product delivery and operational readinessIdentify, assess, and mitigate risks that may impact product implementation, regulatory compliance, or member experienceServe as a subject matter expert for integrated products, benefit design, and Medicare/Medicaid requirementsDrive issue resolution and facilitate alignment across stakeholders to ensure timely delivery of key milestones and business objectivesUse your skills to make an impact  Required QualificationsBachelor’s Degree or a combination of education and related work experience3+ years of experience in Medicare Advantage product development, product management, benefit design, bid development, or related healthcare product functionsDemonstrated knowledge of CMS regulations and Medicare Advantage requirementsExperience supporting CMS bid development, benefit configuration, or plan submission activitiesExperience reviewing and validating member-facing materials and benefit communicationsProven ability to collaborate effectively across multiple business functions and leadership levelsStrong analytical, organizational, problem-solving, and communication skillsPreferred Qualifications3+ years of experience supporting D-SNP, Medicaid, or integrated healthcare productsExperience leading Integrated D-SNP product strategy and developmentExperience working directly with CMS bid submissions and regulatory filing processesKnowledge of state Medicaid regulations and integrated care modelsExperience supporting ANOC, EOC, Summary of Benefits, enrollment materials, and provider directory developmentLean Six Sigma Green Belt, Lean Six Sigma Black Belt, Certified Process Professional, Project Management Professional (PMP)Advanced proficiency in Microsoft Office applications including Excel, PowerPoint, Word, and SharePointMedicaid program operationsAdditional InformationThis role is 100% remote anywhere in the US and will primarily operate on EST business hours.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 recommended; wireless, wired cable or DSL connection is suggestedSatellite, cellular and microwave connection can be used only if approved by leadershipEmployees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA informationHumana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including:Health benefits effective day 1Paid time off, holidays, volunteer time and jury duty payRecognition pay401(k) retirement savings plan with employer matchTuition assistanceScholarships for eligible dependentsParental and caregiver leaveEmployee charity matching programNetwork Resource Groups (NRGs)Career development opportunitiesOur Hiring ProcessAs part of our hiring process for this opportunity, we may contact you via text message and email to gather more information using a software platform called HireVue. HireVue Text, Scheduling and Video technologies allow you to interact with us at the time and location most convenient for you. If you are selected to move forward from your application prescreen, you may receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging and/or Video interview.  Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.If you have additional questions regarding this role posting and are an Internal Candidate, please send them to the Ask A Recruiter persona by visiting go/Buzz and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.Travel: While t
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