Director, Medicaid Insurance Product Management Growth & Innovation

$136,200 - $187,400/Yr

Humana - Montpelier, VT

Full-time - Senior

Montpelier, VT

Insurance Carriers and Related Activities

About the position

The Director of Medicaid Insurance Product Management - Growth & Innovation at Humana is responsible for leading the development of new benefits and wellness programs for Medicaid and Duals health plans. This role involves strategic oversight of product innovation, ensuring compliance with regulations, and fostering collaboration across various teams to enhance member engagement and health outcomes. The position requires a deep understanding of Medicaid managed care and a proven track record in product development, aimed at improving the health of underserved populations.

Responsibilities

• Translate guidance from federal and state government to define health plan covered services and related operational requirements.
• Perform quantitative and qualitative analysis to discern customer needs, assess the marketplace and surface business opportunities.
• Participate in capture planning and proposal development process for Medicaid growth opportunities by defining covered service packages, eligible cohorts and designing differentiated enhanced benefit and wellness solutions.
• Provide a common environment and managed annual product lifecycle for Humana's existing Medicaid health plans to ensure enhanced benefits and wellness offerings remain competitive, compliant and aligned with business objectives.
• Convey end-to-end vision for Medicaid benefits and wellness to internal and external stakeholders, accurately describing underlying models, programs, and services.
• Construct a prioritized product roadmap for new benefits and wellness solutions based on key criteria including customer value, business need and feasibility.
• Form and coordinate cross-functional teams to design and develop solutions across initial phases of the product lifecycle that are ready for customer use.
• Form and lead a high-performing team by recruiting top talent, fostering a positive teamwork environment and providing ongoing development opportunities.
• Sustain strong collaborative working relationships across Medicaid markets and enterprise stakeholders including Population Health, Quality, Member Experience, and Marketing.
• Support development of culture and adoption of innovative, agile methodologies across the broader Medicaid segment.

Requirements

• Bachelor's Degree with a strong record of academic achievement
• 5+ years of experience in health insurance, product design, or healthcare advisory services
• 3+ years of management experience or management consulting
• Deep working knowledge of Medicaid managed care policy, programs and covered services
• Proven background in benefit and wellness product development for vulnerable underserved populations
• Excellent verbal and written communication skills
• Experience in executive presentation and communication
• Ability to operate in a fast-paced environment under tight deadlines

Nice-to-haves

• MBA programs with a specialization in Healthcare Management
• Experience supporting Medicaid Business Development
• Experience working with government and state agencies
• Agile Product Development, Project Management and Process Improvement qualifications

Benefits

• Medical, dental and vision benefits
• 401(k) retirement savings plan
• Paid time off including company and personal holidays
• Volunteer time off
• Paid parental and caregiver leave
• Short-term and long-term disability
• Life insurance