Group Medicare Insurance Product Manager

Humana
$71,100 - $97,800Remote

About The Position

The Insurance Product Manager supports a portfolio of Group Medicare (EGWP) product offerings and manages assigned plans from development through CMS approval. This role is responsible for accurate benefit documentation, bid submission support, member communications, and cross-functional coordination to ensure successful implementation and operational excellence. You will report to the Manager, Insurance Product Management, and be a part of Manager, Insurance Product Management team.

Requirements

  • Strong analytical, organizational, and problem-solving skills
  • Ability to manage multiple priorities in a fast-paced environment
  • Experience interpreting and communicating complex benefit information
  • Strong collaboration and communication skills
  • Proficiency in Microsoft Office applications, especially Excel
  • 2+ years of insurance operations experience
  • 2+ years of experience working multiple projects with multiple deadlines
  • Utilize Microsoft Excel, Outlook, PowerPoint, SharePoint and Teams, and various databases to manage and implement deliverables
  • Closing process gaps, identification of potential innovation in processes and projects
  • 2 + years of robust auditing experience with documents and reports within multiple applications (e.g., Microsoft Excel, PowerPoint and Teams)
  • Prior experience working collaboratively across multiple teams or departments
  • Will work overtime and weekends
  • Must have the ability to provide a high-speed DSL or cable modem for a home office.
  • A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.
  • Satellite and Wireless Internet service is NOT allowed for this role.
  • A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Nice To Haves

  • Bachelor's degree
  • 2+ years data mining experience within Excel (can maintain complex spreadsheets)
  • Experience with Microsoft Forms and Adobe Compare
  • Knowledge of Medicare plan design
  • Experience with supplemental insurance products
  • Experience with CMS regulations

Responsibilities

  • Manage implementation and annual updates for Group Medicare benefit offerings across multiple project milestones
  • Maintain accurate documentation of benefit decisions within systems of record and CMS submissions
  • Review and audit CMS-required Member Annual Communication (MAC) materials and client communications for accuracy and compliance
  • Provide timely portfolio and project status updates to leadership and business partners
  • Support the Request for Proposal (RFP) process by developing competitive and compliant plan designs
  • Collaborate with internal teams and external partners to resolve benefit questions and ensure operational effectiveness
  • Utilize tools such as Microsoft Excel, Outlook, PowerPoint, SharePoint, Teams, and Adobe Compare to manage deliverables and reporting
  • Follow established workflows and quality standards to meet departmental performance expectations
  • Identify opportunities for process improvement and product enhancements
  • Support projects and progressively take on greater ownership and strategic responsibility

Benefits

  • medical, dental and vision benefits
  • 401(k) retirement savings plan
  • time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
  • short-term and long-term disability
  • life insurance
  • many other opportunities
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