Manager, Insurance Product Management

Humana

1d•$104,000 - $143,000•Remote

About The Position

Lead a team of Insurance Product Managers providing quality, validation, testing and delivery support across regional Medicare Advantage portfolios. The team operates as a shared service to regional Product Management teams, establishing consistent standards and disciplined execution throughout the Medicare Advantage product lifecycle. The role translates priorities into workplans, allocates resources, monitors quality and delivery, and helps resolve issues before they affect filings, implementation or the member experience. It partners with Senior Product Managers and functional teams to ensure product decisions are reflected accurately in CMS filings, member materials, systems and operational processes. This hands-on people leadership role develops talent, builds structure, improves processes and fosters quality and accountability. The manager leads shared-service operations, oversees product validation and delivery, maintains compliance controls and audit readiness, and uses data and root-cause analysis to improve performance. The role reports to the Associate Director or Director, Insurance Product Management, leads Insurance Product Managers, and partners with Senior Product Managers, regional portfolio teams, Compliance, Operations, Marketing, Claims and other functional teams. The work follows the annual Medicare Advantage and CMS regulatory cycle. Some periods require additional flexibility, including extended hours and occasional weekend work, to meet regulatory and business deadlines. This is a remote position with occasional travel to Humana offices for training or meetings. Home-based employees need a dedicated workspace that protects member PHI/HIPAA information and internet service with at least 25 Mbps download and 10 Mbps upload speed.

Requirements

Bachelor's degree, or equivalent professional credential/licensure or experience; the posting specifies 5+ years of relevant healthcare, health plan, product, operations or related experience.
Demonstrated experience leading people, teams or complex work, including coaching, prioritization and accountability for results.
Experience managing regulated, operational or product deliverables with firm deadlines and quality requirements.
Ability to prioritize work and allocate resources across competing deliverables.
Strong communication and problem-solving skills, including the ability to work effectively across functional teams.
Ability to use data, quality measures or operational metrics to identify issues and improve performance.
Ability to lead through changing priorities and periods of high-volume, deadline-driven work.
For home or hybrid work, self-provided internet service must provide at least 25 Mbps download and 10 Mbps upload; a dedicated workspace without ongoing interruptions is required to protect member PHI/HIPAA information.

Nice To Haves

Medicare Advantage product, implementation or operational experience.
Experience with the Medicare Advantage bid cycle, PBP and HPMS.
Experience supporting ANOC, EOC, SB, Provider Directory or other Medicare Advantage product deliverables.
Experience with product validation, testing, implementation or quality assurance.
Audit, compliance or regulatory-readiness experience.
Experience developing operational metrics, quality controls or performance reporting.
Process improvement experience or training, including Lean or Six Sigma.
Experience leading process standardization, automation or workflow improvements.

Responsibilities

Lead, coach and develop Insurance Product Managers; set performance expectations, development goals and accountability for results.
Translate portfolio and enterprise priorities into team objectives, assignments and delivery expectations.
Prioritize work and allocate team resources across bid development, CMS filings, AEP readiness, implementation, validation and other regulatory deliverables; rebalance workloads as needs change.
Establish shared-service workflows, service expectations and handoffs with Senior Product Managers and regional portfolio teams.
Coordinate capacity and priorities across regional portfolios, balancing planned work with emerging regulatory, implementation and business issues.
Partner with Senior Product Managers to translate product direction and decisions into accurate downstream deliverables and implementation requirements.
Oversee delivery across the Medicare Advantage product lifecycle, including validation, testing, filing support, implementation and readiness activities.
Establish quality standards for ANOCs, EOCs, SBs, Aprimo, Provider Directories, PBP, HPMS and other applicable product and regulatory deliverables.
Oversee validation and testing across product tools and processes, including bid management tools, PBP, NPD, service area and claims implementation reviews.
Ensure reviews and validations are accurate and timely, and that issues are documented, assigned and tracked through resolution.
Monitor defects, rework and recurring quality issues; use findings to improve processes and controls.
Maintain workflows and controls supporting timely, accurate completion of Medicare Advantage regulatory and product requirements.
Drive audit readiness through complete, accurate and current documentation, validations, controls and corrective actions.
Track CMS, regulatory and business milestones, identify risks early, develop mitigation plans and escalate significant risks as appropriate.
Partner with Compliance and other functional teams to address findings and implement corrective actions.
Reinforce disciplined documentation, version control and evidence retention.
Use performance, quality and workflow data to improve accuracy, cycle time, capacity and productivity.
Lead process, tool and work-practice improvements; identify opportunities to standardize or automate repeatable work while maintaining quality and regulatory controls.
Conduct root-cause analysis on recurring defects or process breakdowns and implement sustainable corrective actions.
Establish metrics and operating routines that show workload, quality, risks and delivery performance; share lessons and effective practices with the team and regional partners.
Communicate timely updates on delivery, capacity, risks and issues to Product leaders and cross-functional partners.
Provide coaching, feedback and development opportunities; address performance issues and maintain team engagement through changing priorities.