Sr Insurance Product Content Prof

Humana

4d • $71,100 - $97,800 • Remote

About The Position

Humana Healthy Horizons is seeking candidates to join its Medicaid Product Organization to support the strategic direction and growth of the Medicaid line of business. This role offers a unique opportunity to influence the mission of a healthcare company dedicated to improving community health. The Senior Insurance Product Content Professional will manage the project lifecycle for member handbook new builds, annual reviews, and readiness activities from initiation to completion, overseeing scope, timeline, resources, and stakeholders. The Medicaid Insurance Product Management – Covered Services team focuses on ensuring accurate administration and communication of covered services in Medicaid health plans to enhance health and well-being. The team is composed of accomplished individuals with deep Medicaid expertise, working in an agile and collaborative environment. They value associates who are creative, adaptive, self-sufficient, consultative, and strategic.

Requirements

• Bachelor's Degree OR 4+ years in the field of health insurance, managed care, or healthcare advisory services.
• Working knowledge of health insurance products with a focus on covered and enhanced services and major annual communications of member handbooks, summary of benefits, provider directories, etc.
• Demonstrated experience building templates, creating content, standard documentation, policy, and procedures.
• Proven experience in project management - Expertise in driving operational efficiencies and management of timelines and processes, highly adept at managing processes from concept to completion ensuring on-time, on-budget, and on-target results.
• Excellent communication skills to all levels, written, verbal, presentation skills, as well as interpersonal skills.
• Experience working collaboratively across multiple functional areas (e.g. operations, provider network, contracting) while promoting teamwork.
• Prior experience working in a fast-paced environment with the ability to quickly adapt to changes and completing tasks with successful outcomes.
• Proficiency in project management software, document control systems, and Microsoft Excel, Word, PowerPoint, Teams and Adobe.
• Basic understanding of Medicaid.
• High level of flexibility due to state expectations.

Nice To Haves

• Experience with Medicaid and/or Dual Eligible lines of business.
• Agile Content Development and/or Project Management certifications.
• Prior experience at a health plan reviewing and approving member facing documents while meeting tight deadlines.
• Experience with Medicaid policies and/or Medicaid health plan operations, such as compliance regulations, materials review, auditing, and/or creative writing/editing.

Responsibilities

• Partner with subject matter experts to define and deliver applicable Member Handbook content adherent to contract requirements, RFPs and established processes.
• Develop comprehensive project plans to outline scope, timelines, resources, and deliverables for New Builds, Annual Reviews and Readiness.
• Coordinate and manage the end-to-end project lifecycle, ensuring all states, from initial planning to final delivery, are executed effectively.
• Work with leaders to establish project milestones and ensure project deliverables are met on time and within scope.
• Facilitate regular project meetings, ensure clear communication of progress, updates, and any roadblocks.
• Communicate project timelines, deliverables, and changes effectively to internal and external stakeholders.
• Manage document control processes, ensuring that all versions of the handbook are properly stored and documented.
• Maintain training and process documents on updates, and usage of member handbooks.
• Partner with leaders in offering ongoing support to internal stakeholders regarding handbook content and related inquiries.
• Work as a liaison with Print Team and Web Team to load handbooks to web, load to OES system and print management.
• Make decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction.
• Exercise considerable latitude in determining objectives and approaches to assignments.

Benefits

• medical
• dental
• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Senior