Senior Product Manager

Humana

1d • Remote

About The Position

The Senior Product Manager Conceives of, develops, delivers, and manages products for customer use. The Senior Product Manager work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Product Manager is accountable for delivering compliant, interoperable, and scalable medical authorization capabilities end‑to‑end.

Requirements

• A strong drive to improve medical authorization outcomes while ensuring patient safety, regulatory compliance, and operational efficiency
• Deep understanding of clinical workflows, authorization lifecycles, and the downstream and upstream impacts of interoperability changes
• Working knowledge of healthcare interoperability standards, payer/provider interactions, and compliance considerations within regulated environments
• Exceptional communication skills, with the ability to translate complex regulatory and technical concepts for diverse audiences
• Strong strategic, analytical, and risk‑assessment skills, particularly in ambiguous or highly regulated scenarios
• Ability to influence across organizational boundaries without direct authority, including clinical, technical, compliance, and vendor partners
• Comfort leading products in environments with evolving regulations and shifting external dependencies
• Proven ability to manage multiple complex initiatives while maintaining focus on measurable outcomes and compliance obligations
• A proactive, ownership‑driven mindset with the ability to operate independently and make sound decisions in high‑impact situations
• Bachelor’s degree in Information Systems, Healthcare Administration, Business, or related field.
• Experience as a Product Manager or similar role within healthcare technology, preferably around system integration
• Excellent communication, collaboration, and analytical skills.
• Knowledge of agile methodologies and product management principles.

Nice To Haves

• Clinical Utilization Management experience including knowledge of authorization workflow
• Bachelor’s degree in computer science, Information Technology, Health Information Systems or a related technical field or equivalent work experience

Responsibilities

• Own and articulate the product vision and multi‑quarter roadmap for medical authorization and interoperability capabilities, aligned to clinical operations, regulatory requirements, and organizational strategy
• Serve as a strategic liaison between clinical stakeholders, compliance partners, technical teams, platform users, and external entities (e.g., payers, clearinghouses, vendors)
• Ensure all solutions support regulatory and contractual requirements (e.g., CMS mandates, HIPAA, interoperability standards, audit readiness) related to medical authorizations
• Define product outcomes and success metrics focused on authorization turnaround time, data accuracy, compliance adherence, and provider experience
• Lead discovery and analysis of complex clinical and administrative workflows to identify opportunities to reduce friction, improve automation, and minimize authorization risk
• Partner closely with Product Owners and Agile teams to translate regulatory and clinical requirements into clear intent, priorities, and delivery tradeoffs
• Influence system design and integration patterns to support standards‑based data exchange (e.g., HL7/FHIR, X12, payer portals) and long‑term interoperability
• Coordinate across clinical, operational, legal, and compliance teams to ensure shared understanding of requirements, dependencies, and implementation readiness
• Collaborate with external vendors and platform partners to align on roadmap commitments, compliance expectations, and integration milestones
• Communicate product status, regulatory risks, and strategic tradeoffs clearly to senior leadership and cross‑functional stakeholders
• Proactively identify, escalate, and drive resolution of compliance gaps, operational risks, and cross‑system dependencies impacting medical authorization outcomes
• Promote consistent, professional collaboration and accountability across internal and external teams operating in high‑pressure, regulated environments

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

What This Job Offers

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