[Remote] Product Manager-Medicaid & Duals
Auto ImportNote: The job is a remote job and is open to candidates in USA. Humana Inc. is a leading U.S. healthcare company dedicated to improving health outcomes for its members. As a Product Manager for Medicaid & Duals, you will manage insurance product offerings, lead strategic planning, and collaborate with various teams to enhance member experiences.
Responsibilities
- Serve as a strategic partner to Medicaid Market teams, supporting growth through tailored benefit insights and services
- Enhance member and market experiences by delivering impactful, consumer-centric products
- Lead the product lifecycle for assigned markets—from strategic planning through go-to-market execution
- Deliver ongoing client support by designing and implementing scalable, operationally sound solutions
- Educate and empower associates to ensure effective benefit delivery
- Translate contracts and regulation requirements into actionable product and operational strategies
- Organizing market research including analyzing industry trends and assessing strengths and weaknesses of competitors
- Ensure effective and compliant implementation of benefits across internal and external stakeholders
- Analyze benefit performance and generate data-driven insights to inform product strategy
- Collaborate cross-functionally with clinical, financial, actuarial, and operational teams to design, administer and deliver benefits and services
- Lead benefit filing processes with regulatory agencies, ensuring timely and compliant submissions
- Provide subject matter expertise to resolve complex benefit-related issues and inquiries
- Support the creation of accurate internal and external communications related to benefits
- Mentor junior team members and foster a collaborative, high-performance culture
Skills
- Bachelor's degree
- 3+ years of experience in Medicaid and Dual Eligible product management
- Experience interpreting regulatory and contractual guidance
- Experience in ensuring regulatory and operational compliance in cross functional environments
- Experience understanding health plan coverage and benefit design
- Experience conducting competitive analysis and synthesizing market insights
- Experience with agile delivery and project management
- Ability to drive process optimization, improve efficiency and deliver measurable outcomes
- Must have the ability to accommodate EST/CST working hours
- Strong financial acumen
- Advanced degree (MPH, MBA, or similar)
- Experience in clinical operations or medical coding
- Experience designing benefits for successful RFP responses
Benefits
- Bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
- Medical, dental and 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
Company Overview
Company H1B Sponsorship