Product Manager-Medicaid & Duals

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

Requirements:

• 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