Senior Insurance Product Manager

Humana · via Himalayas ·

Budget / Salary$86,300–118,700
TypeFull-time job
LocationUnited States
Posted1 hour ago
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As Senior Insurance Product Manager, you'll serve as the product owner for an assigned regional Medicare Advantage portfolio, connecting market and portfolio strategy to accurate bid filings, member-facing product content and operational implementation.

You'll lead product execution across the annual Medicare Advantage lifecycle, including CMS bid filings, benefit configuration, service-area updates, crosswalks, plan lists and member materials. You'll work closely with Actuarial, Finance, Network, Compliance, Operations, Marketing and Market Leadership to ensure approved product decisions are accurately reflected across filings, systems, materials and operational processes.

You'll also serve as the primary Product Management contact for assigned markets and portfolios. You'll represent Product Management in Regional Strategy discussions, evaluate product and benefit questions, identify gaps or risks and develop practical recommendations that consider competitive, financial, regulatory, operational and member implications.

This is a highly collaborative individual-contributor role for someone with strong product judgment, deep attention to detail and the ability to independently lead complex work across multiple partners and firm CMS deadlines.Own Regional Medicare Advantage Portfolios

Serve as the primary product owner for assigned regional Medicare Advantage portfolios throughout the product lifecycle

Translate enterprise, segment and market strategies into clear product requirements, deliverables and execution priorities

Maintain an integrated understanding of the portfolio’s benefits, service area, plan structure, market positioning and implementation requirements

Connect product decisions across strategy, bid development, CMS filings, member materials, systems and operational implementation

Identify portfolio gaps, inconsistencies, emerging risks and opportunities and develop practical recommendations for Product Management and market leaders

Evaluate how changes in one area of the portfolio could affect other products, markets, systems, materials or member experiences

Maintain accurate records of product decisions, requirements, owners, dependencies and follow-up actions

Lead Medicare Advantage Bid Filing and Execution

Lead Product Management execution across the annual Medicare Advantage bid cycle for assigned portfolios

Partner with Actuarial, Finance, Compliance, Network, Operations and other functions to translate approved product direction into complete, accurate and compliant CMS submissions

Establish and manage workplans, milestones, dependencies, review points and partner responsibilities for assigned filing activities

Coordinate development and validation of Plan Benefit Package data, service areas, plan characteristics and other applicable filing components

Ensure bid assumptions and product decisions are appropriately documented and consistently reflected across filing deliverables

Monitor progress against CMS and internal deadlines, identify risks early and facilitate timely resolution or escalation

Maintain clear visibility into filing status, outstanding decisions, dependencies and areas requiring leadership attention

Capture lessons learned and apply them to improve future bid-cycle planning and execution

Maintain Filing and Configuration Accuracy

Conduct thorough quality-control reviews of Plan Benefit Package data, service areas, plan characteristics, crosswalks and other filing components before submission

Validate that approved product and benefit decisions are accurately reflected across applicable tools, files and systems

Identify inconsistencies among source documentation, filing data, member materials and downstream implementation requirements

Coordinate resolution of defects, discrepancies and unanswered questions with accountable functional partners

Update and validate county and state expansion information based on approved business decisions

Maintain the National Plan List and applicable crosswalks to support accurate filings, implementation and operational readiness

Apply disciplined version control, documentation and evidence-retention practices to assigned product deliverables

Escalate quality, regulatory or timing risks when resolution requires decisions or authority beyond the role’s scope

Own Product Content and Member Materials

Own the accuracy and completeness of Annual Notice of Change, Evidence of Coverage and Summary of Benefits content for assigned regional portfolios

Translate approved benefits and product decisions into clear, consistent and compliant member-facing content

Coordinate content development and review with Compliance, Marketing, Operations and other applicable partners

Validate alignment among approved benefits, CMS filings, source documentation, member materials and downstream systems

Identify content inconsistencies, ambiguous requirements and potential member impacts and facilitate timely resolution

Maintain clear documentation of content decisions, changes, approvals and outstanding issues

Support quality reviews and readiness activities necessary to deliver member materials accurately and on time

Apply lessons learned from defects, questions and prior cycles to strengthen future content-development practices

Provide Strategic Oversight of Provider Directory Configuration

Provide product oversight of provider directory configuration and maintenance for assigned portfolios

Ensure provider directory requirements remain aligned with approved benefits, network strategy, service areas, CMS requirements and member materials

Partner with Network, Compliance, Operations and other functional teams to clarify requirements and resolve product-related questions

Evaluate the potential member and portfolio impact of directory configuration issues or inconsistencies

Validate that material product or network changes are reflected accurately across applicable directory processes and member communications

Monitor identified issues and ensure appropriate owners, actions and resolution timelines are established

Escalate significant risks when directory information could create compliance, operational or member-experience concerns

Lead Market and Functional Partnerships

Serve as the primary Product Management contact for assigned Market Leadership, Individual Product Actuarial and other portfolio stakeholders

Build trusted relationships by providing accurate information, responsive support and clear visibility into product decisions and deliverables

Represent Product Management in Regional Strategy calls and other market or functional forums

Present concise product recommendations, portfolio updates, risks, decisions and unresolved issues to working teams and leaders

Gather market insights and functional input and translate them into actionable product considerations

Navigate competing market, financial, regulatory, operational and member priorities and facilitate alignment within the role’s authority

Clarify decision ownership and engage the appropriate accountable leaders when final direction is required

Follow through on commitments and maintain clear records of decisions, owners and next steps

Support Portfolio Strategy and Product Decisions

Apply product-lifecycle knowledge to identify gaps and opportunities from strategy through implementation

Evaluate proposed product and benefit changes using competitive, financial, regulatory, operational, network and member considerations

Gather and synthesize data from relevant sources to identify patterns, implications and potential tradeoffs

Develop practical recommendations that explain the issue, supporting evidence, available options, risks and proposed path forward

Help market and Product Management leaders understand the downstream implications of portfolio decisions

Distinguish confirmed facts and requirements from assumptions or areas requiring additional validation

Monitor emerging product, market and regulatory developments and identify potential implications for assigned portfolios

Support continuous refinement of regional product direction within established enterprise and segment strategies

Support Annual Enrollment Period Readiness

Lead Product Management readiness activities for assigned portfolios during the Annual Enrollment Period

Confirm that key product information, reference materials, escalation paths and partner responsibilities are established before the enrollment period begins

Respond to market, sales, operational and member-related product questions with accurate and timely information

Research complex product inquiries and coordinate input from functional subject-matter experts when necessary

Track product issues, questions, decisions and emerging themes through resolution

Identify recurring questions or defects and recommend improvements to materials, processes, training or system configuration

Escalate significant product, compliance or member-experience risks using clear facts and recommended next steps

Capture lessons learned and incorporate them into future product development and readiness activities

Lead Cross-Functional Projects and Continuous Improvement

Lead or support special projects, research assignments, working sessions and presentation development related to Medicare Advantage products

Define objectives, deliverables, timelines, stakeholder responsibilities and measures of success for assigned initiatives

Coordinate cross-functional contributors and maintain momentum against agreed-upon actions and deadlines

Facilitate productive working sessions that clarify issues, surface tradeoffs and move teams toward decisions or resolution

Identify recurring product, filing or implementation issues and evaluate their root causes

Recommend improvements to processes, tools, templates, controls and ways of working

Support implementation of approved improvements and monitor whether changes achieve the intended results

Share lessons learned and effective practices across Product Management and partner teams

What Success Looks Like

Own the portfolio. Maintain a complete and current understanding of assigned products and take accountability for product accuracy from strategy through implementation.

Deliver accurate filings. Complete bid and filing activities accurately, compliantly and on time while minimizing defects, rework and avoidable risk.

Protect the member experience. Ensure product decisions are translated clearly and consistently into member materials, directories, systems and operational processes.

Apply product judgment. Evaluate complex benefit and filing questions, consider cross-functional implications and recommend a clear path forward.

Connect the lifecycle. Understand how strategy, benefit design, filings, configuration, member materials and implementation affect one another.

Build trusted partnerships. Become a reliable product resource for Market Leadership, Individual Product Actuarial and functional partners.

Influence across boundaries. Create alignment and follow-through across partners without relying on formal authority.

Raise risks early. Identify gaps, inconsistencies and at-risk deliverables before they affect CMS submissions, implementation or members.

Communicate clearly. Present concise, audience-appropriate recommendations, decisions, risks and updates to working teams and leaders.

Manage competing priorities. Maintain quality and responsiveness across overlapping bid activities, member-material deliverables, market questions and special projects.

Improve how work gets done. Use quality results, recurring issues and lessons learned to strengthen processes, controls and tools.

Keep the big picture in view. Connect regional product decisions to broader member, market, financial and enterprise objectives.

How You'll Lead
How you achieve results matters as much as what you deliver. You'll model Humana's values by being Caring, Curious and Committed, and you'll put the Humana Way into practice by living the Golden Rule, keeping work simple, playing to win, keeping your eyes on the horizon and playing as one team.

You'll listen before assuming and consider how product decisions affect members, markets and teammates. You'll ask thoughtful questions, remain open to new information and use data without allowing unnecessary complexity to slow decisions.

You'll establish clear outcomes, anticipate downstream impacts and adjust as conditions change. You'll communicate directly, share ownership and build trust by following through on commitments.
Role Expectations

Operate independently within established Medicare Advantage, Product Management, regulatory and enterprise strategies.

Determine the appropriate approach, priorities, work sequence and partner engagement needed to manage assigned portfolio responsibilities.

Apply advanced product knowledge and sound judgment to moderately complex product, filing and implementation issues.

Make decisions within the role’s authority and escalate matters requiring broader financial, strategic, regulatory or leadership direction.

Own complex deliverables and defined processes from planning through completion with minimal instruction.

Coordinate the work of cross-functional contributors while remaining accountable for integrated product delivery.

Influence outcomes through product expertise, credible analysis, clear communication and reliable follow-through.

Maintain a forward-looking view of portfolio needs while remaining accountable for current-cycle deliverables.

Provide product guidance, knowledge sharing and informal coaching to less-experienced associates when appropriate.

Proactively identify opportunities to improve processes, controls, tools and services across multiple product activities.

Manage several portfolios, deliverables or projects with competing timelines, stakeholders and dependencies.

Use advanced digital tools, including Excel, PowerPoint, SharePoint, Teams and applicable product platforms, to analyze information, manage work and communicate effectively.

Adapt quickly as regulatory requirements, product direction, market conditions and business priorities change.

Key Partnerships & Reporting Relationship
You'll report to the Associate Director, Insurance Product Management and serve as the primary Product Management contact for assigned regional portfolios.

You'll work closely with Market Leadership, Individual Product Actuarial, Finance, Network, Compliance, Operations, Marketing, Sales, Implementation and other Product Management and enterprise partners.

You'll lead through portfolio ownership, product expertise and cross-functional influence. This role does not have direct people-management responsibility or independent authority for final financial or broader portfolio-strategy decisions.

The work follows the annual Medicare Advantage and CMS regulatory cycle. Certain periods of the year require additional flexibility, including extended hours and occasional weekend work, to meet critical regulatory and business deadlines.

Use your skills to make an impact

Required Qualifications

Bachelor's degree or equivalent professional experience

5+ years of relevant healthcare, health plan, product management, strategy, operations, implementation or related experience

Experience leading regulated product deliverables, filings or implementations involving multiple functional partners

Demonstrated experience managing complex deliverables with firm deadlines, quality standards and regulatory requirements

Experience evaluating product, benefit or operational issues and developing clear recommendations

Demonstrated ability to independently organize work, establish priorities and manage multiple concurrent responsibilities

Strong analytical and problem-solving skills, including the ability to identify inconsistencies, dependencies, risks and downstream impacts

Strong written and verbal communication skills, with the ability to present recommendations to stakeholders and leaders

Demonstrated ability to influence decisions and drive cross-functional follow-through without formal authority

Advanced proficiency with Excel, PowerPoint and related digital collaboration and product-management tools

Ability to work extended hours and occasional weekends during critical Medicare Advantage and CMS delivery periods

Preferred Qualifications

Medicare Advantage product management, bid, implementation or market experience

Experience with the annual Medicare Advantage bid cycle, Plan Benefit Package, Health Plan Management System and crosswalk requirements

Experience owning or supporting Annual Notice of Change, Evidence of Coverage, Summary of Benefits or other Medicare Advantage member materials

Experience maintaining National Plan List, service-area, state or county expansion information

Experience working directly with Market Leadership, Individual Product Actuarial, provider groups or regional business partners

Knowledge of Medicare Advantage benefit design, product configuration and regulatory requirements

Experience providing product oversight of provider directory configuration or maintenance

Experience supporting Annual Enrollment Period readiness, issue management or product-question resolution

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.Scheduled Weekly Hours
40Pay Range
The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$86,300 - $118,700 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.Description of Benefits
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides 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 and many other opportunities.Application Deadline: 11-13-2026

About us

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.​
Equal Opportunity Employer
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