Insurance Product Manager

Become a part of our caring community and help us put health first
 This is a remote, Work-At-Home position with minimal travel - up to 10% annually.
We are seeking a dynamic healthcare professional to work with stakeholders across the organization to impact and influence insurance plan design for our members. The Insurance Product Manager is responsible for a portfolio of Medicare Advantage product offerings within an aligned market and/or consumer segment and will have ownership of assigned plans from inception to CMS plan approval. Work assignments are cyclical throughout the year following CMS deadlines and at times will require weekend and overtime hours.

The Insurance Product Manager is accountable for the accurate and appropriate documentation of benefit decisions into systems of record, bid filing submissions and member communications. They may be responsible for identifying product gaps, recommending product changes, and overseeing the implementation of changes to products. Decisions are based on an understanding of department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Responsibilities include the following:

• Provide timely and accurate information and status updates to functional leaders.
• Make decisions regarding your own work methods, occasionally in ambiguous situations, requesting guidance where needed.
• Take on SME (Subject Matter Expert) roles for different processes or projects.
• Translate information into Member Annual Communications with accuracy and timeliness.
• Conduct competitor research when planning for future bids and updates

Success in this position requires the following key attributes:

• Ability to self-direct, take initiative and meet deadlines
• Strong time-management and prioritization skills
• Strong attention to detail
• Ability to work Independently, remaining adaptable and flexible
• Computer proficiency with ability to learn new programs and platforms

Use your skills to make an impact
 

Required Qualifications:

• Bachelor’s degree
• 3+ years of experience in healthcare administration
• Experience working with Medicare and/or Medicaid product offerings
• Experience successfully delivering small and medium projects on time
• Auditing experience or experience reviewing output reports for accuracy within various applications (e.g., Word, Excel, PPT)
• Prior experience working collaboratively across multiple business units
• Must be able to work overtime and weekends as needed
• Proficiency using Microsoft Office applications: Excel, PowerPoint and SharePoint

Preferred Qualifications

• Familiarity with plan design and CMS (Center for Medicare Services) rules
• Familiarity with Humana's operating systems

Additional Information

To ensure remote employees’ ability to work effectively, the self-provided internet service must meet the following criteria:

• At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested.
• Satellite, cellular and microwave connection can be used only if approved by leadership.
• Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
• Humana will provide remote employees with telephone equipment appropriate to meet the business requirements for their position/job.
• Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.

Interview Format 

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay 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.

$71,100 - $97,800 per year

This 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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline: 04-10-2025
About us
 Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and 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, Medicaid, families, individuals, military service personnel, and communities at large.

Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or veteran status. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.