Senior Insurance Product Manager at Humana, Remote Nationwide

Senior Insurance Product Manager at Humana in Remote Nationwide. Full-time. Est. up to $200k. Apply with swipeandhired.

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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

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