Manager, Insurance Product Management

This is a fully remote position, open to applicants in United States.

📋 Description

• Lead, mentor, and develop a team of Insurance Product Managers.

• Convert portfolio and enterprise priorities into actionable team objectives, work assignments, and delivery expectations.

• Prioritize and distribute resources across various tasks including bid development, CMS filings, AEP readiness, implementation, validation, and regulatory deliverables.

• Monitor workloads and adjust assignments in response to changing priorities, deadlines, and portfolio needs.

• Offer coaching and constructive feedback to enhance product knowledge, judgment, and quality.

• Drive a shared-service model that provides product quality, validation, testing, and delivery support across regional Medicare Advantage portfolios.

• Establish workflows, service expectations, and handoffs between the shared-services team and Senior Product Managers.

• Coordinate capacity and priorities to meet the needs of multiple regional portfolios.

• Translate product direction into actionable deliverables and implementation requirements.

• Standardize methodologies, tools, and practices across portfolios.

• Provide insights into capacity, priorities, delivery status, and risks.

• Oversee validation, testing, filing support, implementation, and readiness activities throughout the Medicare Advantage product lifecycle.

• Set quality standards for ANOCs, EOCs, SBs, Aprimo, Provider Directories, PBP, HPMS, and other deliverables.

• Ensure that reviews and validations are completed accurately and timely, with issues monitored until resolution.

• Track defects, rework, and recurring quality issues while enhancing processes and controls.

• Escalate significant product, compliance, or delivery risks as necessary.

• Maintain workflows and controls that support Medicare Advantage regulatory and product requirements.

• Ensure audit readiness by confirming that documentation, validations, controls, and corrective actions are thorough and completed.

• Track deliverables against CMS, regulatory, and business milestones while developing mitigation plans.

• Collaborate with Compliance and functional teams regarding findings and corrective actions.

• Reinforce documentation practices, version control, and retention of evidence.

• Utilize performance, quality, and workflow data to enhance accuracy, cycle time, capacity, and productivity.

• Lead improvements in processes, tools, and workflows, including standardization and automation efforts.

• Conduct root-cause analyses and implement sustainable corrective actions.

• Establish metrics and operating routines to monitor workload, quality, risks, and delivery performance.

• Report to the Associate Director or Director of Insurance Product Management while collaborating with Senior Product Managers, regional portfolio teams, Compliance, Operations, Marketing, and Claims.

⛳️ Requirements

• Bachelor's Degree or an equivalent professional credential/licensure or experience (5+ years in relevant healthcare, health plan, product, operations, or related experience).

• Proven experience in leading people, teams, or complex projects, including coaching, prioritizing, and being accountable for results.

• Experience in managing regulated operational or product deliverables with strict deadlines and quality requirements.

• Demonstrated ability to prioritize tasks and allocate resources among competing deliverables.

• Excellent communication and problem-solving skills, with the capacity to work effectively across functional teams.

• Proven ability to utilize data, quality measures, or operational metrics to identify issues and enhance performance.

• Capacity to lead through changing priorities and periods of high-volume, deadline-driven work.

• Minimum home internet speed of 25 Mbps download and 10 Mbps upload.

• Ability to work from a designated space free from ongoing interruptions to safeguard member PHI / HIPAA information.

• Preferred: Experience with Medicare Advantage products, implementation, or operations.

• Preferred: Familiarity with the Medicare Advantage bid cycle, PBP, and HPMS.

• Preferred: Experience in supporting ANOC, EOC, SB, Provider Directory, or other Medicare Advantage product deliverables.

• Preferred: Experience in product validation, testing, implementation, or quality assurance.

• Preferred: Experience in audit, compliance, or regulatory readiness.

• Preferred: Experience in developing operational metrics, quality controls, or performance reporting.

• Preferred: Background in process improvement or training, including Lean or Six Sigma methodologies.

• Preferred: Experience in leading process standardization, automation, or workflow enhancements.

🏝️ Benefits

• Bonus incentive plan based on company and/or individual performance.

• Medical benefits.

• Dental benefits.

• Vision benefits.

• 401(k) retirement savings plan.

• Paid time off.

• Company holidays.

• Personal holidays.

• Paid parental leave.

• Paid caregiver leave.

• Short-term disability.

• Long-term disability.

• Life insurance.

• Dedicated home workspace arrangement.

• Remote work arrangement.

• Occasional travel to Humana offices for training or meetings.