Medicaid Senior Product Manager

The Medicaid Senior Product Manager leads all phases of the Clinical Operations Intake process and product lifecycle – from inception to delivery – by designing, managing and continuously improving the intake and evaluation framework that governs Medicaid clinical operations initiatives.

This role partners closely across clinical, product, operations, technology, compliance, portfolio and strategy teams to ensure the clinical operations intake process efficiently channels ideas and initiatives into actionable, value-driven work.

Key responsibilities include:

• Own and evolve the Medicaid intake framework to ensure it is a robust, transparent, and data-informed process that drives consistent, strategic decision-making across the enterprise.
• Define and manage decision criteria to evaluate requests based on business value, compliance impact, technical feasibility, and alignment with organizational goals.
• Facilitate governance prioritization forums, guiding senior leadership through evidence-based evaluation of competing initiatives to ensure Medicaid portfolio optimization.
• Establish performance metrics (backlog health, cycle time, customer satisfaction) to identify bottlenecks, forecast demand and implement continuous improvement strategies.
• Translate approved requests into actionable portfolio items, providing clear scope, context and alignment for delivery teams.
• Serve as a strategic advisor to clinical leadership, using data insights and stakeholder feedback to shape portfolio priorities and resource allocation.
• Champion transparency and communication, ensuring intake status, prioritization outcomes, and decision rationale are visible across stakeholder groups.
• Influence long-term Medicaid product strategy, ensuring intake trends and performance insights inform investment decisions and process innovation.

The Medicaid Senior Product Manager exercises significant autonomy in defining objectives and frameworks and providing expert consultation to leaders across business, clinical and technology domains. Work is performed under minimal supervision and is accountable for outcomes that impact enterprise priorities.

REQUIRED QUALIFICATIONS

• Bachelor's degree or 4+ years of relevant work experience
• 4+ years of experience in product management, operations, or process improvement – Preferably in Medicaid or healthcare delivery.
• Proven experience designing and leading intake or portfolio management frameworks in complex, regulated organizations.

PREFERRED QUALIFICATIONS

• Expertise in governance, prioritization, and enterprise portfolio management.
• Skilled in intake and product management tools (Jira Align, SmartSheet, Sharepoint).
• Demonstrated success driving cross-functional collaboration, stakeholder alignment, and measurable process outcomes.
• Strong analytical and communication skills with the ability to influence executive decision-making and translate complex data into strategic recommendations.

Additional Information

• Schedule: Monday through Friday, 8:00 AM – 5:00 PM with flexibility to work overtime as needed.
• Work Location: US, Nationwide
• Work Style: Remote

Work-at-Home (WAH) Internet Statement

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.
• 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 Home or Hybrid Home/Office 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.

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.

$104,000 - $143,000 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:

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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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.