Group Medicare Insurance Product Manager

Become a part of our caring community
 

The Insurance Product Manager is responsible for a portfolio of product offerings within the Group Medicare (EGWP) segment and will have ownership of assigned plans from inception to CMS approval.
This professional has accountability for the accurate and appropriate documentation of benefit decisions into systems of record, bid filing submissions and member communications. Decisions are based on an understanding of department, segment, and organizational strategy and operating objectives, including their linkages to related areas. You will report to the Manager of Group Product Design.

The Insurance Product Manager is responsible for a portfolio of product offerings within the Group Medicare (EGWP) segment and will have ownership of assigned plans from inception to CMS approval.

This professional has accountability for the accurate and appropriate documentation of benefit decisions into systems of record, bid filing submissions and member communications. 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:

• Oversee the implementation of client benefit offerings, managing annual plan changes and documentation across approximately 40 milestones.
• Perform comprehensive audits tied to all CMS required Member Annual Communication (MAC) Materials, Humana, and client specific materials
• Deliver daily accurate portfolio status updates to functional leaders within shared tracking systems
• Adhere to established process flows to consistently achieve departmental performance metrics
• Participate in the Request for Procurement (RFP) process, creating plan designs for potential clients that match/exceed their current plan design, navigating competitor documents and resolving ambiguous benefit questions
• Working daily and extensively with Microsoft Excel, Forms, Outlook, Power Point, SharePoint, Teams, Adobe Compare and various databases to manage and execute on deliverables
• Develop and maintain business partner collaboration, which fosters a strong daily partnership and facilitates operational effectiveness
• Progressively assume increased thought‑leadership responsibility within the first 1–2 years by identifying product gaps and effectively translating complex benefit information into strategic benefit upgrades
• Support task-oriented project work while developing an understanding of key concepts and strategy, with the expectation of progressively leading projects as part of individual, team, and departmental growth

Success in this position requires the following:

• Meeting/Exceeding defined departmental metrics to include cycle time, quality and benefit accuracy
• Daily Demonstration of Experience communicating complex technical concepts to a variety of audiences in a matrixed organization. i.e. knowing what to communicate, when, to whom, etc.
• Demonstrate the ability to navigate and resolves complex situations, by making sound decisions and clearly explaining the logic behind those decisions
• Strong time-management Experience managing multiple simultaneous projects
• Demonstrates a desire to grow, progressing from building product knowledge to identifying opportunities for product enhancements
• And embrace change
• And collaboratively, knowing when to pivot accordingly
• Digital and technical proficiency Willingness to participate in professional development activities to stay current on industry knowledge
• Work assignments are cyclical, in accordance with CMS deadlines and at times throughout the year will require weekend and extended hours

Use your skills to make an impact
 

Required Qualifications:

• 2+ years of insurance operations experience
• 2+ years of experience working multiple projects with multiple deadlines
• Utilize Microsoft Excel, Outlook, PowerPoint, SharePoint and Teams, and various databases to manage and implement deliverables
• Closing process gaps, identification of potential innovation in processes and projects
• 2 + years of robust auditing experience with documents and reports within multiple applications (e.g., Microsoft Excel, PowerPoint and Teams)
• Prior experience working collaboratively across multiple teams or departments
• Will work overtime and weekends

Preferred Qualifications

• Bachelor's degree
• 2+ years data mining experience within Excel (can maintain complex spreadsheets)
• Experience with Microsoft Forms and Adobe Compare
• Knowledge of Medicare plan design
• Experience with supplemental insurance products
• Experience with CMS regulations

Additional Information

Interview Format

As part of our hiring process, we will use an exciting interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions through your phone. You should anticipate this interview to take approximately 10-15 minutes.

Work-At-Home Requirements:

• WAH requirements: Must have the ability to provide a high-speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.
• A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.
• Satellite and Wireless Internet service is NOT allowed for this role.
• 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.

 

$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: 05-07-2026

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.

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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.