We are seeking a Senior Product Owner – Clinical Referral and Specialty Care to lead strategy and execution for our referral management, payer prior authorization, and specialist network solutions. This role is critical to shaping how our patients and care teams experience internal and external specialty care.
The ideal candidate combines strong business acumen, deep customer empathy, and a proven ability to create measurable value in highly matrixed healthcare settings. You will serve as the voice of the customer, working across clinical, operational, and technical teams to translate needs into scalable product solutions that strengthen our specialty referral pathways and network performance.
Key Responsibilities
Product Ownership: Own the strategy, roadmap, and delivery of external specialist referral management solutions, including specialist network optimization, authorization processes, and workflow enablement.
EMR Integration: Partner closely with vendors to ensure interoperability and a seamless end-user experience.
Customer & Clinical Voice: Lead structured Voice of Customer (VoC) activities, synthesizing input from patients, providers, referral coordinators, payers, and specialty partners to prioritize features that drive value.
Value Creation: Translate customer insights and business needs into requirements, ensuring measurable improvements in efficiency, patient experience, and clinical outcomes.
Stakeholder Alignment: Operate in a highly matrixed environment, aligning product initiatives across business, IT, clinical operations, payers, and external vendors.
Measurement & Reporting: Define and track KPIs related to referral throughput, network utilization, and prior authorization efficiency; use data to drive continuous improvement.
Change Leadership: Partner with change management and training teams to drive adoption and optimize workflows across hundreds of care sites.
Qualifications
Bachelor’s degree
Certified Scrum Product Owner, SAFe PO/PM.
Experience working in physician practice setting.
A minimum of five years of product management or healthcare technology experience, with significant responsibility for clinical or operational solutions.
Strong knowledge of primary care, specialist networks, and prior authorization processes.
Experience working with leading EMR vendor.
Experience with interoperability standards (HL7, FHIR, APIs).
Demonstrated success leading products in complex, matrixed organizations with multiple stakeholder groups.
Expertise in Voice of Customer methodologies and translating insights into tangible value.
Proven track record of delivering measurable improvements in healthcare operations, access, or patient experience.
Exceptional communication and collaboration skills; comfortable interfacing with executives, clinicians, payers, and technical teams.
Preferred
Advanced Degree
Additional Information
Remote role
Must work central or eastern hours; 8-5 Monday-Friday
Travel – Intermittent, up to 20%
Work at Home
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.
Scheduled Weekly Hours
40Pay 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.
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: 12-19-2025
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.