Job Specifications
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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. Use your skills to make an impact 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
About the Company
Humana will never ask, nor require a candidate to provide money for work equipment and network access during the application process. If you become aware of any instances where you as a candidate are asked to provide information and do not believe it is a legitimate request from Humana or affiliate, please contact yourcareer@humana.com to validate the request At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. ...
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