Description:
The Medicaid Senior Insurance Product Manager plays a critical role in developing and managing Medicaid and Dual Eligible insurance products and services that meet the needs of Humana’s customers while aligning with its business objectives.
Responsibilities
The Medicaid Senior Insurance Product Manager plays a critical role in developing and managing Medicaid and Dual Eligible insurance products and services that meet the needs of Humana’s customers while aligning with its business objectives. Responsibilities include:
- Translate requirements and guidance from federal and state government to define health plan covered service packages and eligible cohorts.
- Communicate covered services and pertinent insurance product information to operational partners, ensuring information is organized, complete and accurate.
- Understand Humana Medicaid and Dually Eligible Customers by researching their needs and pain points and designing consumer centric, easy to use benefits while remaining responsive to both State and Federal requirements and goals.
- Analyze industry trends and the marketplace to ensure Humana benefits remain attractive.
- Evaluate benefit performance to develop data driven insights to inform benefit design.
- Collaborate with market leaders and various operational teams (clinical, population health, network, finance and actuary) to design value added benefit and In lieu of Service packages that delight key customers and support sustainable health plan operations.
- Lead product and benefit filing efforts with the regulatory agencies in a timely and complaint manner ensuring that Humana benefits remain administered and delivered.
- Provide subject matter expertise to investigate and resolve escalated benefit inquiries and complex benefit-related issues.
- Supply benefit related information to support the development of accurate internal and external facing communications.
- Provide written and verbal communication to executive level leadership. Clearly deliver pertinent data to inform effective decision making to advance product strategy. Serve as a mentor and leader to junior level positions on the team and work collaboratively to ensure Humana Medicaid product is operating as intended.
Required Qualifications
Use your skills to make an impact
- Bachelor’s Degree in an appropriate area of knowledge (e.g. health care, business administration etc.)
- Minimum of 3+ years of related work experience with Medicaid and Duals products and services