[Remote] Product Manager-Medicaid & Duals

Note: The job is a remote job and is open to candidates in USA. Humana Inc. is a leading U.S. healthcare company dedicated to improving health outcomes for its members. As a Product Manager for Medicaid & Duals, you will manage insurance product offerings, lead strategic planning, and collaborate with various teams to enhance member experiences.


Responsibilities

  • Serve as a strategic partner to Medicaid Market teams, supporting growth through tailored benefit insights and services
  • Enhance member and market experiences by delivering impactful, consumer-centric products
  • Lead the product lifecycle for assigned markets—from strategic planning through go-to-market execution
  • Deliver ongoing client support by designing and implementing scalable, operationally sound solutions
  • Educate and empower associates to ensure effective benefit delivery
  • Translate contracts and regulation requirements into actionable product and operational strategies
  • Organizing market research including analyzing industry trends and assessing strengths and weaknesses of competitors
  • Ensure effective and compliant implementation of benefits across internal and external stakeholders
  • Analyze benefit performance and generate data-driven insights to inform product strategy
  • Collaborate cross-functionally with clinical, financial, actuarial, and operational teams to design, administer and deliver benefits and services
  • Lead benefit filing processes with regulatory agencies, ensuring timely and compliant submissions
  • Provide subject matter expertise to resolve complex benefit-related issues and inquiries
  • Support the creation of accurate internal and external communications related to benefits
  • Mentor junior team members and foster a collaborative, high-performance culture

Skills

  • Bachelor's degree
  • 3+ years of experience in Medicaid and Dual Eligible product management
  • Experience interpreting regulatory and contractual guidance
  • Experience in ensuring regulatory and operational compliance in cross functional environments
  • Experience understanding health plan coverage and benefit design
  • Experience conducting competitive analysis and synthesizing market insights
  • Experience with agile delivery and project management
  • Ability to drive process optimization, improve efficiency and deliver measurable outcomes
  • Must have the ability to accommodate EST/CST working hours
  • Strong financial acumen
  • Advanced degree (MPH, MBA, or similar)
  • Experience in clinical operations or medical coding
  • Experience designing benefits for successful RFP responses

Benefits

  • Bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
  • Medical, dental and vision benefits
  • 401(k) retirement savings plan
  • Time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
  • Short-term and long-term disability
  • Life insurance

Company Overview

  • Humana is a health insurance provider for individuals, families, and businesses. It was founded in 1964, and is headquartered in Louisville, Kentucky, USA, with a workforce of 10001+ employees. Its website is http://www.humana.com.

  • Company H1B Sponsorship

  • Humana has a track record of offering H1B sponsorships, with 91 in 2026, 282 in 2025, 246 in 2024, 284 in 2023, 274 in 2022, 212 in 2021, 84 in 2020. Please note that this does not guarantee sponsorship for this specific role.

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