About this role
# Become a part of our caring community
You’ll lead a team of Insurance Product Managers who provide critical quality, validation, testing and delivery support across our regional Medicare Advantage portfolios. Your team serves as a shared service to the regional Product Management teams, creating consistent standards and disciplined execution across the Medicare Advantage product lifecycle.
You’ll translate priorities into clear workplans, allocate resources across competing needs, monitor quality and delivery, and help your team identify and resolve issues before they affect filings, implementation or the member experience. You’ll partner closely with Senior Product Managers and functional teams to ensure product decisions are accurately reflected across CMS filings, member materials, systems and operational processes.
This is a hands-on people leadership role for someone who can create structure, develop talent, improve processes and build a culture of quality and accountability. Your team’s work helps turn product strategy into accurate, compliant and operationally ready products.
Lead and Develop the Team
- Lead, coach and develop a team of Insurance Product Managers, establishing clear performance expectations, development goals and accountability for results
- Translate portfolio and enterprise priorities into clear team objectives, work assignments and delivery expectations.
- Prioritize and allocate resources across bid development, CMS filings, AEP readiness, implementation, validation and other regulatory deliverables
- Monitor workloads and rebalance assignments as business priorities, deadlines and portfolio needs change
- Provide regular coaching and actionable feedback that strengthens associates’ product knowledge, judgment, quality orientation and ability to work independently
- Foster a collaborative, accountable environment where associates understand how their work connects to regional portfolio and member outcomes
Deliver Consistent Shared-Service Support
- Lead a shared-service model that provides consistent product quality, validation, testing and delivery support across regional Medicare Advantage portfolio teams
- Establish clear workflows, service expectations and handoffs between the shared-services team and Senior Product Managers
- Coordinate team capacity and priorities across multiple regional portfolio needs, balancing planned work with emerging regulatory, implementation and business issues
- Partner with Senior Product Managers to translate product direction and decisions into accurate downstream deliverables and implementation requirements
- Identify recurring needs across portfolios and create standardized approaches, tools and practices where they improve efficiency, consistency or quality
- Provide visibility into shared-service capacity, priorities, delivery status and risks so portfolio teams can plan effectively
Manage Quality, Validation and Product Delivery
- Oversee team delivery across the Medicare Advantage product lifecycle, including validation, testing, filing support, implementation and readiness activities
- Establish and reinforce team-level quality standards for ANOCs, EOCs, SBs, Aprimo, Provider Directories, PBP, HPMS and other applicable product and regulatory deliverables
- Oversee validation and testing activities across applicable product tools and processes, including bid management tools, PBP, NPD, service area and claims implementation reviews
- Ensure appropriate reviews and validations are completed accurately and on time, with issues documented, assigned and tracked through resolution
- Monitor defects, rework and recurring quality issues and use findings to improve team processes and controls
- Escalate significant product, compliance or delivery risks to Product leadership and appropriate partners when resolution extends beyond the team’s authority
Drive Compliance, Controls and Readiness
- Maintain team workflows and controls that support timely and accurate completion of Medicare Advantage regulatory and product requirements
- Drive audit readiness by ensuring required documentation, validations, controls and corrective actions are complete, accurate and current
- Track deliverables against CMS, regulatory and business milestones, identify risks early and develop mitigation plans within the team’s scope
- Partner with Compliance and other functional teams to address findings and ensure corrective actions are implemented
- Reinforce disciplined documentation, version control and evidence retention across team processes
Improve Team Operations
- Use performance, quality and workflow data to identify opportunities to improve accuracy, cycle time, capacity and productivity
- Lead changes that improve team processes, tools and ways of working
- Identify opportunities to standardize or automate repeatable work while maintaining appropriate quality and regulatory controls
- Conduct root-cause analysis on recurring defects or process breakdowns and implement sustainable corrective actions
- Establish practical metrics and operating routines that give the team and leadership visibility into workload, quality, risks and delivery performance
- Share lessons learned and effective practices across the team and regional portfolio partners
What Success Looks Like
- Lead the team well. Set clear expectations, provide regular and useful feedback, address performance issues and create meaningful development opportunities.
- Deliver with quality. Maintain strong standards for product accuracy, validation and regulatory deliverables while minimizing defects and avoidable rework.
- Be a reliable shared-service partner. Provide regional Product Management teams with consistent, responsive support and clear visibility into priorities, capacity and delivery.
- Prioritize effectively. Balance competing portfolio needs, regulatory deadlines and available resources and adjust quickly when priorities change.
- Manage risk proactively. Identify issues early, assess downstream impacts, implement mitigation within the team’s authority and escalate appropriately when broader decisions are required.
- Use sound judgment. Make thoughtful resource, workflow and tactical operating decisions, particularly during periods of compressed timelines.
- Improve how the team works. Use data, quality results and root-cause analysis to simplify work, strengthen controls and improve performance over time.
- Communicate clearly. Provide concise, timely updates on delivery, capacity, risks and issues to Product leaders and cross-functional partners.
- Lead through change. Create clarity and maintain team engagement and execution when priorities, requirements or business conditions shift.
How You’ll Lead
How you achieve results matters as much as what you deliver. You’ll model the Humana Way through transparent decisions, curiosity and continuous learning, clear expectations and accountability, and strong partnership across organizational boundaries. You’ll help associates understand not only what needs to be accomplished, but why it matters, while creating an environment where people can grow, contribute and do their best work.
Role Expectations
- Lead primarily through the work of your team while remaining close enough to the work to provide effective direction, coaching and quality oversight.
- Make resource, workflow, prioritization and tactical operating decisions within the team’s area of responsibility.
- Apply strong product and operational knowledge to moderately complex issues and determine when broader leadership involvement is needed.
- Coordinate effectively with regional portfolio teams and functional partners across multiple departments.
- Balance immediate regulatory and delivery demands with continuous improvement of team processes.
- Use metrics and operational insights to monitor performance and make informed decisions.
- Create clarity and structure for the team during periods of ambiguity or rapidly changing priorities.
Key Partnerships & Reporting Relationship
You’ll report to the Associate Director or Director, Insurance Product Management and lead a team of Insurance Product Managers. You’ll serve as a shared-service partner to Senior Product Managers and regional portfolio teams and work closely with Compliance, Operations, Marketing, Claims and other functional partners.
The work follows the annual Medicare Advantage and CMS regulatory cycle. Certain periods of the year require additional flexibility, including extended hours and occasional weekend work, to meet critical regulatory and business deadlines.
Use your skills to make an impact
Required Qualifications
- Bachelor's Degree or equivalent professional credential/licensure or experience ( 5+ years of relevant healthcare, health plan, product, operations or related experience)
- Demonstrated experience leading people, teams or complex work, including coaching, prioritization and accountability for results
- Experience managing regulated, operational or product deliverables with firm deadlines and quality requirements
- Demonstrated ability to prioritize work and allocate resources across competing deliverables
- Strong communication and problem-solving skills, with the ability to work effectively across functional teams
- Demonstrated ability to use data, quality measures or operational metrics to identify issues and improve performance
- Ability to lead through changing priorities and periods of high-volume, deadline-driven work
Preferred Qualifications
- Medicare Advantage product, implementation or operational experience
- Experience with the Medicare Advantage bid cycle, PBP and HPMS
- Experience supporting ANOC, EOC, SB, Provider Directory or other Medicare Advantage product deliverables
- Experience with product validation, testing, implementation or quality assurance
- Audit, compliance or regulatory-readiness experience
- Experience developing operational metrics, quality controls or performance reporting
- Process improvement experience or training, including Lean or Six Sigma
- Experience leading process standardization, automation or workflow improvements
Work at Home Requirements: 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. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. 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 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 11-13-2026
# 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.
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.