Associate Director, Medicaid Insurance Product Management
USD 126k–174k
Job Description
Become a part of our caring community
Humana Medicaid is seeking a results-driven Associate Director to lead benefit package design, regulatory compliance, and market advisory functions within the Medicaid Product Management organization, driving strategic alignment and market-ready solutionsAs Associate Director of Medicaid Product Management, you will lead a team of experienced Insurance product managers responsible for delivering high-quality, compliant, and market-responsive Medicaid and Dual Eligible products. You’ll partner closely with Market leadership to ensure products meet local needs, enhance member experience, and support operational excellence. This role offers the opportunity to shape health plan go-to-market strategy, optimize delivery, and influence enterprise initiatives that improve member experience and operational performance.
Key Responsibilities
- Act as internal advisor to markets, translating state guidance and federal rules into covered services and operational requirements.
- Serve as a liaison between National Product Strategy and Market leadership, translating business goals into actionable innovation and initiatives.
- Oversee design and execution of Medicaid and Dual Eligible benefit packages, ensuring compliance, competitiveness, and member-centricity.
- Own product lifecycle from design, feasibility, implementation to optimization. Monitor and manage the Market’s benefit performance and ensure compliance. .
- Design and execute on benefit audits and perform operational analyses to proactively identify compliance gaps.
- Lead and manage enterprise initiatives driven by legislative changes, provider/vendor changes, policy initiatives, and benefit filings/readiness.
- Use internal operational data and KPIs to evaluate product performance and identify opportunities for improvement.
- Lead and develop a team of Senior Insurance Product Managers, providing coaching, workflow oversight, and performance management.
- Partner with clinical, utilization/care management, actuarial/finance, network, operations, and technology teams; coordinate dependencies across squads in matrixed environments.
Use your skills to make an impact
Required Qualifications
- Bachelor’s degree in healthcare, business administration, public policy, or a related field.
- 3+ years of experience in Medicaid and Dual Eligible product management
- 2+ years management experience
- Strong financial acumen
- Exceptional communication skills, including executive-level presentation and stakeholder engagement.
- Demonstrated success in mentoring and developing high-performing teams.
- Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint).
Preferred Qualifications
- Advanced degree (MPH, MBA, MHA, or similar).
- Experience with clinical operations or health plan configuration.
- Strong financial acumen and experience in benefit innovation.
Additional Information:
Remote Nationwide
Interview Format
As part of our hiring process for this opportunity, we will use an interviewing technology called Hire Vue to enhance our hiring. Hire Vue allows us to quickly connect and gain valuable information from you about your relevant experience at a time that is best for your schedule.
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.