The Lead Insurance Product Manager is responsible for the end-to-end development, implementation, and oversight of Integrated Dual Eligible Special Needs Plans (D-SNPs). This role partners across Medicare and Medicaid markets to design integrated products, ensure regulatory compliance, support CMS bid submissions, and deliver a seamless member experience.
The ideal candidate possesses deep knowledge of Medicare Advantage and/or Medicaid, D-SNP product development, benefit design, CMS regulations, and member-facing communications. This role serves as a key liaison across cross-functional teams to drive product strategy, manage complex initiatives, resolve issues, mitigate risks, and ensure successful implementation of integrated health plan offerings.
Key Role Functions
Lead the design, development, and implementation of Integrated D-SNP products across multiple markets
Partner with Medicare and Medicaid leaders to align benefits, identify product opportunities, and ensure regulatory compliance
Support CMS bid development, plan configuration, and submission activities
Oversee the accuracy and compliance of member-facing materials, including ANOCs, EOCs, Summary of Benefits, and other required communications
Collaborate with compliance, actuarial, operations, provider network, communications, technology, and market teams to support product delivery and operational readiness
Identify, assess, and mitigate risks that may impact product implementation, regulatory compliance, or member experience
Serve as a subject matter expert for integrated products, benefit design, and Medicare/Medicaid requirements
Drive issue resolution and facilitate alignment across stakeholders to ensure timely delivery of key milestones and business objectives
Required Qualifications
Bachelor’s Degree or a combination of education and related work experience
3+ years of experience in Medicare Advantage product development, product management, benefit design, bid development, or related healthcare product functions
Demonstrated knowledge of CMS regulations and Medicare Advantage requirements
Experience supporting CMS bid development, benefit configuration, or plan submission activities
Experience reviewing and validating member-facing materials and benefit communications
Proven ability to collaborate effectively across multiple business functions and leadership levels
Strong analytical, organizational, problem-solving, and communication skills
Preferred Qualifications
3+ years of experience supporting D-SNP, Medicaid, or integrated healthcare products
Experience leading Integrated D-SNP product strategy and development
Experience working directly with CMS bid submissions and regulatory filing processes
Knowledge of state Medicaid regulations and integrated care models
Experience supporting ANOC, EOC, Summary of Benefits, enrollment materials, and provider directory development
Lean Six Sigma Green Belt, Lean Six Sigma Black Belt, Certified Process Professional, Project Management Professional (PMP)
Advanced proficiency in Microsoft Office applications including Excel, PowerPoint, Word, and SharePoint
Medicaid program operations
Additional Information
This role is 100% remote anywhere in the US and will primarily operate on EST business hours.
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 recommended; 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
Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security—both today and in the future, including:
Health benefits effective day 1
Paid time off, holidays, volunteer time and jury duty pay
Recognition pay
401(k) retirement savings plan with employer match
Tuition assistance
Scholarships for eligible dependents
Parental and caregiver leave
Employee charity matching program
Network Resource Groups (NRGs)
Career development opportunities
Our Hiring Process
As part of our hiring process for this opportunity, we may contact you via text message and email to gather more information using a software platform called HireVue. HireVue Text, Scheduling and Video technologies allow you to interact with us at the time and location most convenient for you.
If you are selected to move forward from your application prescreen, you may receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging and/or Video interview. Your recorded interview will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews.
If you have additional questions regarding this role posting and are an Internal Candidate, please send them to the Ask A Recruiter persona by visiting go/Buzz and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.
Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.
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.$115,200 - $158,400 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.Application Deadline: 06-17-2026
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.
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. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms –when and where they need it. Our employees are at the heart of making this happen and that’s why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first.
