Group Medicare Insurance Product Manager

Become a part of our caring community The Insurance Product Manager supports a portfolio of Group Medicare (EGWP) product offerings and manages assigned plans from development through CMS approval. This role is responsible for accurate benefit documentation, bid submission support, member communications, and cross-functional coordination to ensure successful implementation and operational excellence. You will report to the Manager, Insurance Product Management, and be a part of Manager, Insurance Product Management team. Key Responsibilities Manage implementation and annual updates for Group Medicare benefit offerings across multiple project milestones Maintain accurate documentation of benefit decisions within systems of record and CMS submissions Review and audit CMS-required Member Annual Communication (MAC) materials and client communications for accuracy and compliance Provide timely portfolio and project status updates to leadership and business partners Support the Request for Proposal (RFP) process by developing competitive and compliant plan designs Collaborate with internal teams and external partners to resolve benefit questions and ensure operational effectiveness Utilize tools such as Microsoft Excel, Outlook, PowerPoint, SharePoint, Teams, and Adobe Compare to manage deliverables and reporting Follow established workflows and quality standards to meet departmental performance expectations Identify opportunities for process improvement and product enhancements Support projects and progressively take on greater ownership and strategic responsibility Strong analytical, organizational, and problem-solving skills Ability to manage multiple priorities in a fast-paced environment Experience interpreting and communicating complex benefit information Strong collaboration and communication skills Proficiency in Microsoft Office applications, especially Excel Required Qualifications 2+ years of insurance operations experience 2+ years of experience working multiple projects with multiple deadlines Utilize Microsoft Excel, Outlook, PowerPoint, SharePoint and Teams, and various databases to manage and implement deliverables Closing process gaps, identification of potential innovation in processes and projects 2 + years of robust auditing experience with documents and reports within multiple applications (e.g., Microsoft Excel, PowerPoint and Teams) Prior experience working collaboratively across multiple teams or departments Will work overtime and weekends Preferred Qualifications Bachelor's degree 2+ years data mining experience within Excel (can maintain complex spreadsheets) Experience with Microsoft Forms and Adobe Compare Knowledge of Medicare plan design Experience with supplemental insurance products Experience with CMS regulations Work-At-Home Requirements Must have the ability to provide a high-speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense. A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required. Satellite and Wireless Internet service is NOT allowed for this role. 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. $71,100 - $97,800 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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. 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 complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our #J-18808-Ljbffr