Humana Inc. is committed to putting health first and is seeking a Senior Product Manager to conceive, develop, deliver, and manage products for customer use. The role involves leading product life cycle phases, ensuring products meet customer needs, and collaborating with cross-functional teams to improve claims processing systems.
Responsibilities:
- Lead large-scale product efforts focused on improving claims processing and related systems, ensuring these efforts support Humana’s strategic goals
- Serve as Epic Owner as needed, orchestrating cross-functional teams (including business, IT, and operational partners) through the full delivery lifecycle. This includes discovery, requirements definition, prioritization, solution design, delivery, and measurable value realization, especially when navigating complex, high-volume claims environments
- Partner closely with architecture, operations, compliance, and data teams to identify dependencies, mitigate risks, and ensure robust integration and data flows, anticipating downstream and upstream impacts
- Drive and facilitate multi-disciplinary stakeholder collaboration to define, prioritize, and deliver on Epics and high-value product features. This includes leading solutioning sessions and balancing competing priorities across Medicare, Medicaid lines of business
- Serve as a key decision-maker and thought leader in agile portfolio events, including PI planning, backlog refinement, and cross-portfolio prioritization, ensuring optimal sequencing and resourcing for complex claims and adjudication projects
- Maintain rigorous compliance with all Humana processes, including Lean Portfolio Management and the SAFe framework, with special attention to privacy, security, and regulatory requirements in claims processing
- Act as an escalation point for critical delivery blockers or integration issues, partnering with IT and business leaders to drive rapid resolution
- Support change management and communication strategies, including engagement with provider networks and external partners impacted by changes in claims adjudication systems
Requirements:
- Minimum 5 years of senior product and/or project management experience within large, matrixed organizations
- Minimum 5 years of experience working with large-scale claims platforms, specifically working with Medicare/Medicaid claims
- Advanced expertise in agile methodologies, including SAFe, with a demonstrated ability to operate effectively at both strategic (portfolio/epic) and tactical (feature/story) levels
- Strong working knowledge of enterprise agile planning tools such as Jira Align, with the ability to manage and report on multi-initiative portfolios
- Proven leadership in cross-functional environments, with outstanding communication, stakeholder engagement, and negotiation skills, including executive-level presentation experience
- Demonstrated ability to navigate and resolve complex dependencies, integration challenges, and regulatory requirements in a high-stakes delivery environment
- Experience supporting change management and provider communications for large-scale operational and technology transitions
- Undergraduate degree
- Healthcare or managed care experience
- SAFe Agile certification