Associate Director, Medicaid Insurance Product Management

Humana is a leading U.S. healthcare company, and they are seeking an Associate Director to lead benefit package design and regulatory compliance within the Medicaid Product Management organization. The role involves overseeing a team responsible for delivering compliant Medicaid products and partnering with market leadership to enhance member experience and operational performance.

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

Requirements:

• 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)
• Advanced degree (MPH, MBA, MHA, or similar)
• Experience with clinical operations or health plan configuration
• Strong financial acumen and experience in benefit innovation