Become a part of our caring community and help us put health first

Humana Medicaid is seeking exceptional candidates to join our Medicaid Insurance Products and Benefits Organization to support the strategic direction and growth of the Medicaid and Duals lines of business. This is a unique opportunity for a motivated individual to influence the mission of a leading healthcare company committed to improving the health of the communities it serves.

Humana Medicaid Insurance Products and Benefits team’s purpose is to develop new benefits and wellness programs for members in our Medicaid and Duals health plans. Our goal is to advance personalized solutions that foster whole person care to engage and empower our members in their health journeys. This team supports Medicaid growth opportunities and works across the Company toHu set actionable product strategy and accelerate development of novel solutions through ideation, concept development, and launch. We are a diverse set of highly skilled people with deep Medicaid subject matter expertise who work in an agile, collaborative environment. To achieve our goals, we empower associates to pioneer simplicity, rethink routine and seek talent with the following attributes: Medicaid Insurance Products and Benefits team’s purpose is to develop new benefits and wellness programs for members in our Medicaid and Duals health plans. Our goal is to advance personalized solutions that foster whole person care to engage and empower our members in their health journeys. This team supports Medicaid growth opportunities and works across the Company to set actionable product strategy and accelerate development of novel solutions through ideation, concept development, and launch. We are a diverse set of highly skilled people with deep Medicaid subject matter expertise who work in an agile, collaborative environment. To achieve our goals, we empower associates to pioneer simplicity, rethink routine and seek talent with the following attributes:

• Creative – Adept at research to determine the opportunity and a structured yet flexible approach to problem solving.
• Adaptive - Rapidly learn new knowledge, skills and behaviors in response to changing circumstances.
• Self-sufficient - Ability to navigate complex situations and independently produce high quality deliverables.
• Consultative – Build/sustain relationships and inform the work of others through actionable, objective insights.
• Strategic – Forward thinking capable of providing frameworks to maximize available resources to achieve growth.

The Medicaid Insurance Product Strategy Lead – Benefits is an experienced healthcare strategist that possesses broad Medicaid Managed Care expertise, deep working knowledge of insurance products, and has a proven track record of bringing new benefits to market. The Lead will partner across various multi-disciplinary teams at Humana to design, define, and deliver scalable and sustainable insurance products and benefits to help drive business value and improved health outcomes for vulnerable and underserved populations.

Responsibilities:
Policy, Research, and Competitor Analysis

• Translates requirements and guidance from federal and state government to define health plan covered service packages and eligible cohorts, ensuring Humana benefits remain attractive against industry trends and the marketplace
• Understands Humana Medicaid and Dually Eligible members by researching their needs, preferences, and pain points, and designing consumer centric, easy to use benefits, while remaining responsive to the competitive environment, evolving policy landscape, and federal and state requirements and business objectives
• Successfully applies quantitative and qualitative research and analysis to create prioritized requirements when defining solutions and workflows

Benefit Product Strategy

• Participates in capture planning and proposal development for Medicaid growth opportunities to create a differentiated value proposition for Humana
• Champions a common environment and managed business lifecycle for development of benefits across the Medicaid segment
• Defines success for each phase of the product lifecycle from initial feasibility phase to fully scaled solution through Key Performance Indicators (KPIs) and product success metrics including market adoption, customer satisfaction, and utilization

Benefit Product Development and Innovation

• Serves as the primary product development lead for the Medicaid insurance portfolio of enhanced benefits and In Lieu of Service (ILOS) solutions
• Translates front end ideation, discovery, and concept work into actionable product plans that lead enhanced benefits/ILOS through design, development and launch
• Coordinate cross-functional teams to design and develop benefits across initial phases of the product lifecycle that are ready for customer use.

Culture and Approach

• Champions a startup mindset and adoption of agile and customer centric ways of working across the Medicaid segment to design, develop and deliver differentiated experiences for our customers
• Employs empathy and human centered design thinking to define scalable product solutions by deep knowledge of internal and external customers digital learning and education habits
• Utilizes product management processes and tools such as user research and concept testing, business case development, and product blueprints
• Leverages foundational project management skills such as documented decisions, plans, and timelines, progress reporting, and artifact collection

Required Qualifications

• Bachelor's degree in business, Public Health, or a related field with a strong record of academic achievement
• 4+ years of in health insurance, product design, or healthcare advisory services
• 2+ years of health care experience focused on Medicaid populations
• Deep working knowledge of Medicaid managed care policy, programs, and covered services
• Proven background in benefit product development for vulnerable and underserved populations
• Experience and understanding of healthcare data and analytics, contemporary technologies, and care delivery models
• Excellent verbal and written communication skills
• Quantitative and qualitative analytical skills, with experience identifying trends and actional insights for customer value, business need, and feasibility
• Ability to operate in a faced paced environment under tight deadlines
• Flexible scheduling (i.e. – occasional nights and weekends)

Preferred Qualifications

• MBA programs with a specialization in Healthcare Management
• Master’s Degree in Public Health programs
• Experience supporting Medicaid Business Development
• Experience working with government and state agencies
• Agile Product Development, Project Management, and Process Improvement qualifications (certifications a plus)
• Proven ability to work with remote teams and foster a cohesive and creative work environment

Use your skills to make an impact

Additional Information

• Workstyle: Hybrid Office if you live within commuting distance of our office locations in Tampa, FL or Louisville, KY, or Remote if you live outside of Tampa, FL and Louisville, KY
• Travel: Up to 15%
• Core Work Days & Hours: Monday – Friday; Eastern Standard Time (EST) with flexible scheduling (i.e. – occasional nights and weekends)

WAH Internet Statement

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 required; 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.

SSN Alert Statement

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.

Modern Hire Statement

As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and 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.

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 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.Application Deadline: 05-01-2030

About us

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and 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, Medicaid, families, individuals, military service personnel, and communities at large.

​
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.