[Hiring] Medicaid Product and Distribution Leader @Humana

Role Description

Become a part of our caring community and help us put health first. The new COE Product and Distribution Portfolio Principal will be responsible for advancing the integrated Dual Eligible Special Needs Plans (D-SNPs) approach to benefit design across VABs, Mandatory Supplemental Benefits and Covered Services. They will be responsible from design to delivery of fully developed products that are ready for customer use. This individual will work with Medicaid Market Leaders to ensure that benefit design meets each State priorities.

• Lead strategic benefit planning meetings with DSNP Medicaid markets.
• Identify product gaps, recommend product changes, schedule changes, cost adjustments, or resource additions.
• Oversee the implementation of changes to products.
• Represent DSNP during the annual planning and bid cycle strategy.
• Communicate impacts to up and downstream partners including corporate finance, actuarial, member and provider services, as well as growth and strategy teams.
• Subject matter expert for all DSNP Medicaid markets; address questions including regulations, feasibility of new benefit designs, sales questions, and general product inquiries.

Product Innovation/Design:

• Partner with cross-functional teams to define, refine, and launch products that meet DNSP market demands and align with organizational goals.
• Advance technology strategy for integrated D-SNPs for associates, brokers, and members.

Product Management:

• Directly accountable for the end-to-end development of DSNP Medicaid State Plans.
• Lead the strategy and planning of new and existing benefits, creating a plan design that meets the needs of our members.
• Support development of educational materials for integrated D-SNPs to members and brokers.
• Work to optimize distribution education awareness and marketing efforts for the integrated D-SNP product line.
• Implementation and management of launched products and services.

Product Marketing/Strategic Oversight:

• Monitor product performance, identify trends, and recommend strategic enhancements to optimize outcomes.
• Develop member experience and segmentation strategy for Integrated D-SNP members.
• Work to understand the member journey of an Integrated D-SNP member and collaborate with enterprise partners to develop the ideal ‘product’ experience.

Navigating Ambiguity:

• Demonstrate a proactive, problem-solving approach, effectively working in the “gray” to address challenges and drive clarity in complex situations.

Stakeholder Collaboration:

• Act as a key liaison with internal and external stakeholders, ensuring alignment on product goals, timelines, and success metrics.
• Serve as a liaison to Enterprise Growth and MarketPOINT team for the Integrated D-SNP Product line.
• Work to define unique personas and care needs of Integrated D-SNP members to align optimal benefit packages and experiences across the Medicare and Medicaid Product line.

Qualifications

• Bachelor's degree or 6+ years Product/Distribution leadership experience.
• 5+ years of D-SNP and/or Medicaid experience; ideally with direct accountability in the Medicare bid and/or Medicaid/Medicare Product and innovation teams.
• 2-5 years of product design, management, and implementation experience.
• Demonstrated track record of ability to tell the story, influence leaders, and drive improvement activity in a matrixed organization.
• Strong executive presence.
• Comprehensive knowledge of all Microsoft Office applications, including Word, Excel, and PowerPoint.

Requirements

• 2 years Medicare bid process experience preferred.

Benefits

• 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.
• Many other opportunities.

Company Description

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.