Humana

Insurance Product Management Professional

San Antonio, Texas, United States

Humana Logo
Not SpecifiedCompensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
Health Insurance, HealthcareIndustries

Requirements

Candidates should possess 2+ years of insurance operations experience, 2+ years of experience successfully managing multiple projects with multiple deadlines, and 2+ years of experience using Microsoft Office applications such as Excel, PowerPoint, and Teams. Prior experience identifying opportunities for improvement or innovation in processes and projects, and auditing experience or reviewing documents for accuracy within various applications are also required. Must be able to work overtime and weekends as needed, and have experience working collaboratively across multiple business units or departments.

Responsibilities

As an Insurance Product Manager 2, the professional will be responsible for a portfolio of product offerings within an aligned market or consumer segment, owning assigned plans from inception to CMS approval. This includes accountability for accurate and appropriate documentation of benefit decisions, bid filing submissions, and member communications. Responsibilities encompass providing timely and accurate information, making decisions regarding work methods, recommending product changes, translating information into Member Annual Communications, and overseeing the implementation of changes to products. The role also involves identifying product gaps, navigating ambiguity, embracing change, and working independently and collaboratively.

Skills

Product Management
Healthcare Industry Knowledge
CMS Regulations
Bid Filing
Member Communications
Documentation
Communication Skills
Time Management
Prioritization
Ambiguity Navigation
Change Management
Independent and Collaborative Work
Computer Proficiency

Humana

Health insurance provider for seniors and military

About Humana

Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.

Key Metrics

Louisville, KentuckyHeadquarters
1961Year Founded
IPOCompany Stage
Social Impact, HealthcareIndustries
10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.
Rising medical costs and tightening Medicare reimbursements may strain financial performance.
Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.
The company emphasizes inclusivity, offering free language interpreter services for accessibility.
Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.
The company is the first insurer to cover TMS therapy for adolescent depression.
Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

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