Humana

Insurance Product Manager, Medicare Part D

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 have 2+ years of Medicare, Medicaid, or Pharmacy Benefits experience, 1+ years of experience successfully working projects with multiple deadlines or process improvement initiatives, and demonstration of excellent communication skills, both verbally and in writing. Proficiency in Microsoft Office applications, including Word, Excel, and PowerPoint is required, and prior experience working collaboratively across multiple departments or business units is preferred. A Bachelor’s degree in a related field (Business, Healthcare, etc.) is preferred.

Responsibilities

The Insurance Product Manager 2 will monitor Prescription Drug Plan (PDP) product performance and recommend changes, benefit adjustments or resource additions. They will engage in Part D bid filings, implementing product changes, and member communication. Responsibilities include serving as a Subject Matter Expert (SME) on Part D benefits for multiple projects, providing timely and accurate information and status updates to functional leaders, making decisions regarding work methods, identifying Part D product gaps, recommending product changes, and overseeing the implementation of changes to products. They will also translate information into Member Annual Communications with accuracy and timeliness, and may be responsible for occasional travel to Humana’s offices for training or meetings.

Skills

Medicare
Medicaid
Pharmacy Benefits
Product Management
CMS Regulations
Project Management
Process Improvement
Member Communication
Data Analysis
Time Management
Ambiguity Navigation

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.

Land your dream remote job 3x faster with AI