Humana

Lead Product Manager, Next Best Action Decision Engine

San Antonio, Texas, United States

Not SpecifiedCompensation
Expert & Leadership (9+ years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, InsuranceIndustries

Requirements

Candidates must possess a Bachelor's degree and over 5 years of experience in product management, marketing technology, or digital transformation. Proven success with AI- or data-driven products, particularly in personalization, recommendation engines, or decisioning platforms, is required. Experience managing horizontal, reusable capabilities used across multiple teams or journeys, especially logic engines, rulesets, or templates, is necessary. Strong technical fluency with MarTech stacks, CDPs, NBA engines, and orchestration tools is essential. Candidates must have experience leading cross-functional teams and collaborating with data science, engineering, and compliance stakeholders, along with a deep understanding of customer journey orchestration, lifecycle marketing, and real-time personalization. Experience with NBA or personalization platforms such as PEGA, Salesforce Interaction Studio, or Adobe Journey Optimizer, and familiarity with healthcare regulations like HIPAA and responsible data usage practices are preferred.

Responsibilities

The Lead Product Manager will own and evolve the Next Best Action (NBA) product vision and roadmap in alignment with enterprise growth, retention, and engagement goals, translating strategy into actionable product capabilities. They will design NBA as a reusable capability embedded in priority journeys, defining logic templates, triggers, eligibility rules, and prioritization models. This role involves executing and delivering through agile product development, leading cross-functional squads, and ensuring NBA capabilities align with enterprise data governance, privacy, and ethical AI standards. The Lead Product Manager will establish test-and-learn frameworks to evaluate NBA effectiveness, define and manage product KPIs, and monitor performance to iterate and maximize relevance and ROI. Additionally, they will influence and educate senior stakeholders to advocate for NBA adoption and integration, serving as a thought leader and internal evangelist for AI-powered decisioning, omnichannel orchestration, and personalization-at-scale.

Skills

Product Management
Next Best Action (NBA)
Decision Engine
AI
Machine Learning
Automation
Personalization
Adobe
Agile Product Development
Data Governance
Privacy
Ethical AI
Marketing Technology (MarTech)
Roadmap Development
Stakeholder Management

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.

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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