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

Employment Type

Full time

About Humana

Become a part of our caring community and help us put health first. Humana’s Marketing organization is seeking a Lead Product Manager who specializes in Next Best Action (NBA) Decision Engine to join the team working anywhere in the US. Humana is on a mission to deliver simple, personalized, and empathetic health experiences.

As the Lead Product Manager for the Next Best Action (NBA) Decision Engine on the MarTech Capabilities team, you will shape the future of marketing through the responsible application of AI, machine learning, and automation. This role will focus on NBA as a capability, not just a platform—embedding decisioning logic and personalization rules into key use cases and channels across the member lifecycle utilizing Adobe and custom-built platforms. You will partner across IT, analytics, marketing, legal, and compliance to ensure innovation is both effective and ethical. You’ll also collaborate with the Enterprise AI team to evolve governance frameworks and establish reusable components that accelerate AI adoption across marketing teams.

Key Role Functions

Define Strategy & Vision

  • Own and evolve the NBA product vision and roadmap in alignment with enterprise growth, retention, and engagement goals.
  • Translate strategy into actionable product capabilities, collaborating closely with engineering, data science, and operations teams.

Design Reusable Capabilities

  • Design NBA as a reusable capability embedded in priority journeys—defining logic templates, triggers, eligibility rules, and prioritization models that can scale across lines of business.
  • Collaborate with marketing, clinical, and service design teams to define personalization rules, campaign logic, and success metrics.

Execute & Deliver

  • Lead cross-functional squads through agile product development, prioritizing backlog based on business impact and member needs.
  • Ensure NBA capabilities align with enterprise data governance, privacy, and ethical AI standards.

Test, Learn & Optimize

  • Establish test-and-learn frameworks to evaluate NBA effectiveness and evolve logic based on member behavior and campaign performance.
  • Define and manage product KPIs, monitor performance, and iterate to maximize relevance and ROI of NBA activations.

Evangelize & Influence

  • Influence and educate senior stakeholders across lines of business to advocate for NBA adoption and integration.
  • Serve as a thought leader and internal evangelist for AI-powered decisioning, omnichannel orchestration, and personalization-at-scale.

Use your skills to make an impact

Required Qualifications

  • Bachelor’s degree
  • 5+ years of experience in product management, marketing technology, or digital transformation
  • Proven success with AI- or data-driven products, especially in personalization, recommendation engines, or decisioning platforms
  • Experience managing horizontal, reusable capabilities used across multiple teams or journeys—especially logic engines, rulesets, or templates
  • Strong technical fluency with MarTech stacks, CDPs, NBA engines, and orchestration tools
  • Experience leading cross-functional teams and collaborating with data science, engineering, and compliance stakeholders
  • Deep understanding of customer journey orchestration, lifecycle marketing, and real-time personalization

Preferred Qualifications

  • Experience with NBA or personalization platforms such as PEGA, Salesforce Interaction Studio, Adobe Journey Optimizer, or similar
  • Familiarity with healthcare regulations (e.g., HIPAA) and responsible data usage practices.
  • Experience working in highly regulated industries or with enterprise AI governance frameworks
  • Master’s degree

Additional Information

  • This role is a 100% remote role anywhere in the US and will primarily operate on Eastern Standard Time business hours.
  • 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 5 Mbps.

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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