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Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Medicare Advantage product management, including bid cycle execution, regulatory compliance, and cross-functional collaboration. Strong analytical skills and the ability to influence decisions while managing complex deliverables and operational processes are essential.
Highest-signal resume keywords
Medicare Advantage Product ManagementRegulatory ComplianceCross-Functional CollaborationAnalytical SkillsProduct Deliverables Management
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Product ManagementHealthcare OperationsRegulated Product DeliverablesQuality ControlProduct EvaluationBid Cycle ExecutionBenefit DesignOperational Issue ResolutionData AnalysisProject Management
Soft Skills
Strong Communication SkillsProblem-Solving SkillsOrganizational SkillsInfluencing SkillsCoaching Skills
Tools & Technologies
ExcelPowerPointHealth Plan Management SystemDigital Collaboration ToolsProduct-Management Tools
Industry Keywords
Medicare AdvantageAnnual Enrollment PeriodPlan Benefit PackageNational Plan ListProvider Directory ConfigurationMember MaterialsCMS Regulatory CyclePHI/HIPAA Compliance
About the role
Key responsibilities & impact- Serve as product owner for assigned regional Medicare Advantage portfolios throughout the product lifecycle
- Translate enterprise, segment and market strategies into product requirements, deliverables and execution priorities
- Lead Product Management execution across the annual Medicare Advantage bid cycle
- Coordinate CMS bid filings, Plan Benefit Package data, service areas, plan characteristics, crosswalks and National Plan List updates
- Establish workplans, milestones, dependencies, review points and partner responsibilities
- Conduct quality-control reviews and ensure approved product and benefit decisions are accurately reflected across filings, systems, member materials and operational processes
- Own accuracy and completeness of Annual Notice of Change, Evidence of Coverage and Summary of Benefits content
- Provide product oversight of provider directory configuration and maintenance
- Serve as primary Product Management contact for assigned markets and portfolios
- Represent Product Management in Regional Strategy discussions and present recommendations, portfolio updates, risks and unresolved issues
- Evaluate product and benefit questions, gaps, risks, opportunities and downstream impacts
- Lead Annual Enrollment Period readiness activities and resolve product questions and issues
- Lead or support cross-functional projects, research assignments, working sessions and continuous-improvement initiatives
- Maintain records of product decisions, requirements, owners, dependencies, approvals and follow-up actions
- Report to the Associate Director, Insurance Product Management
- Coordinate cross-functional contributors without direct people-management responsibility
- Provide guidance, knowledge sharing and informal coaching to less-experienced associates
- Work according to the annual Medicare Advantage and CMS regulatory cycle, including occasional extended hours and weekend work
Requirements
What you’ll need- Bachelor's degree or equivalent professional experience
- 5+ years of relevant healthcare, health plan, product management, strategy, operations, implementation or related experience
- Experience leading regulated product deliverables, filings or implementations involving multiple functional partners
- Demonstrated experience managing complex deliverables with firm deadlines, quality standards and regulatory requirements
- Experience evaluating product, benefit or operational issues and developing clear recommendations
- Ability to independently organize work, establish priorities and manage multiple concurrent responsibilities
- Strong analytical and problem-solving skills, including identifying inconsistencies, dependencies, risks and downstream impacts
- Strong written and verbal communication skills
- Ability to present recommendations to stakeholders and leaders
- Ability to influence decisions and drive cross-functional follow-through without formal authority
- Advanced proficiency with Excel, PowerPoint and related digital collaboration and product-management tools
- Ability to work extended hours and occasional weekends during critical Medicare Advantage and CMS delivery periods
- Self-provided home internet with at least 25 Mbps download and 10 Mbps upload
- Dedicated workspace without ongoing interruptions to protect member PHI/HIPAA information
- Preferred: Medicare Advantage product management, bid, implementation or market experience
- Preferred: Experience with the annual Medicare Advantage bid cycle, Plan Benefit Package, Health Plan Management System and crosswalk requirements
- Preferred: Experience with Annual Notice of Change, Evidence of Coverage, Summary of Benefits or other Medicare Advantage member materials
- Preferred: Experience maintaining National Plan List, service-area, state or county expansion information
- Preferred: Experience working with Market Leadership, Individual Product Actuarial, provider groups or regional business partners
- Preferred: Knowledge of Medicare Advantage benefit design, product configuration and regulatory requirements
- Preferred: Experience with provider directory configuration or maintenance
- Preferred: Experience supporting Annual Enrollment Period readiness, issue management or product-question resolution
Benefits
Comp & perks- Bonus incentive plan based on company and/or individual performance
- Medical benefits
- Dental benefits
- Vision benefits
- 401(k) retirement savings plan
- Paid time off
- Company holidays
- Personal holidays
- Paid parental leave
- Paid caregiver leave
- Short-term disability
- Long-term disability
- Life insurance
- Dedicated home workspace support for protecting member PHI/HIPAA information
- Remote work arrangement with occasional travel to Humana offices for training or meetings