Director, Product Management

** Become a part of our caring community and help us put health first*
* The Director, Product Management Leads all phases of the product life cycle for the Medicare and Medicaid claims payment integrity value stream, from inception to introduction into the marketplace, by developing products to meet specific customer needs and achieve specific cost and success outcomes. Once products are launched, monitors efficacy of products and uses customer and business partner feedback to ensure products are meeting customer needs across each customer segmentation, adjusting products over time to continue to achieve the desired outcomes.

Decisions are typically related to the implementation of new/updated programs or large-scale projects for the function and supporting technical/operational procedures and processes, and implements strategic plans, drives goals and objectives, and improves performance. Provides input into claims adjudication strategy. Leads a team of Product Managers and Product Owners aligned to the claims payment integrity value stream.

The Director, Product Management leads all phases of the product life cycle for the Medicare and Medicaid claims payment integrity value stream, from inception to introduction into the marketplace, by developing products to meet specific customer needs and achieving specific cost and success outcomes. Once products are launched, the Director monitors the efficacy of products and uses customer and business partner feedback to ensure products are meeting customer needs across each customer segmentation, adjusting products over time to continue to achieve the desired outcomes.

Decisions are typically related to the implementation of new/updated programs or large-scale projects for the function and supporting technical/operational procedures and processes, as well as implementing strategic plans, driving goals and objectives, and improving performance. The Director provides input into the payment integrity strategy and leads a team of Product Managers and Product Owners aligned to the claims payment integrity value stream.

** Use your skills to make an impact*
* ** Required Qualifications*
* + Minimum 6 years of experience in product and/or project management in large and/or regulated corporations

+ Understanding of Agile Development process and best practices

+ Experience in health insurance, operational processes, and/or health insurance industry standards

+ Experienced facilitating, consulting, and delivering complex concepts

+ Able to determine the approach, resources, and goals to meet business objectives needed

+ Demonstrated experience with cross departmental collaboration

+ Capacity to maintain confidentiality

+ Excellent communication skills, both written and verbal

** Work-At-Home Requirements*
* + At minimum, a download speed of 25 mbps and an upload speed of 10 mbps is recommended; wireless, wired cable or DSL connection is suggested

+ Satellite, cellular and microwave connection can be used only if approved by leadership

+ Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.

+ Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.

+ Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

** Preferred Qualifications*
* + Bachelor's degree

+ Experience in the Medicare/Medicaid claims space

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Experience with claims-related payment integrity practices

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Experience with Scaled Agile Framework

+ Certified SAFe® Product Owner/ Product Manager

** Additional Information*
* + As part of our hiring process for this opportunity, we may contact you via text message and email to gather more information using a software platform called Hire Vue. Hire Vue Text, Scheduling and Video technologies allow you to interact with us at the time and location most convenient for you.

+ If you are selected to move forward from your application prescreen, you may receive correspondence inviting you to participate in a pre-recorded Voice, Text…