The Medicaid Senior Product Manager leads all phases of the Clinical Operations Intake process and product lifecycle – from inception to delivery – by designing, managing and continuously improving the intake and evaluation framework that governs Medicaid clinical operations initiatives. This role partners closely across clinical, product, operations, technology, compliance, portfolio and strategy teams to ensure the clinical operations intake process efficiently channels ideas and initiatives into actionable, value-driven work.
Requirements
- 4+ years of experience in product management, operations, or process improvement – Preferably in Medicaid or healthcare delivery.
- Proven experience designing and leading intake or portfolio management frameworks in complex, regulated organizations.
- Expertise in governance, prioritization, and enterprise portfolio management.
- Skilled in intake and product management tools (Jira Align, SmartSheet, Sharepoint).
- Demonstrated success driving cross-functional collaboration, stakeholder alignment, and measurable process outcomes.
- Strong analytical and communication skills with the ability to influence executive decision-making and translate complex data into strategic recommendations.
Responsibilities
- Own and evolve the Medicaid intake framework to ensure it is a robust, transparent, and data-informed process that drives consistent, strategic decision-making across the enterprise.
- Define and manage decision criteria to evaluate requests based on business value, compliance impact, technical feasibility, and alignment with organizational goals.
- Facilitate governance prioritization forums, guiding senior leadership through evidence-based evaluation of competing initiatives to ensure Medicaid portfolio optimization.
- Establish performance metrics (backlog health, cycle time, customer satisfaction) to identify bottlenecks, forecast demand and implement continuous improvement strategies.
- Translate approved requests into actionable portfolio items, providing clear scope, context and alignment for delivery teams.
- Serve as a strategic advisor to clinical leadership, using data insights and stakeholder feedback to shape portfolio priorities and resource allocation.
- Influence long-term Medicaid product strategy, ensuring intake trends and performance insights inform investment decisions and process innovation.
Other
- Bachelor’s degree or 4+ years of relevant work experience
- Monday through Friday, 8:00 AM – 5:00 PM with flexibility to work overtime as needed.
- US, Nationwide
- Remote
- Occasional travel to Humana's offices for training or meetings may be required.