Become a part of our caring community and help us put health firstHumana is a dynamic and innovating organization that is transforming Healthcare. We are on a hunt for an exceptional leader that will own the development of Claims Administration & Payment Integrity (CAPI) business enablement. As an Associate Vice President of Product, this leader won't just be leading a team, but also charting a course toward a future where we transform the Healthcare business, enabled by technology. This leader will be supporting the existing platforms across operational areas (provider connectivity, claim adjudication, claim finalization, payment integrity programs) for multiple lines of business. This is an opportunity to lead various teams challenged to re-architecture the enterprise core operations, that will adapt with a changing environment and enable or accelerate our member and customer strategic priorities for all of the products offered by Humana.This role will lead efforts to replace legacy COBOL systems with modern, open technology significantly reducing the complexity and cost of our systems. This system change will likely impact every area within Humana given the size and centrality of the platform.Scope:Responsibilities:
Bring extremely strong product management and technical skills to bear as we invest in technology solutions that positively impact our consumer experience.
Lead and guide teams through all phases of the product life cycle, from inception to introduction into the marketplace, by developing products to meet specific customer needs and to achieve specific cost and success outcomes.
Once products are launched, monitors efficacy of products and uses customer and business feedback mechanisms to ensure products are meeting customer needs across each customer segmentation.
Adjusts and advances product portfolio over time to continue achieving product goals and outcomes as well as to drive innovation through anticipating customer needs and desired outcomes.
Provides strategic direction and leadership to multiple teams across the program to ensure solutions meet the needs of multiple businesses and associated customers and aligns with company's goal
Act as a strong advocate of Product team at executive level and provides strategic advice and guidance to executives across the enterprise to develop and drive product modernization strategy forward in partnership with segment and/or enterprise-wide functional strategies.
Play a critical role in influencing senior leadership on the future-state product strategy.
Work closely with key business partners (Operations leadership, Product Modernization office, IT, Finance, etc) to build capabilities and prioritize investments.
Develop and execute a product strategy that aligns with market trends, customer needs and company objectives and is consistently delivered and executed upon
Foster strong partnership with different business segments across organization, engineering, marketing, sales, compliance and other relevant departments to ensure successful product launches.
Manage product budget efficiently, making data driven decisions to allocate resources effectively.
Bring industry leading product management practices, tools, and processes to the organization to enhance efficiency and product quality.
Use your skills to make an impactImpact:
Growth - plays a critical role in implementing new Medicaid states and maintaining existing states. In addition, this role will configure the claims payment platforms to adjust for new Medicare products.
Trend Initiatives - role will configure the systems needed to support various strategic trend initiatives that payment integrity programs drive
Productivity Initiatives - this role has a direct tie in with operational efficiencies that support admin reductions; examples improving auto adjudication rates, driving increased claim automated decisioning for payment integrity reviews, applying advanced AI/Machine Learning and Natural Language Processing for medical record review
Enterprise Provider Connectivity Strategy via Availity partnership - key to interoperability strategy
Modernization - this role will supply information of how the current platform operations today and intimate knowledge of current pain points.
Personal Attributes:
Bachelor's degree
Minimum of 5 years of experience as a product leader at an executive level
Minimum of 7 years of experience managing large scale, strategic projects and cross functional teams
In depth knowledge of product management best practices, consumer experience tools, methodologies and framework
Curiosity of continually looking for improvements and innovative, new solutions
Ability to influence and drive change across large, matrix organization
Connect across the segment and enterprise to leverage and maximize Humana's strengths and capabilities to improve the experience
Viewed as partner and advocate with other process and operational leaders
Make decisions and set agenda for delivering on outcomes, and articulate barriers and challenges and create strategic scenarios for analysis and discussion.
Strong strategic thinking and problem-solving skills, with the ability to balance short term needs with long-term goals.
Excellent communication and negotiation skills, capable of interacting with both technical and non-technical stakeholders
Clear and concise oral and written communication skills and strong interpersonal skills
Scheduled Weekly Hours40Pay RangeThe compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$181,200 - $249,300 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.Description of BenefitsHumana, Inc. and its affiliated subsidiaries (collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.About usHumana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.Equal Opportunity EmployerIt is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=HumanaWebsite.