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Become a part of our caring community and help us put health first

Humana Healthy Horizons is seeking exceptional candidates to join our Medicaid Product Organization to support the strategic direction and growth of the Medicaid line of business. This is a unique opportunity for a motivated individual to influence the mission of a leading healthcare company committed to improving the health of the communities it serves.

The Senior Insurance Product Content Professional will oversee and manage projects for member handbook new builds, annual reviews and readiness activities from initiation to completion. The role involves managing scope, timeline, resources, and stakeholders to ensure success.

The Medicaid Insurance Product Management – Covered Services team purpose is to ensure the accurate administration and communication of covered services in our Medicaid health plans, thereby improving the health and well-being of those we serve.

We are a diverse set of highly skilled people with deep Medicaid subject matter expertise who work in an agile, collaborative environment. To achieve our goals, we empower associates to pioneer simplicity, rethink routine and seek talent with the following attributes:

+ Creative – Adept at research to determine the opportunity and a structured yet flexible approach to problem solving.

+ Adaptive - Rapidly learn new knowledge, skills, and behaviors in response to changing circumstances.

+ Self-sufficient - Ability to navigate complex situations and independently produce high quality deliverables.

+ Consultative – Build/sustain relationships and inform the work of others through actionable, objective insights.

+ Strategic – Forward thinking capable of providing frameworks to maximize available resources to achieve growth.

The **Senior Insurance Product Content Professional** creates content for insurance products through project management, product development collaboration, and capabilities alignment. The Senior Insurance Product Content Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Responsibilities include:

+ Partners with subject matter experts to define and deliver applicable Member Handbook content adherent to contract requirements, RFPs and established processes.

+ Develops comprehensive project plans to outline scope, timelines, resources, and deliverables for New Builds, Annual Reviews and Readiness.

+ Coordinates and manages the end-to-end project lifecycle, ensuring all states, from initial planning to final delivery, are executed effectively.

+ Works with leaders to establish project milestones and ensure project deliverables are met on time and within scope.

+ Facilitates regular project meetings, ensure clear communication of progress, updates, and any roadblocks.

+ Communicates project timelines, deliverables, and changes effectively to internal and external stakeholders.

+ Manages document control processes, ensuring that all versions of the handbook are properly stored and documented.

+ Maintains training and process documents on updates, changes, and usage of member handbooks.

+ Partners with leaders in offering ongoing support to internal stakeholders regarding handbook content and related inquiries.

+ Works as a liaison with Print Team and Web Team to load handbooks to web, load to OES system and print management.

+ Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction.

+ Exercises considerable latitude in determining objectives and approaches to assignments.

Use your skills to make an impact

Required Qualifications

+ **Must work hours within the Eastern or Central Standard Time Zone within the United States.**

+ Bachelor’s Degree **OR** 4+ years in the field of health insurance, managed care, or healthcare advisory services.

+ Working knowledge of health insurance products with a focus on covered and enhanced services and major annual communications of member handbooks, summary of benefits, provider directories, etc.

+ Demonstrated experience building templates, creating content, standard documentation, policy, and procedures.

+ Proven experience in project management - Expertise in driving operational efficiencies and management of timelines and processes, highly adept at managing processes from concept to completion ensuring on-time, on-budget, and on-target results.

+ Excellent communication skills to all levels, written, verbal, presentation skills, as well as interpersonal skills.

+ Experience working collaboratively across multiple functional areas (e.g. operations, provider network, contracting) while fostering teamwork.

+ Prior experience working in a fast-paced environment with the ability to quickly adapt to changes meeting deadlines and completing tasks with successful outcomes.

+ Proficiency in project management software, document control systems, and Microsoft Excel, Word, PowerPoint, Teams and Adobe.

+ Basic understanding of Medicaid.

+ Ability to pivot and high level of flexibility due to state expectations.

Preferred Qualifications

+ Experience with Medicaid and/or Dual Eligible lines of business.

+ Agile Content Development and/or Project Management certifications.

+ Prior successful experience at a health plan reviewing and approving member facing documents while meeting tight deadlines.

+ Experience with Medicaid policies and/or Medicaid health plan operations, such as compliance regulations, materials review, auditing, and/or creative writing/editing.

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.

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

+ 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.

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

Additional Information:

+ **Workstyle:** Remote, work at home.

+ **Travel:** Minimal, possibly once or twice a year for in person team meetings.

+ **Core Workdays & Hours:** Typically, Monday – Friday 8:00am – 5:00pm Eastern Standard Time (EST).

+ **Benefits:** Benefits are effective on day 1. Full time Associates enjoy competitive pay and a comprehensive benefits package that includes 401k, Medical, Dental, Vision and a variety of supplemental insurances, tuition assistance and much more.....

Interview Format

As part of our hiring process, we will be using an exciting interviewing technology provided by Hire Vue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes.

If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.

Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay Range

The 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.

$71,100 - $97,800 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, 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.

Application Deadline: 06-26-2025

About us

Humana 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.

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Equal Opportunity Employer

It 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 protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with 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=Humana_Website.