Lead Insurance Product Manager

Humana is seeking a Medicare Part D expert to join the team as a Lead Insurance Product Manager who is ready to shape PDP strategy, guide complex decisions and turn regulatory requirements into executable products.

As Lead Insurance Product Manager for PDP Strategy & Execution, you’ll serve as the product lead for Humana’s standalone Prescription Drug Plan portfolio. You’ll connect Medicare Part D strategy to accurate, compliant and timely execution across the full product lifecycle, from early market and regulatory assessment through bid development, filing, implementation and annual readiness.

Shape PDP Portfolio Strategy and Direction

• Lead year-round PDP product strategy and execution, translating enterprise priorities, customer needs, market dynamics, regulatory requirements and financial considerations into actionable portfolio recommendations
• Integrate competitive, financial, regulatory, operational and member insights to evaluate product opportunities, risks and tradeoffs
• Analyze competitor participation, premiums, deductibles, cost sharing, formulary positioning and emerging market trends to identify implications for Humana’s PDP portfolio
• Develop recommendations for new or enhanced benefits, product features and market approaches, including the business rationale, member impact, operational dependencies, risks and implementation path
• Look beyond the immediate bid cycle to anticipate future portfolio needs, policy changes and market shifts and position partners for effective execution

Lead PDP Bid, Benchmark and Filing Execution

• Lead product strategy and readiness across the annual PDP bid cycle, including benefit design coordination, bid submission readiness, PBP Section Rx and HPMS activities, validation resolution and alignment across key functions
• Coordinate benchmark, de minimis, rebate reallocation, desk review and related PDP activities, ensuring impacts, options, decisions and accountable owners are clear
• Lead review and resolution of filing questions, validation findings, audit exhibits and other CMS submission issues, escalating material product risks at the appropriate time

Translate Regulatory Change and Lead Feasibility

• Interpret CMS guidance and Medicare Part D policy changes and translate them into clear product implications, requirements, decisions and downstream impacts
• Lead feasibility assessments across product, regulatory, actuarial, financial, pharmacy, operational, technology and member-experience considerations

Drive Readiness, Implementation and Member Experience

• Lead annual PDP readiness from bid approval through AEP and January 1 implementation, coordinating milestones, dependencies, issue resolution and leadership-level status reporting
• Partner with Marketing, Sales, Digital, member-material and operational teams to ensure benefit messaging and product information are accurate, consistent and easy to understand

Lead SPAP Strategy and Execution

• Lead PDP Product support for State Pharmaceutical Assistance Program requests for information, evaluations, contracting support and implementations

Strengthen Governance, Quality and Product Capability

• Establish and maintain standards, controls and reusable tools that strengthen quality, consistency and accountability across PDP strategy, filings and readiness

Influence Decisions and Lead Through Complexity

• Facilitate decisions when member, regulatory, financial, operational and market considerations require tradeoffs
• Exercise independent judgment on complex issues, distinguish material product risk from routine execution matters and escalate appropriately

Key Partnerships & Reporting Relationship You’ll report to the Director, Insurance Product Management and serve as the primary CPES lead for PDP product strategy and execution.