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The Senior Product Manager Conceives of, develops, delivers, and manages products for customer use. The Senior Product Manager work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
The Senior Product Manager is accountable for delivering compliant, interoperable, and scalable medical authorization capabilities end‑to‑end. In this role, you will:
- Own and articulate the product vision and multi‑quarter roadmap for medical authorization and interoperability capabilities, aligned to clinical operations, regulatory requirements, and organizational strategy
- ·Serve as a strategic liaison between clinical stakeholders, compliance partners, technical teams, platform users, and external entities (e.g., payers, clearinghouses, vendors)
- Ensure all solutions support regulatory and contractual requirements (e.g., CMS mandates, HIPAA, interoperability standards, audit readiness) related to medical authorizations
- Define product outcomes and success metrics focused on authorization turnaround time, data accuracy, compliance adherence, and provider experience
- Lead discovery and analysis of complex clinical and administrative workflows to identify opportunities to reduce friction, improve automation, and minimize authorization risk
- Partner closely with Product Owners and Agile teams to translate regulatory and clinical requirements into clear intent, priorities, and delivery tradeoffs
- Influence system design and integration patterns to support standards‑based data exchange (e.g., HL7/FHIR, X12, payer portals) and long‑term interoperability
- Coordinate across clinical, operational, legal, and compliance teams to ensure shared understanding of requirements, dependencies, and implementation readiness
- Collaborate with external vendors and platform partners to align on roadmap commitments, compliance expectations, and integration milestones
- Communicate product status, regulatory risks, and strategic tradeoffs clearly to senior leadership and cross‑functional stakeholders
- Proactively identify, escalate, and drive resolution of compliance gaps, operational risks, and cross‑system dependencies impacting medical authorization outcomes
- Promote consistent, professional collaboration and accountability across internal and external teams operating in high‑pressure, regulated environments
Success in This Position Requires the Following
· A strong drive to improve medical authorization outcomes while ensuring patient safety, regulatory compliance, and operational efficiency
· Deep understanding of clinical workflows, authorization lifecycles, and the downstream and upstream impacts of interoperability changes
· Working knowledge of healthcare interoperability standards, payer/provider interactions, and compliance considerations within regulated environments
· Exceptional communication skills, with the ability to translate complex regulatory and technical concepts for diverse audiences
· Strong strategic, analytical, and risk‑assessment skills, particularly in ambiguous or highly regulated scenarios
· Ability to influence across organizational boundaries without direct authority, including clinical, technical, compliance, and vendor partners
· Comfort leading products in environments with evolving regulations and shifting external dependencies
· Proven ability to manage multiple complex initiatives while maintaining focus on measurable outcomes and compliance obligations
· A proactive, ownership‑driven mindset with the ability to operate independently and make sound decisions in high‑impact situations
Use your skills to make an impact
Required Qualifications
- Bachelor’s degree in Information Systems, Healthcare Administration, Business, or related field.
- Experience as a Product Manager or similar role within healthcare technology, preferably around system integration
- Excellent communication, collaboration, and analytical skills.
- Knowledge of agile methodologies and product management principles.
Preferred Qualifications
- Clinical Utilization Management experience including knowledge of authorization workflow
- Bachelor’s degree in computer science, Information Technology, Health Information Systems or a related technical field or equivalent work experience
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.
$104,000 - $143,000 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: 05-03-2026
About us
About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.
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.
