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Centene Corporation
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Jefferson City, MO ยท Full-Time ยท In Person ยท 1 day ago
Source: National Labor Exchange
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Source: National Labor Exchange
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Source: National Labor Exchange
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Source: National Labor Exchange
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Source: National Labor Exchange
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Source: National Labor Exchange
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Source: National Labor Exchange
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Source: National Labor Exchange
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Pleasant Valley, MO ยท Full-Time ยท In Person ยท 1 day ago
Source: National Labor Exchange
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Job ID #108520 Humana

Senior Insurance Product Manager

Jefferson City, MO
description

Summary

Become a part of our caring community

As Senior Insurance Product Manager, you'll serve as the product owner for an assigned regional Medicare Advantage portfolio, connecting market and portfolio strategy to accurate bid filings, member-facing product content and operational implementation.

You'll lead product execution across the annual Medicare Advantage lifecycle, including CMS bid filings, benefit configuration, service-area updates, crosswalks, plan lists and member materials. You'll work closely with Actuarial, Finance, Network, Compliance, Operations, Marketing and Market Leadership to ensure approved product decisions are accurately reflected across filings, systems, materials and operational processes.

You'll also serve as the primary Product Management contact for assigned markets and portfolios. You'll represent Product Management in Regional Strategy discussions, evaluate product and benefit questions, identify gaps or risks and develop practical recommendations that consider competitive, financial, regulatory, operational and member implications.

This is a highly collaborative individual-contributor role for someone with strong product judgment, deep attention to detail and the ability to independently lead complex work across multiple partners and firm CMS deadlines.

Own Regional Medicare Advantage Portfolios

+ Serve as the primary product owner for assigned regional Medicare Advantage portfolios throughout the product lifecycle

+ Translate enterprise, segment and market strategies into clear product requirements, deliverables and execution priorities

+ Maintain an integrated understanding of the portfolio's benefits, service area, plan structure, market positioning and implementation requirements

+ Connect product decisions across strategy, bid development, CMS filings, member materials, systems and operational implementation

+ Identify portfolio gaps, inconsistencies, emerging risks and opportunities and develop practical recommendations for Product Management and market leaders

+ Evaluate how changes in one area of the portfolio could affect other products, markets, systems, materials or member experiences

+ Maintain accurate records of product decisions, requirements, owners, dependencies and follow-up actions

Lead Medicare Advantage Bid Filing and Execution

+ Lead Product Management execution across the annual Medicare Advantage bid cycle for assigned portfolios

+ Partner with Actuarial, Finance, Compliance, Network, Operations and other functions to translate approved product direction into complete, accurate and compliant CMS submissions

+ Establish and manage workplans, milestones, dependencies, review points and partner responsibilities for assigned filing activities

+ Coordinate development and validation of Plan Benefit Package data, service areas, plan characteristics and other applicable filing components

+ Ensure bid assumptions and product decisions are appropriately documented and consistently reflected across filing deliverables

+ Monitor progress against CMS and internal deadlines, identify risks early and facilitate timely resolution or escalation

+ Maintain clear visibility into filing status, outstanding decisions, dependencies and areas requiring leadership attention

+ Capture lessons learned and apply them to improve future bid-cycle planning and execution

Maintain Filing and Configuration Accuracy

+ Conduct thorough quality-control reviews of Plan Benefit Package data, service areas, plan characteristics, crosswalks and other filing components before submission

+ Validate that approved product and benefit decisions are accurately reflected across applicable tools, files and systems

+ Identify inconsistencies among source documentation, filing data, member materials and downstream implementation requirements

+ Coordinate resolution of defects, discrepancies and unanswered questions with accountable functional partners

+ Update and validate county and state expansion information based on approved business decisions

+ Maintain the National Plan List and applicable crosswalks to support accurate filings, implementation and operational readiness

+ Apply disciplined version control, documentation and evidence-retention practices to assigned product deliverables

+ Escalate quality, regulatory or timing risks when resolution requires decisions or authority beyond the role's scope

Own Product Content and Member Materials

+ Own the accuracy and completeness of Annual Notice of Change, Evidence of Coverage and Summary of Benefits content for assigned regional portfolios

+ Translate approved benefits and product decisions into clear, consistent and compliant member-facing content

+ Coordinate content development and review with Compliance, Marketing, Operations and other applicable partners

+ Validate alignment among approved benefits, CMS filings, source documentation, member materials and downstream systems

+ Identify content inconsistencies, ambiguous requirements and potential member impacts and facilitate timely resolution

+ Maintain clear documentation of content decisions, changes, approvals and outstanding issues

+ Support quality reviews and readiness activities necessary to deliver member materials accurately and on time

+ Apply lessons learned from defects, questions and prior cycles to strengthen future content-development practices

Provide Strategic Oversight of Provider Directory Configuration

+ Provide product oversight of provider directory configuration and maintenance for assigned portfolios

+ Ensure provider directory requirements remain aligned with approved benefits, network strategy, service areas, CMS requirements and member materials

+ Partner with Network, Compliance, Operations and other functional teams to clarify requirements and resolve product-related questions

+ Evaluate the potential member and portfolio impact of directory configuration issues or inconsistencies

+ Validate that material product or network changes are reflected accurately across applicable directory processes and member communications

+ Monitor identified issues and ensure appropriate owners, actions and resolution timelines are established

+ Escalate significant risks when directory information could create compliance, operational or member-experience concerns

Lead Market and Functional Partnerships

+ Serve as the primary Product Management contact for assigned Market Leadership, Individual Product Actuarial and other portfolio stakeholders

+ Build trusted relationships by providing accurate information, responsive support and clear visibility into product decisions and deliverables

+ Represent Product Management in Regional Strategy calls and other market or functional forums

+ Present concise product recommendations, portfolio updates, risks, decisions and unresolved issues to working teams and leaders

+ Gather market insights and functional input and translate them into act...