Lead Insurance Product Manager - Part D/PDP

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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.

You’ll bring together Product, Pharmacy, Actuarial, Finance, Regulatory Compliance, Legal, Operations, Marketing, Sales, Digital, member communications and program delivery partners to make complex decisions, resolve competing priorities and translate approved strategy into a clear execution path. You’ll assess member, regulatory, financial and operational tradeoffs and provide recommendations that help leaders make informed decisions.

This role is designed for an advanced individual contributor who operates with significant independence, leads through expertise and influence, and raises the standard for PDP product management. You’ll guide other associates and work groups, establish methods and priorities for complex initiatives, strengthen governance and reusable tools, and build shared capability so critical knowledge and accountability extend beyond one subject matter expert.

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

Represent PDP Product Management in strategy and leadership forums, communicating the recommendation, supporting insights, tradeoffs and decisions needed

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

Establish working plans, governance, decision points and controls that support accurate, timely and compliant submissions

Maintain clear records of assumptions, decisions, dependencies, risks, status and ownership throughout the bid cycle

Provide final product-level review and sign-off for designated PDP submissions and deliverables consistent with established governance