Job Description:
• Own the business vision and multi-year roadmap for Humana’s insurance product platforms and related data assets.
• Drive modernization of legacy capabilities through automation, AI-enabled tooling, and simplified operating models.
• Establish clear business principles for accuracy, scalability, reliability, auditability, and compliance.
• Balance near-term regulatory execution with long-term platform transformation.
• Own the business capabilities that support CMS bid filing, benefit configuration, and regulatory compliance across lines of business.
• Ensure benefits are accurately represented across all downstream channels including digital experiences, member communications, partner systems, and operational processes.
• Partner with Design, Actuarial, IPA, Compliance, and Operations on feasibility, audits, and platform readiness.
• Partner with Growth Analytics & AI to improve automation, controls, and insight across product definition and supplemental benefits.
• Guide prioritization of data governance, BI, and AI use cases that improve accuracy, reduce manual effort, and strengthen controls.
• Ensure data quality, lineage, and usage are clearly defined and governed across the ecosystem.
• Act as the primary business interface to IT for insurance product platform initiatives.
• Partner with Insurance Product Solutions leadership to drive prioritization, sequencing, and tradeoff decisions across a significant annual investment portfolio.
• Ensure delivery plans reflect regulatory deadlines, business readiness, and operational sustainability.
• Influence architectural direction by clearly articulating future-state business needs.
• Own the business capabilities that enable accurate member eligibility for supplemental benefits across vendor partners.
• Oversee platform governance and operational performance impacting billions in vendor services spend.
• Lead teams responsible for product testing, validation, and audit readiness across Medicare, Group Medicare, Medicaid, and Med Supp.
• Continuously improve controls and quality processes through automation and standardization.
• Lead, develop, and inspire a growing team of product, platform, testing, and data professionals.
• Create clarity of ownership, accountability, and decision-making across a complex ecosystem.
• Build talent pipelines and a culture grounded in excellence, transparency, and continuous improvement.
Requirements:
• Bachelor’s degree in Business, Information Systems, Engineering, or related field (advanced degree preferred).
• 10+ years of progressive leadership experience in product/platform management, healthcare operations, or large-scale business transformation.
• Deep understanding of highly regulated product lifecycles in Insurance or comparable industry.
• Demonstrated experience leading platform modernization, automation, and AI-enabled transformation initiatives.
• Proven ability to lead complex, cross-functional efforts and influence without direct authority.
• Strong executive communication and stakeholder management skills.
Benefits:
• 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