Lead Product Manager - Provider Direct Connect

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Humana is seeking a Lead Product Manager - Provider Direct Connect to lead the strategy, roadmap, and execution of solutions that enable seamless connectivity between Humana and provider organizations. This role will drive the evolution of provider-facing integration capabilities that improve provider experiences, simplify information exchange, and support scalable growth across the enterprise.

The ideal candidate brings experience managing integration-focused products, building strong provider and stakeholder relationships, and driving cross-functional initiatives from strategy through execution. This candidate should bring a deep expertise in the software delivery lifecycle and strong working knowledge of the Scaled Agile Framework (SAFe). This individual will play a key role in advancing Humana's provider connectivity vision through standardization, scalability, and customer-centric product innovation.

The Lead Product Manager is responsible for defining and delivering Provider Direct Connect capabilities that create value for providers and Humana. This role will work closely with provider partners, technology teams, operations, architecture, implementation teams, and business stakeholders to identify opportunities, prioritize investments, and deliver scalable integration solutions.

Responsibilities include the following:

• Define and drive the product vision, strategy, and roadmap for Provider Direct Connect capabilities.
• Champion backlog refinement and prioritization practices that ensure investments are aligned to customer value, business outcomes, and technical scalability.
• Develop scalable and standardized integration solutions that support enterprise growth and improve provider engagement.
• Partner with provider organizations and internal stakeholders to identify business needs, opportunities, and pain points.
• Build strong relationships with providers, vendors, and cross-functional partners to drive successful product outcomes.
• Advocate for the timely resolution of incident tickets impacting provider operations by coordinating cross-functional collaboration, driving prompt issue resolution, and ensuring appropriate maintenance, support, and follow-through are in place to minimize disruption and maintain provider relationships
• Collaborate with technology, architecture, and operational teams to define integration standards and long-term platform capabilities.
• Translate customer and business needs into clear product requirements and prioritized investments.
• Balance short-term delivery objectives with long-term strategic goals and platform evolution.
• Partner with implementation and customer success teams to support onboarding, adoption, and ongoing provider satisfaction.
• Establish success metrics and utilize data-driven insights to measure performance and inform product decisions.
• Communicate roadmap priorities, outcomes, risks, and business value to senior leadership and key stakeholders.
• Drive continuous improvement efforts that enhance provider experiences and reduce administrative complexity.
• Ensure solutions are designed with a focus on scalability, standardization, operational excellence, and long-term sustainability.
• Use your skills to make an impact
• Required Qualifications
• Bachelor's degree or equivalent experience.
• 8+ years of Product Management, Healthcare Technology, Provider Solutions, Integration Management, Digital Products, or related experience.
• Experience developing product strategy, product vision, roadmaps, and executing products from concept through delivery.
• Experience leading large, cross-functional initiatives involving business, operations, technology, and external stakeholders.
• Demonstrated experience managing complex stakeholder relationships and influencing decisions across matrixed organizations.
• Experience working with integration-based products, platforms, APIs, or digital connectivity solutions.
• Experience gathering, prioritizing, and translating customer and business needs into actionable product requirements.
• Strong communication and presentation skills with the ability to communicate effectively across all organizational levels, including senior leadership.
• Experience defining success metrics and leveraging data to drive prioritization and product decisions.
• Proven ability to manage competing priorities and execute effectively in a fast-paced environment.
• Strong attention to detail, organizational skills, and customer-focused mindset.

Preferred Qualifications

• Experience working directly with provider organizations, health systems, physician groups, or provider-facing technology solutions.
• Demonstrated customer success acumen, with the ability to guide prospective and existing providers from initial kickoff and onboarding through implementation and scalable solution adoption, ensuring a seamless experience, strong stakeholder alignment, and long-term client satisfaction.
• Experience managing provider integrations, connectivity platforms, interoperability solutions, APIs, or data exchange capabilities.
• Knowledge of healthcare interoperability standards and transactions including FHIR, HL7, X12, and API-based integrations.
• Demonstrated success building and maintaining strategic provider and external partner relationships.
• Knowledge of CMS Star Ratings, RAD-V, and their impact on customer experience, quality outcomes, and business performance.
• Experience driving standardization and scalable integration frameworks across multiple products or business domains.
• Experience partnering with Customer Success, Provider Services, Implementation, or Account Management teams.
• Experience in healthcare payer operations, provider engagement, interoperability, or digital health ecosystems.
• MBA, MHA, or other relevant advanced degree.
• Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
• 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.

$126,300 - $173,700 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline: 10-30-2026

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.

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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.