Lead, Supplemental Benefits Delivery & Vendor Performance

Job not on LinkedIn

🔥 12 hours ago

🇺🇸 United States – Remote

💵 $115.2k - $158.4k / year

⏰ Full Time

🟠 Senior

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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Humana

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1961

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.

📋 Description

• Lead transition from launch into stable operations • Define the sustained operating model, governance cadence, ownership, decision rights, and escalation pathways • Manage day-to-day program delivery, including integrated planning, governance, cross-functional execution, dependency management, risk management, issue resolution, readiness coordination, and executive reporting • Coordinate execution across Product, Digital, Marketing, Sales, Service, Clinical, Compliance, Technology, Analytics, Finance, Operations, and external partners • Own knowledge continuity and core program documentation • Prepare leadership updates on program health, emerging risks, required decisions, and recommended actions • Own the integrated program plan, governance routines, RAID log, decision log, and executive reporting • Serve as primary operational contact for the delivery partner • Own vendor performance scorecards and governance reporting • Monitor SLAs, KPIs, contractual commitments, and operating standards • Lead escalation management, root-cause analysis, and corrective-action planning for vendor issues • Partner with Compliance, Legal, Procurement, Technology, and operations on vendor controls, reporting integrity, audit readiness, and remediation tracking • Own integrated performance and measurement across enrollment, activation, utilization, engagement, service delivery, member experience, quality indicators, and cost • Monitor objectives, identify performance drivers, and coordinate improvement actions • Maintain an end-to-end view of member and associate experience • Partner with Contact Center, Sales, Care Management, Digital, and other teams on frontline processes, tools, and information • Identify systemic issues and drive agreed improvements through implementation • Translate operational, vendor, member-experience, and performance data into leadership insights, trade-offs, and recommendations • Support product strategy, annual planning, bid development, and vendor decisions • Identify capabilities and practices applicable to other emerging supplemental benefits

🎯 Requirements

• 4-5+ years of experience in vendor or partner management, complex program delivery, product operations, or a related field • Demonstrated ownership of cross-functional business outcomes • Ability to lead complex initiatives through implementation, stabilization, and ongoing operations • Experience monitoring SLAs, KPIs, contractual commitments, and/or corrective actions • Track record of driving vendor accountability and operational improvement • Experience defining performance measures and translating operational, member, or vendor data into actionable business recommendations • Strong analytical and structured problem-solving skills • Root-cause analysis and assessment of trade-offs • Exceptional written and verbal communication skills • Experience preparing executive-level materials and recommendations • Ability to influence without direct authority and drive commitments through closure • Strong organizational judgment • Cross-functional teamwork and stakeholder management • Preferred: experience with Medicare Advantage supplemental benefits, D-SNP, SSBCI, or dual-eligible populations • Preferred: familiarity with CMS requirements affecting benefit operations, member communications, data use, reporting, or vendor delegation • Preferred: experience moving a new product, benefit, or program from launch through stabilization and optimization • Preferred: experience developing vendor scorecards, QBRs, performance-governance routines, operating controls, or audit and remediation processes • Self-provided internet service with minimum 25 Mbps download and 10 Mbps upload • Dedicated workspace without ongoing interruptions to protect member PHI / HIPAA information • Ability to work Eastern time • Willingness to travel approximately 5-10%

🏖️ Benefits

• Bonus incentive plan based upon company and/or individual performance • Medical benefits • Dental benefits • Vision benefits • 401(k) retirement savings plan • Paid time off • Company holidays • Personal holidays • Paid parental leave • Paid caregiver leave • Short-term disability • Long-term disability • Life insurance • Work-from-home flexibility • Hybrid work options • Company-provided opportunities supporting personal wellness and smart healthcare decisions