Program Delivery Lead – Benefit Enablement, Execution

🔥 0 minutes 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 Medicare Advantage bid initiatives across Insurance Product Management, Growth and Strategy, and functional teams • Define objectives, scope, deliverables, decision points and success measures for bid-related initiatives • Translate strategic direction into workplans, milestones, dependencies, ownership and decision requirements • Coordinate initiatives involving benefit standardization, portfolio segmentation, product guiding principles and enterprise priorities • Facilitate cross-functional discussions, evaluate options, surface tradeoffs and drive timely decisions • Monitor progress and identify decisions, dependencies and risks before they affect bid submissions or implementation • Lead feasibility assessments and decision support for proposed products, benefits and portfolio opportunities • Coordinate subject-matter experts to identify dependencies, constraints, assumptions, unresolved questions and downstream impacts • Develop recommendations and decision-support materials explaining options, risks, tradeoffs and execution implications • Lead research and analysis related to Stars, Clinical, Regulatory Compliance, the Complaints Tracking Module and other enterprise priorities • Synthesize complex information into findings, recommendations and decision points for leaders and partner teams • Coordinate Product Management participation in enterprise initiatives and ensure requirements and impacts are represented accurately • Maintain program documentation, objectives, scope, status, decisions, risks, dependencies, owners and next steps • Establish governance routines, status reporting, decision logs, risk tracking and escalation approaches • Prepare backlog opportunities for prioritization and future planning • Improve process documentation, templates, workflows and delivery standards • Identify and implement improvements that increase accuracy, efficiency, transparency and user experience • Use Power Automate, Power BI, Copilot, SharePoint and other approved technologies to reduce administrative work • Establish controls, documentation and ownership for sustainable process improvements • Provide training, guidance, job aids and process support to Product Managers as requirements change • Facilitate working sessions and provide technical and process guidance across programs and workstreams • Lead through cross-functional influence and program ownership without direct people-management responsibility • Report to the Director, Insurance Product Management and collaborate with enterprise and functional partners

🎯 Requirements

• Bachelor’s degree or equivalent combination of education and relevant professional healthcare experience • 7+ years of relevant healthcare, health plan, product management, or related experience • Experience leading complex projects, programs or processes across multiple functional areas • Experience establishing delivery plans, milestones, dependencies, governance and risk-management approaches • Ability to influence decisions and drive alignment without formal authority • Experience researching complex business, regulatory or operational topics and translating findings into clear recommendations • Strong judgment and problem-solving skills • Strong written and verbal communication skills • Ability to manage multiple priorities and deliver through ambiguity, changing requirements and compressed timelines • Advanced proficiency with Excel, PowerPoint, SharePoint, Teams and related digital collaboration tools • Typically operates on Eastern Standard Time business hours • Ability to work from a dedicated space without ongoing interruptions to protect member PHI/HIPAA information • Home internet with at least 25 Mbps download and 10 Mbps upload speeds • Preferred: Medicare Advantage product management, program delivery, implementation or operational experience • Preferred: Experience with annual Medicare Advantage bid cycle, benefit design, service-area expansion or product implementation • Preferred: Knowledge of CMS Medicare Advantage requirements, bid processes, PBP or HPMS • Preferred: Experience evaluating product or benefit feasibility across regulatory, operational, system, clinical and financial considerations • Preferred: Knowledge of Stars, the Complaints Tracking Module, member experience or regulatory compliance programs • Preferred: Experience with enterprise milestone calendars, governance routines, decision logs or program dashboards • Preferred: Experience with process documentation, workflow design, training development or change enablement • Preferred: Experience using Power Automate, Power BI, Copilot or similar tools • Preferred: Process improvement experience or training, including Lean, Six Sigma or another structured improvement methodology • Preferred: Experience presenting complex findings, recommendations and program risks to senior leaders

🏖️ Benefits

• Bonus incentive plan based on 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 • Remote work • Occasional travel to Humana offices for training or meetings • Dedicated home workspace requirement to protect member PHI/HIPAA information

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