Program Delivery Lead, Medicare Advantage Bid Operations

🔥 0 minutes ago

🗽 New York – Remote

🗽 New York – Remote

💵 $138.2k - $190.1k / year

⏰ Full Time

🟠 Senior

⚙️ Operations

🦅 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

• Coordinate and manage the annual Medicare Advantage bid planning, development, governance, and submission process • Serve as the central point of coordination across Product, Finance, Actuarial, Growth Strategy, Markets, Quality, and executive leadership teams • Develop and manage the integrated annual bid plan calendar, including milestones, deliverables, dependencies, and CMS deadlines • Serve as the point person for bid planning and execution process governance questions and feedback • Identify risks, issues, and dependencies and facilitate mitigation strategies • Monitor overall program health and escalate critical issues to leadership • Support annual bid retrospectives and lessons-learned activities • Establish and monitor KPIs related to bid process execution and stakeholder engagement • Coordinate new plan expansion strategies with core strategic partners • Ensure appropriate stakeholders, including executive leaders, are engaged in discussions and decisions • Coordinate governance meetings, agendas, pre-read materials, discussion guides, and follow-up actions • Maintain documentation of decisions, approvals, assumptions, and action items; recommend unresolved items for escalation • Improve bid governance processes, decision-making forums, and planning processes • Build relationships across Product, Finance, Actuarial, Markets, Stars/Quality, Compliance, and Strategy teams • Drive alignment among teams with differing priorities and perspectives • Ensure stakeholders understand responsibilities, timelines, and expected outcomes throughout the bid cycle • Plan and facilitate workshops, strategy sessions, governance meetings, and executive forums • Manage meeting logistics, attendance, communications, and follow-up activities • Enforce forum charters and rules of order to achieve effective outcomes and decisions • Prepare executive presentation materials with Growth Strategy teammates • Communicate program status, risks, decisions, and emerging issues to leadership • Help executives prepare major bid-related updates to the Board through talking points and preparation sessions

🎯 Requirements

• Bachelor's Degree from an accredited institution • 5+ years of program management, project management, operations, strategy, consulting, or related work experience • Experience leading complex, cross-functional initiatives involving multiple stakeholder groups • Demonstrated success managing executive-level meetings, governance forums, or strategic planning processes • Proven ability to influence outcomes without direct authority • Strong facilitation, communication, and stakeholder management skills • Exceptional organizational, planning, and execution capabilities • Experience developing executive presentations and written communications • Experience supporting Medicare Advantage, Medicare Part D, healthcare product development, or regulated business operations • Knowledge of Medicare Advantage bid processes, CMS requirements, healthcare regulatory environments, or annual planning cycles • Experience leading enterprise PMO, governance, or transformation initiatives • MBA, MHA, MPH, or related advanced degree • PMP, PgMP, Lean Six Sigma, Agile, or Change Management certification • Experience working directly with executive leadership teams • Minimum home internet speed of 25 Mbps download and 10 Mbps upload • Ability to work from a dedicated space lacking ongoing interruptions to protect member PHI/HIPAA information

🏖️ 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 • Personal wellness support • Smart healthcare decision support • Occasional travel to Humana offices for training or meetings