Director, Supplemental Benefits Operations

Become a part of our caring communitySupplemental Benefits Operations is part of our Enterprise Growth team that manages mandatory supplemental benefits within the Medicare Advantage space. You will help advance Humana's supplemental benefits strategy leading to positive member experiences and acquisitions. You will partner across the Enterprise to define the benefit strategy, guide execution, ensure compliance, operational feasibility, and vendor performance. You will collaborate cross-functionally with product, operations, clinical, actuarial, finance, compliance, and many other teams across the Enterprise.Use your skills to make an impactLead the supplemental benefits strategy for Medicare Advantage and related products, aligning with organizational goals and prioritiesLead benefit design, structure, and evolution to align with regulatory requirements, business objectives, and member needsOversee benefit configuration, system setup, testing, and quality assurance to ensure accurate deliveryProvide expertise on benefit design, implementation best practices, and regulatory requirementsAnalyze competitive landscape and member needs to identify opportunities for differentiated supplemental offeringsCollaborate with actuarial, clinical, operations, and network teams to ensure benefits are financially sustainable and operationally feasibleManage vendor relationships, including third-party risk management in accordance with Humana's policiesMonitor regulatory updates and ensure all supplemental benefits are compliant with CMS guidelines and applicable state regulationsDevelop and maintain performance metrics for supplemental benefits, report outcomes, and recommend improvementsSupport annual enrollment period (AEP) readiness, including product training, marketing, and member communication materialsLead a team of process and project experts, and foster a culture of innovation, accountability, and continuous improvementRepresent Humana at industry forums, CMS meetings, and in vendor negotiationsRequired QualificationsBachelor's Degree6-8+ years of work experience in insurance health plan products or supplemental benefits managementBackground in operational execution, risk management, and vendor oversightDemonstrated leadership experience with cross-functional teamsStrong problem-solving skills and demonstrated ability to perform complex quantitative and qualitative analysisCommitment to regulatory compliance and quality assuranceExcellent written and verbal communication abilitiesExcellent analytical, communication, and organizational skillsProficiency with project management tools and Microsoft Office SuitePreferred QualificationsMBA, MPH, PhD, or graduate degreeExperience with Medicare Advantage regulations and supplemental benefit requirementsExperience in communications infrastructure or related technical environmentsSix Sigma certificationExperience in supplemental benefit administrationKnowledge of CMS regulations and policy updatesFamiliarity with digital health tools and member engagement strategiesTravel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.Scheduled Weekly Hours40Pay RangeThe 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.$150,000 - $206,300 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.Description of BenefitsHumana, 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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.Equal Opportunity EmployerIt 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.Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.J-18808-Ljbffr