Director of Program Delivery

Humana

Director overseeing Humana’s risk management quality audit processes to ensure compliance and accuracy of data. Leading team initiatives and strategies to minimize financial impacts and enhance operational efficiency.

Posted 4/14/2026full-timeRemote • 🇺🇸 United StatesLead💰 $150,000 - $206,300 per yearWebsite

About the role

Key responsibilities & impact

Successful execution of regulatory risk adjustment audits minimizing financial impacts to Humana through strong operational execution
identifying areas of opportunity for improvement and leveraging key partnerships with Quality Cost & Strategy partners
market risk adjustment associates, and other associates across Humana, including legal and regulatory compliance partners
Operational excellence of all coding quality audits the team conducts
Drive development of analytics of audit data and results to inform future strategy to minimize Humana’s risk regarding risk regarding risk adjustment data
Provide compliance oversight over all risk adjustment activities through execution of clearly defined programs, identified and defined key metrics and reporting
Establish and manage goals, priorities, staffing and budgets for the team.

Requirements

What you’ll need

5+ years of project and people leadership experience
8-10+ years of experience in strategic operations, analytics, including process improvement and stakeholder influence
5 + years of experience in program development and management, leveraging metrics and performance reporting to track results
5 + years of Process Improvement and operations experience

Benefits

Comp & perks

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

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

regulatory risk adjustment auditsanalyticsprocess improvementprogram developmentperformance reporting

Soft Skills

project leadershippeople leadershipstakeholder influenceoperational executiongoal management