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Director, Supplemental Benefits Operations
HumanaDirector in supplemental benefits operations at Humana, leading strategy for Medicare Advantage products. Collaborating cross-functionally to ensure regulatory compliance and operational feasibility while enhancing member experiences.
About the role
Key responsibilities & impact- Lead the supplemental benefits strategy for Medicare Advantage and related products, aligning with organizational goals and priorities
- Lead benefit design, structure, and evolution to align with regulatory requirements, business objectives, and member needs
- Oversee benefit configuration, system setup, testing, and quality assurance to ensure accurate delivery
- Provide expertise on benefit design, implementation best practices, and regulatory requirements
- Analyze competitive landscape and member needs to identify opportunities for differentiated supplemental offerings
- Collaborate with actuarial, clinical, operations, and network teams to ensure benefits are financially sustainable and operationally feasible
- Manage vendor relationships, including third-party risk management in accordance with Humana's policies
- Monitor regulatory updates and ensure all supplemental benefits are compliant with CMS guidelines and applicable state regulations
- Develop and maintain performance metrics for supplemental benefits, report outcomes, and recommend improvements
- Support annual enrollment period (AEP) readiness, including product training, marketing, and member communication materials
- Lead a team of process and project experts, and foster a culture of innovation, accountability, and continuous improvement
- Represent Humana at industry forums, CMS meetings, and in vendor negotiations
Requirements
What you’ll need- Bachelor's Degree
- 6-8+ years of work experience in insurance health plan products or supplemental benefits management
- Background in operational execution, risk management, and vendor oversight
- Demonstrated leadership experience with cross-functional teams
- Strong problem-solving skills and demonstrated ability to perform complex quantitative and qualitative analysis
- Commitment to regulatory compliance and quality assurance
- Excellent written and verbal communication abilities
- Excellent analytical, communication, and organizational skills
- Proficiency with project management tools and Microsoft Office Suite
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
benefit designregulatory compliancequality assurancequantitative analysisqualitative analysisrisk managementvendor oversightperformance metricsoperational executionsupplemental benefits management
Soft Skills
leadershipproblem-solvingcommunicationorganizational skillscollaborationinnovationaccountabilitycontinuous improvement
Certifications
Bachelor's Degree