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Humana

Director, Supplemental Benefits Operations

Humana

Director 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.

Posted 4/24/2026full-timeRemote • 🇺🇸 United StatesLead💰 $150,000 - $206,300 per yearWebsite

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 resume
Applicant 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