Director, Supplemental Benefits Operations
HumanaAbout the role
Become a part of our caring community
Supplemental 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.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
Use your skills to make an impact
Required Qualifications
- 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
Preferred Qualifications
- MBA, MPH, PhD, or graduate degree
- Experience with Medicare Advantage regulations and supplemental benefit requirements
- Experience in communications infrastructure or related technical environments
- Six Sigma certification
- Experience in supplemental benefit administration
- Knowledge of CMS regulations and policy updates
- Familiarity with digital health tools and member engagement strategies
Scheduled Weekly Hours
40Pay Range
The 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.
Description of Benefits
Humana, 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.Application Deadline: 05-07-2026
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