Director, Supplemental Benefits Operations

Humana

19h • Remote

About The Position

Supplemental Benefits Operations is part of Humana's Enterprise Growth team, focusing on managing mandatory supplemental benefits within the Medicare Advantage space. This role is crucial for advancing Humana's supplemental benefits strategy, aiming to enhance positive member experiences and acquisitions. The Director will engage in extensive cross-functional partnerships across the Enterprise, collaborating with product, operations, clinical, actuarial, finance, compliance, and other teams. Key responsibilities include defining the benefit strategy, guiding execution, ensuring regulatory compliance, assessing operational feasibility, and overseeing vendor performance.

Requirements

• 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

Nice To Haves

• 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

Responsibilities

• 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

Benefits

• medical benefits
• dental benefits
• 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
• bonus incentive plan

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Number of Employees: 5,001-10,000 employees