Program Delivery Lead, Benefit Enablement & Execution

Humana
•$115,200 - $158,400•Remote

About The Position

Humana’s Consumer Product Management team is seeking a Program Delivery Lead to coordinate delivery across Insurance Product Management, Growth and Strategy, and teams responsible for bringing Medicare Advantage products to market. The role translates portfolio priorities into structured programs, milestones, and coordinated workstreams that support accurate, timely, and compliant execution. It leads complex bid initiatives and enterprise projects involving product strategy, benefit design, regulatory requirements, operational readiness, technology, and process enablement, including benefit standardization, portfolio segmentation, plan naming, service-area expansion, and evaluation of new product and benefit opportunities. The position strengthens Product Management operations by establishing delivery disciplines, maintaining governance and program documentation, improving processes and tools, and providing training as requirements change. It leads research, analysis, feasibility assessments, and decision support; synthesizes complex information into recommendations; and helps teams reach clear, executable decisions. This is a collaborative individual-contributor role that leads complex work through influence rather than formal authority. The role operates remotely anywhere in the United States and typically follows Eastern Standard Time business hours. It follows the annual Medicare Advantage and CMS regulatory cycle, with some periods requiring extended hours and occasional weekend work. Occasional travel to Humana offices for training or meetings may be required. The position is scheduled for 40 hours per week and reports to the Director, Insurance Product Management. It has no direct people-management responsibility.

Requirements

  • Bachelor’s degree or an equivalent combination of education and relevant professional healthcare experience.
  • At least 7 years of relevant healthcare, health plan, product management, or related experience.
  • Demonstrated experience leading complex projects, programs, or processes across multiple functional areas.
  • Experience establishing delivery plans, milestones, dependencies, governance, and risk-management approaches.
  • Ability to influence decisions and drive alignment without formal authority.
  • Experience researching complex business, regulatory, or operational topics and translating findings into clear recommendations.
  • Strong judgment and problem-solving skills, including the ability to distinguish facts, assumptions, risks, and unresolved questions.
  • Strong written and verbal communication skills, including the ability to tailor information for working teams, functional partners, and senior leaders.
  • Ability to manage multiple priorities and deliver amid ambiguity, changing requirements, and compressed timelines.
  • Advanced proficiency with Excel, PowerPoint, SharePoint, Teams, and related digital collaboration tools.
  • Ability to work from a dedicated home workspace without ongoing interruptions to protect member PHI/HIPAA information.
  • Self-provided home internet service must have at least 25 Mbps download and 10 Mbps upload speed.

Nice To Haves

  • Medicare Advantage product management, program delivery, implementation, or operational experience.
  • Experience with the annual Medicare Advantage bid cycle, benefit design, service-area expansion, or product implementation.
  • Knowledge of CMS Medicare Advantage requirements, bid processes, PBP, or HPMS.
  • Experience evaluating product or benefit feasibility across regulatory, operational, system, clinical, and financial considerations.
  • Knowledge of Stars, the Complaints Tracking Module, member experience, or regulatory compliance programs.
  • Experience developing or managing enterprise milestone calendars, governance routines, decision logs, or program dashboards.
  • Experience with process documentation, workflow design, training development, or change enablement.
  • Experience using Power Automate, Power BI, Copilot, or similar tools to improve processes, reporting, or administrative efficiency.
  • Process improvement experience or training, including Lean, Six Sigma, or another structured improvement methodology.
  • Experience presenting complex findings, recommendations, and program risks to senior leaders.

Responsibilities

  • Partner with Growth and Strategy, Insurance Product Management, and functional teams to define objectives, scope, deliverables, decision points, and success measures for Medicare Advantage bid initiatives.
  • Lead coordinated delivery of initiatives such as benefit standardization, portfolio segmentation, product guiding principles, and other enterprise or portfolio priorities.
  • Translate strategic direction into workplans, milestones, dependencies, ownership, and decision requirements, and establish delivery approaches that account for portfolio, market, and regulatory differences.
  • Facilitate cross-functional discussions, evaluate options and tradeoffs, monitor progress, identify risks and dependencies, and capture lessons learned for future bid and product cycles.
  • Lead structured feasibility assessments of proposed products, benefits, and portfolio opportunities across product, regulatory, operational, clinical, technology, system, and financial considerations.
  • Bring subject-matter experts together to identify constraints, assumptions, unresolved questions, dependencies, and downstream impacts; develop recommendations and decision-support materials.
  • Document recommendations, decisions, rationale, owners, and follow-up actions while recognizing that final product, financial, and strategic decisions remain with accountable leaders.
  • Lead research and analysis related to Stars, Clinical, Regulatory Compliance, the Complaints Tracking Module, and other enterprise priorities affecting Medicare Advantage products.
  • Synthesize complex information into findings, recommendations, and decision points; assess potential effects on benefit design, product processes, portfolios, filings, systems, and member experience.
  • Serve as the Product Management program delivery lead on assigned enterprise initiatives, coordinating participation and ensuring Product requirements and impacts are represented accurately.
  • Maintain program documentation, including objectives, scope, status, decisions, risks, dependencies, accountable owners, and next steps; gather requirements and prepare backlog opportunities for prioritization.
  • Establish governance routines, status reporting, decision logs, risk tracking, escalation approaches, and visibility into program health and milestone performance.
  • Partner with Process Improvement, Program Delivery, Product Management, technology, and process owners to improve documentation, templates, workflows, delivery standards, and tools.
  • Identify process complexity, unclear handoffs, recurring defects, manual work, and opportunities for standardization; lead sustainable improvements and measure their effectiveness.
  • Evaluate and support responsible use of approved technologies such as Power Automate, Power BI, Copilot, and SharePoint to reduce administrative work and improve information access.
  • Provide training and guidance to Product Managers as processes, tools, systems, and requirements change; translate complex changes into clear instructions, examples, and job aids.
  • Facilitate working sessions, provide technical and process guidance, reinforce disciplined delivery practices, and refine training and documentation based on feedback.
  • Direct and coordinate cross-functional contributors for assigned initiatives while remaining accountable for program integration and delivery.

Benefits

  • Medical benefits
  • Dental benefits
  • Vision benefits
  • 401(k) retirement savings plan
  • Paid time off
  • Company and personal holidays
  • Paid parental and caregiver leave
  • Short-term disability
  • Long-term disability
  • Life insurance
  • Bonus incentive plan
  • Other opportunities supporting personal wellness and healthcare decisions
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