Director, Supplemental Benefits Operations
Humana Inc, Helena, MT, United States
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.
Use your skills to make an 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
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
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
40
Pay 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.
$150,000 - $206,300 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
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.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
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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.
Use your skills to make an 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
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
Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.
Scheduled Weekly Hours
40
Pay 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.
$150,000 - $206,300 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
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.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
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