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Salary
$138k – $190k per year
Location
Remote (United States)
Seniority
Staff · 5+ years exp
Employment
Full-Time
Overview
Company
Impact
Profile match
Humana is an American health insurer founded in 1961 that began as a nursing home operator, moved into hospitals, and eventually sold those to concentrate entirely on health benefits. It is one of the largest providers of Medicare Advantage plans in the United States, where private insurers administer government-funded coverage for older Americans, and it also runs CenterWell, a care delivery arm operating primary care clinics, home health services and a pharmacy. Headquartered in Louisville, Kentucky and listed on the New York Stock Exchange, its results are unusually sensitive to Medicare rate decisions and to how quality star ratings are assessed.

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The Program Delivery Lead, Medicare Advantage Bid Operations is responsible for coordinating and managing the annual Medicare Advantage bid planning, development, governance, and submission process. Serving as a central point of coordination across Product, Finance, Actuarial, Growth Strategy, Markets, Quality, and executive leadership teams, this role ensures key decisions, deliverables, and milestones are completed on time and with appropriate stakeholder engagement.

This individual acts as the convener and coordinator of the bid operating model, managing the overall program calendar, overseeing program governance forums and processes, supporting coordination of new plan expansions with core strategic partners, and coordinating across executive stakeholders to ensure successful execution of a highly complex enterprise initiative. The Program Delivery Lead will operate in a highly matrixed environment and must be skilled at influencing without authority, managing strict deadlines, and serving as a key point of contact for questions about bid planning processes. In partnership with the broader Growth Strategy team, the Program Delivery Lead helps to drive continuous evolution of the Medicare Advantage bid operating model, governance structure, decision forums, and planning processes to improve organizational effectiveness and execution quality.

Key Responsibilities

Bid Program Management

  • Develop and manage the integrated annual Medicare Advantage bid plan calendar, including milestones, deliverables, dependencies, and CMS deadlines
  • Serve as the point person for bid planning and execution process governance questions and feedback
  • Identify risks, issues, and dependencies that may impact bid execution and facilitate mitigation strategies
  • Monitor overall program health and escalate critical issues to leadership as appropriate
  • Support annual bid retrospectives and lessons-learned activities to improve bid processes, governance structures, stakeholder engagement, and operational efficiency
  • Establish and monitor key performance indicators related to bid process execution and stakeholder engagement
  • Coordinate new plan expansion strategies on time with core strategic partners

Governance and Decision Management

  • Ensure appropriate stakeholders (including executive leaders) are engaged in relevant discussions and decisions
  • Coordinate governance meetings, including agendas, pre-read materials, discussion guides, and follow-up actions
  • Maintain documentation of key decisions, approvals, assumptions, and action items, and recommend unresolved items for escalation
  • Collaborate with key stakeholders to continuously improve bid governance processes and decision-making forums
  • Foresight to understand when process or regulatory dependencies may shift decision urgency, and prioritize accordingly

Stakeholder Engagement

  • Build strong relationships across Product, Finance, Actuarial, Markets, Stars/Quality, Compliance, and Strategy teams
  • Serve as a trusted partner to senior leaders and functional stakeholders
  • Drive alignment among teams with differing priorities and perspectives
  • Ensure stakeholders understand responsibilities, timelines, and expected outcomes throughout the bid cycle

Meeting planning and logistics

  • Support planning and facilitation of large-scale workshops, strategy sessions, governance meetings, and executive forums
  • Manage meeting logistics, attendance, communications, and follow-up activities
  • Enforce forum charters/rules of order to ensure meeting time is used effectively, and outcomes/decisions are achieved

Executive Communications

  • Collaborate with Growth Strategy teammates to prepare executive presentation materials
  • Communicate program status, key risks, decisions, and emerging issues to leadership
  • Help executives prepare to deliver major bid-related updates to Board (i.e., prepare talking points, organize prep sessions)

Use your skills to make an impact

Required Qualifications

  • Bachelor's Degree from an accredited institution
  • 5+ years of program management, project management, operations, strategy, consulting, or related work experience
  • Experience leading complex, cross-functional initiatives involving multiple stakeholder groups
  • Demonstrated success managing executive-level meetings, governance forums, or strategic planning processes
  • Proven ability to influence outcomes without direct authority
  • Strong facilitation, communication, and stakeholder management skills
  • Exceptional organizational, planning, and execution capabilities
  • Experience developing executive presentations and written communications

Preferred Qualifications

  • Experience supporting Medicare Advantage, Medicare Part D, healthcare product development, or regulated business operations
  • Knowledge of Medicare Advantage bid processes, CMS requirements, healthcare regulatory environments, or annual planning cycles
  • Experience leading enterprise PMO, governance, or transformation initiatives
  • MBA, MHA, MPH, or related advanced degree
  • PMP, PgMP, Lean Six Sigma, Agile, or Change Management certification
  • Experience working directly with executive leadership teams
Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.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.$138,200 - $190,100 per yearThis 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About Us

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.

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.

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