Director, Supplemental Benefits Operations

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

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.

Application Deadline: 05-07-2026

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.

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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.