Job Overview
Location
Remote Nationwide
Job Type
Full-time
Category
HR & Recruiting
Date Posted
April 24, 2026
Full Job Description
đź“‹ Description
- • 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
🎯 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
🏖️ Benefits
- • 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
- • Bonus incentive plan based on company and/or individual performance
Skills & Technologies
About Humana Inc.
Humana Inc. is a for-profit health and well-being company headquartered in Louisville, Kentucky. Founded in 1961, it provides health insurance, Medicare Advantage plans, Medicaid services, pharmacy benefit management, and clinical care through primary care centers. Serving millions of members across the United States, Humana focuses on integrated care delivery, home health, and wellness programs aimed at improving health outcomes and reducing costs for individuals, employers, and government partners.
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