Program Delivery Lead, Benefit Enablement & Execution

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Humana’s Consumer Product Management team is seeking an experienced Program Deliver Lead, Benefit Enablement & Execution, to join working remote anywhere in the US. In this role, you'll serve as a critical delivery connector across Insurance Product Management, Growth and Strategy, and the functional teams responsible for bringing Medicare Advantage products to market. You'll translate portfolio priorities into structured programs, clear milestones and coordinated workstreams that support accurate, timely and compliant execution. If you enjoy turning big-picture strategy into well-managed programs and helping teams deliver successfully, this role is for you.

As the Program Deliver Lead, Benefit Enablement & Execution, you'll lead complex bid initiatives and enterprise projects that span product strategy, benefit design, regulatory requirements, operational readiness, technology and process enablement. This includes coordinating initiatives such as benefit standardization, portfolio segmentation, plan naming, service area expansion and the evaluation of new product and benefit opportunities.

You'll also help strengthen how Product Management operates. You'll establish practical delivery disciplines, maintain governance and program documentation, improve processes and tools, and provide timely training as requirements change. Through research, analysis and cross-functional leadership, you'll help teams understand complex issues, evaluate implications and move toward clear, executable decisions.

This is a highly collaborative individual-contributor role for someone who can create clarity from ambiguity, lead complex work without relying on formal authority and keep multiple teams aligned through demanding Medicare Advantage and CMS delivery cycles.

Key Role Functions

Lead Medicare Advantage Bid Initiatives

• Partner with Growth and Strategy, Insurance Product Management and functional teams to define objectives, scope, deliverables, decision points and measures of success for bid-related initiatives
• Lead coordinated delivery of initiatives involving benefit standardization, portfolio segmentation, product guiding principles and other enterprise or portfolio priorities
• Translate strategic direction into executable workplans, milestones, dependencies, ownership and decision requirements
• Establish delivery approaches that create consistency across portfolios while allowing for appropriate product, market and regulatory differences
• Facilitate cross-functional discussions needed to evaluate options, surface tradeoffs and move initiatives toward timely decisions
• Monitor initiative progress and ensure key decisions, dependencies and risks are identified before they affect bid submissions or downstream implementation
• Capture lessons learned and incorporate them into future bid and product cycles

Lead Feasibility Assessment and Decision Support

• Lead structured evaluation of proposed products, benefits and portfolio opportunities across product, regulatory, operational, clinical, technology, system and financial considerations
• Define the questions, information and functional expertise needed to assess whether an opportunity can be executed accurately and within required timelines
• Bring together subject-matter experts to identify dependencies, constraints, assumptions, unresolved questions and downstream impacts
• Distinguish between identified facts, assumptions and areas requiring additional validation so leaders can make informed decisions
• Develop clear recommendations and decision-support materials that explain options, risks, tradeoffs and execution implications
• Facilitate alignment among partners with different priorities while recognizing that final product, financial or strategic decisions remain with the appropriate accountable leaders
• Maintain documentation of recommendations, decisions, rationale, owners and follow-up actions

Lead Enterprise Research and Product Impact Analysis

• Lead research and analysis related to Stars, Clinical, Regulatory Compliance, the Complaints Tracking Module and other enterprise priorities affecting Medicare Advantage products
• Identify relevant product, member, regulatory, operational and delivery implications
• Synthesize complex information into concise findings, recommendations and decision points for Product Management leaders and partner teams
• Evaluate how enterprise initiatives could affect benefit design, product processes, portfolio priorities, filings, systems or the member experience
• Serve as the Product Management program delivery lead on assigned enterprise initiatives
• Coordinate Product Management participation, consolidate feedback and ensure Product requirements and impacts are represented accurately
• Communicate conclusions, open questions and recommended actions in a format appropriate for working teams and senior leaders

Own Program Governance and Delivery Discipline

• Maintain program documentation for active portfolio opportunities, including objectives, scope, status, decisions, risks, dependencies, accountable owners and next steps
• Gather requirements and prepare backlog opportunities so they are sufficiently defined for prioritization and future planning
• Establish appropriate governance routines, status reporting, decision logs, risk tracking and escalation approaches for assigned initiatives
• Create clear visibility into program health, milestone performance, unresolved decisions and delivery risks
• Ensure commitments and decisions are documented and communicated to affected teams
• Provide concise and actionable updates to Product Management leaders and cross-functional stakeholders

Improve Processes, Tools and Ways of Working

• Partner with Process Improvement, Program Delivery and Product Management teams to create, maintain and improve process documentation, templates, workflows and delivery standards
• Evaluate existing processes to identify unclear handoffs, unnecessary complexity, recurring defects, manual activity and opportunities for standardization
• Lead implementation of practical improvements that strengthen accuracy, efficiency, transparency and user experience
• Identify opportunities to use tools such as Power Automate, Power BI, Copilot, SharePoint and other approved technologies to reduce administrative work and improve access to information
• Partner with technology and process owners to evaluate solutions and support responsible implementation
• Establish appropriate controls, documentation and ownership so process improvements are sustainable
• Measure the effectiveness of changes and adjust approaches based on user feedback and delivery results

Build Product Management Capability

• Provide timely training, guidance and support to Product Managers as processes, tools, systems and requirements change
• Translate complex process or regulatory changes into clear instructions, practical examples and job aids
• Determine the appropriate training approach based on the complexity, timing and impact of the change
• Facilitate working sessions that help teams understand new expectations and apply them consistently
• Provide technical and process guidance to associates working across related programs and workstreams
• Reinforce disciplined documentation, milestone management, issue escalation and adoption of standard processes
• Gather feedback after implementation and refine training or documentation where additional clarity is needed

Use your skills to make an impact

Required Qualifications

• Bachelor’s degree or equivalent combination of education and relevant professional healthcare experience
• 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
• Demonstrated 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, with the ability to tailor information for working teams, functional partners and senior leaders
• Demonstrated ability to manage multiple priorities and deliver through ambiguity, changing requirements and compressed timelines
• Advanced proficiency with Excel, PowerPoint, SharePoint, Teams and related digital collaboration tools

Preferred Qualifications

• 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

Additional Information

• This role typically operates on Eastern Standard Time business hours.
• The work follows the annual Medicare Advantage and CMS regulatory cycle. Certain periods of the year require additional flexibility, including extended hours and occasional weekend work, to meet critical regulatory and business deadlines

What Success Looks Like

• Create clarity from complexity. Translate broad portfolio priorities, regulatory requirements and enterprise initiatives into clear objectives, deliverables, milestones and accountability
• Connect strategy to execution. Help teams understand how bid initiatives, benefit decisions and process changes support portfolio goals, member value and operational readiness
• Lead without relying on authority. Build alignment, maintain momentum and create shared accountability across teams with different responsibilities and priorities
• Use sound judgment. Evaluate complex issues across product, regulatory, operational, clinical, technology and financial considerations and clearly explain the reasoning behind recommendations
• Enable good decisions. Bring together the right information and expertise, clarify tradeoffs and help accountable leaders reach timely, executable decisions
• Anticipate rather than react. Identify dependencies, risks and emerging requirements early enough for teams to respond effectively
• Deliver reliably. Maintain accurate plans, governance records and milestone calendars and follow through until commitments are completed or appropriately escalated
• Communicate for the audience. Provide the right level of information to working teams, functional partners and senior leaders at the right time
• Keep work simple. Reduce unnecessary complexity, clarify ownership and use technology to make processes easier, faster and more reliable
• Strengthen the operating model. Leave processes, tools, documentation and delivery standards stronger and more sustainable after each initiative
• Learn and adapt. Use feedback, performance information and lessons learned to improve future planning and execution
• Maintain a member-centered perspective. Consider how product and delivery decisions ultimately affect the clarity, quality and reliability of the member experience

How You'll Lead

How you achieve results matters as much as what you deliver. You'll model Humana's values by being Caring, Curious and Committed, and you'll put the Humana Way into practice by living the Golden Rule, keeping work simple, playing to win, keeping your eyes on the horizon and playing as one team.

You'll listen before assuming, seek diverse perspectives and remain open to learning. You'll turn complexity into clarity, focus teams on meaningful outcomes and identify opportunities to replace manual work with technology-enabled solutions. You'll establish clear endpoints, anticipate risks and adjust as conditions change. You'll explain recommendations and decisions transparently, build trust across organizational boundaries and create shared accountability for outcomes that help people achieve their best health.

Role Expectations

• Operate with substantial independence within established Product Management, Medicare Advantage, regulatory and enterprise strategies
• Serve as a subject-matter resource for complex program delivery, bid enablement, process activation and cross-functional execution
• Determine the appropriate methods, delivery approach, priorities and timelines for assigned programs with minimal instruction
• Exercise independent judgment on complex program and delivery issues while recognizing when decisions must be elevated to accountable leaders
• Lead through influence and technical guidance rather than through direct people-management authority
• Direct and coordinate the work of cross-functional contributors for assigned initiatives while remaining accountable for program integration and delivery
• Manage multiple complex programs and workstreams with competing timelines, stakeholders and dependencies
• Translate complex research, regulatory information and functional input into clear recommendations and execution plans
• Influence functional strategies and operating practices by identifying recurring issues and recommending sustainable improvements
• Maintain a forward-looking view of program needs while remaining accountable for near-term milestones and deliverables
• Use advanced digital tools, including Excel, PowerPoint, SharePoint, Teams and approved automation or reporting platforms, to manage work and communicate effectively
• Adapt quickly as priorities, requirements and business conditions change

Key Partnerships & Reporting Relationship

You'll report to the Director, Insurance Product Management and work closely with Growth and Strategy, Insurance Product Management, Process Improvement and Program Delivery, Stars, Clinical, Compliance, Operations, Marketing, Technology and other enterprise and functional partners.

This role does not have direct people-management responsibility; however, you'll lead through cross-functional influence and program ownership.

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.$115,200 - $158,400 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.Application Deadline: 11-11-2026

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.

Originally posted on Himalayas