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Humana

Sells Medicare health plans and runs senior clinics

Director – Supplemental Benefits Strategy & Transformation

Business OperationsPosted on Nov 9
Full-time

About the Job

Requirements

  • A Bachelor's degree is required.
  • At least 8 years of progressive experience in management consulting, corporate strategy, enterprise transformation, healthcare strategy or operations, or comparable roles solving complex business problems.
  • At least 2 years leading and developing high-performing teams, building new capabilities, and managing multiple complex workstreams simultaneously.
  • Meaningful experience in Medicare Advantage, managed care, or closely related healthcare services industries, with the ability to operate in complex regulated environments.
  • Experience independently leading complex, cross-functional initiatives from problem definition and analysis through implementation, adoption, and measurable results.
  • Ability to structure ambiguous problems, develop fact-based recommendations, and translate strategy into executable plans.
  • Strong analytical and financial acumen, including developing and evaluating business cases, trade-offs, performance trends, and value-creation opportunities.
  • Executive communication skills, including synthesizing complex information into clear narratives, recommendations, and decisions.
  • Ability to influence senior leaders, align cross-functional stakeholders, and establish accountability without direct authority.
  • Ability to operate effectively in a highly matrixed, rapidly changing, and regulated environment.

Responsibilities

  • Lead the highest-priority strategic and transformation initiatives spanning multiple supplemental benefits, vendors, and enterprise functions.
  • Structure complex or ambiguous business problems into hypotheses, analyses, workstreams, deliverables, ownership, milestones, and decisions.
  • Develop fact-based recommendations integrating financial, operational, member, competitive, regulatory, and vendor perspectives, and translate them into executable roadmaps.
  • Assess the Supplemental Benefits implications of significant regulatory changes and lead cross-functional response teams through operational execution and implementation.
  • Evaluate emerging supplemental-benefit opportunities, new capabilities, and potential changes resulting from Humana's broader Medicare Advantage strategy.
  • Develop forward-looking strategies and multi-year roadmaps to optimize the Supplemental Benefits portfolio and vendor ecosystem.
  • Assess benefit and vendor performance, economics, market capabilities, member value, operational complexity, and strategic fit to identify optimization opportunities.
  • Develop business cases supporting vendor consolidation, sourcing, RFI/RFP activity, capability investments, and other strategic decisions.
  • Transform the Supplemental Benefits operating model, including governance, decision rights, management routines, and cross-functional ways of working.
  • Establish a repeatable vendor implementation capability covering requirements, accountability, milestones, testing, readiness, launch, executive visibility, and post-launch stabilization.
  • Design portfolio-wide vendor-performance governance approaches, including quarterly business reviews, scorecards, KPI and SLA frameworks, escalation standards, and remediation.
  • Develop executive reporting, analytics, and decision-support capabilities that synthesize complex information into clear performance insights.
  • Identify fragmented, manual, or inconsistent processes and lead redesign to improve accountability, reduce risk, and increase organizational leverage.
  • Transition mature, repeatable capabilities to Shared Services Operations, benefit owners, or other accountable teams, with clear ownership, documentation, and measures.
  • Build a new high-performing Strategy & Transformation team expected to grow to approximately 4–5 professionals, defining its capabilities, roles, operating model, and management routines.
  • Recruit, develop, coach, and retain talent with structured problem-solving, analytical, communication, and execution capabilities.
  • Establish high standards for problem-solving, analytics, executive communication, project management, and implementation discipline.
  • Manage a dynamic portfolio of initiatives and make deliberate trade-offs about deploying team capacity for the greatest business and member impact.
  • Create a team culture focused on intellectual curiosity, pragmatism, accountability, collaboration, and action.
  • Deliver high-priority strategic, regulatory, and operational transformations with clear ownership and measurable results.
  • Create a prioritized multi-year roadmap for optimizing the Supplemental Benefits portfolio and vendor ecosystem.
  • Identify and capture measurable financial and operational value across vendors and the portfolio.
  • Establish a repeatable vendor implementation capability adopted across significant benefit launches and changes.
  • Create a scalable operating model with defined governance, decision rights, accountability, and management routines.
  • Develop a high-performing team capable of independently leading multiple complex initiatives while transitioning mature capabilities into recurring operations.

Desired Qualifications

  • Management consulting experience, ideally at Engagement Manager, Project Leader, or equivalent level at a leading strategy, operations, or transformation consulting firm; comparable internal strategy and transformation leadership experience is also considered.
  • Experience with Medicare Advantage supplemental benefits, CMS requirements, the annual product lifecycle, or vendor-delivered healthcare services.
  • Experience leading enterprise transformation, operating-model redesign, capability building, or large-scale cross-functional implementation.
  • Experience developing vendor strategies, sourcing and optimization roadmaps, business cases, or vendor-performance frameworks.
  • An MBA, MPH, or other relevant graduate degree.

About the Company

Humana

Sells Medicare health plans and runs senior clinics

Humana sells health insurance paid for by government programs, chiefly Medicare Advantage plans that private insurers run for Americans 65 and older in place of traditional Medicare. It ranks among the largest Medicare Advantage insurers in the country and also runs Medicaid plans for low-income families in several states. Its CenterWell business operates senior primary care clinics, a mail-order pharmacy and home health services, so many members get care from a company the insurer owns. Medicare and states pay Humana a set monthly amount per member, and it keeps the difference between those payments and members' medical costs. Humana was founded in 1961 as a nursing home company and is based in Louisville, Kentucky.

Company size
10,001+
Company stage
IPO
Headquarters
Louisville, KY
Founded
1961

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