Program Delivery Lead, Medicare Advantage Bid Operations

Job Description:

  • Coordinate and manage the annual Medicare Advantage bid planning, development, governance, and submission process
  • Serve as the central point of coordination across Product, Finance, Actuarial, Growth Strategy, Markets, Quality, and executive leadership teams
  • Develop and manage the integrated annual 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 and facilitate mitigation strategies
  • Monitor overall program health and escalate critical issues to leadership
  • Support annual bid retrospectives and lessons-learned activities
  • Establish and monitor KPIs related to bid process execution and stakeholder engagement
  • Coordinate new plan expansion strategies with core strategic partners
  • Ensure appropriate stakeholders, including executive leaders, are engaged in discussions and decisions
  • Coordinate governance meetings, agendas, pre-read materials, discussion guides, and follow-up actions
  • Maintain documentation of decisions, approvals, assumptions, and action items; recommend unresolved items for escalation
  • Improve bid governance processes, decision-making forums, and planning processes
  • Build relationships across Product, Finance, Actuarial, Markets, Stars/Quality, Compliance, and Strategy teams
  • Drive alignment among teams with differing priorities and perspectives
  • Ensure stakeholders understand responsibilities, timelines, and expected outcomes throughout the bid cycle
  • Plan and facilitate workshops, strategy sessions, governance meetings, and executive forums
  • Manage meeting logistics, attendance, communications, and follow-up activities
  • Enforce forum charters and rules of order to achieve effective outcomes and decisions
  • Prepare executive presentation materials with Growth Strategy teammates
  • Communicate program status, risks, decisions, and emerging issues to leadership
  • Help executives prepare major bid-related updates to the Board through talking points and preparation sessions

Requirements:

  • 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
  • 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
  • Minimum home internet speed of 25 Mbps download and 10 Mbps upload
  • Ability to work from a dedicated space lacking ongoing interruptions to protect member PHI/HIPAA information

Benefits:

  • Bonus incentive plan based upon company and/or individual performance
  • Medical benefits
  • Dental benefits
  • Vision benefits
  • 401(k) retirement savings plan
  • Paid time off
  • Company holidays
  • Personal holidays
  • Paid parental leave
  • Paid caregiver leave
  • Short-term disability
  • Long-term disability
  • Life insurance
  • Personal wellness support
  • Smart healthcare decision support
  • Occasional travel to Humana offices for training or meetings
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