Program Delivery Lead - Part D Risk Adjustment

Become a part of our caring community and help us put health first
 

Join the Risk Adjustment Organization as a Part D Program Delivery Lead where you can use a creative mindset and your Medicare Risk Adjustment knowledge to implement Part-D related programs that deliver growth and improve member and provider experience. The Program Delivery Lead reports to the Director of Part-D Risk Adjustment and will collaborate with operational leaders and enterprise partners to develop and implement new and expanded go-to-market programs. We are looking for project and process management, strategic planning and independent decision-making.

Key Responsibilities

• Facilitate the continuous improvement of Part D risk adjustment programs with focus on new PDP provider programs and expansion of Part D (MAPD) programs.
• Collaborate with risk adjustment, pharmacy, and enterprise leaders to improve existing programs.
• Develop next-generation initiatives to ensure Part D risk score documentation is timely, complete, and accurate. This will also promote appropriate follow-up care for members.
• Coordinate dependencies and manage inter-related efforts across multiple teams
• Establish and maintain structures for prioritizing, monitoring, reporting, and evaluating Part D-focused programs, pilots, and projects
• Support member and provider engagement with consideration to organizational goals

Use your skills to make an impact
 

Required Qualifications

• Bachelor's degree
• 8 or more years of project management, program management or operations experience
• 2+ years of project leadership experience
• Experience with Medicare Advantage programs
• Experience working with cross-functional teams
• History of communication across all organizational levels
• Past performance showing strong initiative and independent drive towards achieving objectives
• Experience creating impactful presentations and reports

Preferred Qualifications

• Master's degree in business administration or a related field
• PMP certification
• Knowledge of interoperability assets, vendor management, and member and provider engagement
• Knowledge of pharmacy benefit delivery

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 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: 02-20-2026

About us
 

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and 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, Medicaid, families, individuals, military service personnel, and communities at large.

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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.