项目交付负责人, 医保优势投标运营
Program Delivery Lead, Medicare Advantage Bid Operations
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Medicare Advantage 报价运营项目经理负责协调和管理年度 Medicare Advantage 报价计划、开发、治理和提交流程。作为产品、财务、精算、增长战略、市场、质量及高管团队之间的核心协调点,该职位确保关键决策、交付成果和里程碑按时完成,并获得适当的干系人参与。该职位负责召集和协调报价运营模式,管理整体项目日历,监督项目治理论坛和流程,支持与核心战略合作伙伴的新计划扩展协调工作,并在高管干系人之间进行协调,以确保一项高度复杂的企业项目的成功执行。该项目经理将在高度矩阵化的环境中工作,必须具备在没有权威的情况下进行影响的能力,管理严格的截止日期,并作为报价计划流程相关问题的关键联系人。与更广泛的增长战略团队合作,该项目经理帮助推动 Medicare Advantage 报价运营模式、治理结构、决策论坛和计划流程的持续演进,以提高组织效能和执行质量。
主要职责
报价项目管理
- 制定并管理整合的年度 Medicare Advantage 报价计划日历,包括里程碑、交付成果、依赖关系和 CMS 截止日期
- 作为报价计划和执行流程治理问题和反馈的主要联系人
- 识别可能影响报价执行的风险、问题和依赖关系,并促进缓解策略
- 监控整体项目健康状况,并在适当的时候将关键问题上报给领导层
- 支持年度报价回顾和经验总结活动,以改进报价流程、治理结构、干系人参与和运营效率
- 建立并监控与报价流程执行和干系人参与相关的关键绩效指标
- 与核心战略合作伙伴及时协调新计划扩展策略
治理与决策管理
- 确保适当的干系人(包括高管)参与相关讨论和决策
- 协调治理会议,包括议程、预读材料、讨论内容等
查看英文原文
Become a part of our caring community
The Program Delivery Lead, Medicare Advantage Bid Operations is responsible for coordinating and managing the annual Medicare Advantage bid planning, development, governance, and submission process. Serving as a central point of coordination across Product, Finance, Actuarial, Growth Strategy, Markets, Quality, and executive leadership teams, this role ensures key decisions, deliverables, and milestones are completed on time and with appropriate stakeholder engagement.This individual acts as the convener and coordinator of the bid operating model, managing the overall program calendar, overseeing program governance forums and processes, supporting coordination of new plan expansions with core strategic partners, and coordinating across executive stakeholders to ensure successful execution of a highly complex enterprise initiative. The Program Delivery Lead will operate in a highly matrixed environment and must be skilled at influencing without authority, managing strict deadlines, and serving as a key point of contact for questions about bid planning processes. In partnership with the broader Growth Strategy team, the Program Delivery Lead helps to drive continuous evolution of the Medicare Advantage bid operating model, governance structure, decision forums, and planning processes to improve organizational effectiveness and execution quality.
Key Responsibilities
Bid Program Management
- Develop and manage the integrated annual Medicare Advantage 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 that may impact bid execution and facilitate mitigation strategies
- Monitor overall program health and escalate critical issues to leadership as appropriate
- Support annual bid retrospectives and lessons-learned activities to improve bid processes, governance structures, stakeholder engagement, and operational efficiency
- Establish and monitor key performance indicators related to bid process execution and stakeholder engagement
- Coordinate new plan expansion strategies on time with core strategic partners
Governance and Decision Management
- Ensure appropriate stakeholders (including executive leaders) are engaged in relevant discussions and decisions
- Coordinate governance meetings, including agendas, pre-read materials, discussion guides, and follow-up actions
- Maintain documentation of key decisions, approvals, assumptions, and action items, and recommend unresolved items for escalation
- Collaborate with key stakeholders to continuously improve bid governance processes and decision-making forums
- Foresight to understand when process or regulatory dependencies may shift decision urgency, and prioritize accordingly
Stakeholder Engagement
- Build strong relationships across Product, Finance, Actuarial, Markets, Stars/Quality, Compliance, and Strategy teams
- Serve as a trusted partner to senior leaders and functional stakeholders
- Drive alignment among teams with differing priorities and perspectives
- Ensure stakeholders understand responsibilities, timelines, and expected outcomes throughout the bid cycle
Meeting planning and logistics
- Support planning and facilitation of large-scale workshops, strategy sessions, governance meetings, and executive forums
- Manage meeting logistics, attendance, communications, and follow-up activities
- Enforce forum charters/rules of order to ensure meeting time is used effectively, and outcomes/decisions are achieved
Executive Communications
- Collaborate with Growth Strategy teammates to prepare executive presentation materials
- Communicate program status, key risks, decisions, and emerging issues to leadership
- Help executives prepare to deliver major bid-related updates to Board (i.e., prepare talking points, organize prep sessions)
Use your skills to make an impact
Required Qualifications
- 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
Preferred Qualifications
- 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
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
40Pay 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.$138,200 - $190,100 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.
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.
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