Program Delivery Lead

Humana Inc; Northern (KY); Hybrid; USD 115,000 - 158,000; Full time

Benefits offered by this job

Medical, dental, vision benefits

401(k) retirement savings plan

Paid time off including holidays

Disability insurance

Life insurance

Bonus incentive eligibility

Job summary

Humana Inc. is seeking a Program Delivery Lead within the In-Office Provider Programs organization, focused on risk adjustment and provider performance.

You will own execution, monitoring, and continuous improvement of programs that affect clinical documentation and care outcomes, collaborating across functions and reporting to executives. The role requires strategic thinking, strong analytical skills, and experience guiding cross-functional teams in a complex healthcare environment.

Qualifications

• 8+ years in program delivery, operations, or related roles.
• 2+ years analyzing operational data to drive improvements.
• 2+ years documenting and standardizing processes across cross-functional teams or programs.

Responsibilities

• Identify, develop, and implement provider programs.
• Monitor execution and operational performance outcomes.
• Lead cross-functional program improvement and documentation.
• Advise executives on functional strategies and budgets.

Skills

Program delivery

Operations

Data analysis

Cross-functional collaboration

Microsoft Office

Education

Bachelor's degree in Business Administration / Health Care Administration / related field

Master's degree

Tools

Excel

Job description

Become a part of our caring community The In-Office Provider Programs organization within Risk Adjustment delivers a portfolio of products to support physicians in providing optimal patient care and improving the accuracy of their clinical documentation. The products are a mix of in-house and vended solutions, with an eye toward growth of analytics-driven and interoperable solutions. The Program Delivery Lead strategically identifies, develops, and implements programs that influence providers, including ownership of the execution and operational performance outcomes for Provider Programs. The Program Delivery Lead works on problems of diverse scope and complexity ranging from moderate to substantial. The Program Delivery Lead implements, monitors and seeks to continually improve program operational programs. Partners with leaders regarding implementation planning. Reviews and communicates results of programs. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action. In-Office Provider Vended Programs; Issue Research and Resolution, operational routines (file generation, distribution, reconciliation, quality control), program consultation, program implementations, change management and operational readiness, program budget management, and performance monitoring and controls. Leads and oversees business process improvement initiatives, including cross-functional, end-to-end lifecycle documentation and improvement, such as product and performance lifecycles. Collects and analyzes data to develop and recommend business practices and procedures that improve the customer experience, support compliance, and increase efficiency. Supports, leads, and drives key organizational initiatives, including retrospective lessons learned and cross-functional collaboration opportunities. Ensures process and procedure documentation is standardized and accurate across programs. Develops, reviews, and approves program education/materials Use your skills to make an impact.

Required Qualifications

8+ years of experience in program delivery, operations, business process improvement, or related operational roles. 2+ years of experience analyzing operational data and using findings to recommend process, compliance, customer experience, or efficiency improvements. 2+ years of experience documenting, standardizing, or improving business processes across cross-functional teams or programs. Experience using Microsoft Office tools, including Excel, PowerPoint, Outlook, and Teams, to manage reporting, documentation, communication, and stakeholder updates. Experience supporting program administration, operational reporting, financial tracking, claims management, or departmental expense processes.

Preferred Qualifications

Bachelor’s degree in Business Administration, Health Care Administration, Operations, Finance, or a related field; master’s degree preferred. Experience applying Lean, Six Sigma, or other process improvement methodologies to improve operational efficiency, quality, or performance outcomes. Experience in vended operations and / or vendor management Experience supporting financial management activities, including budgeting, expense tracking, claims management, reporting, or program administration. Experience in operational program management, business operations, or process execution within a matrixed or cross-functional environment. Knowledge of health care, managed care, provider programs, risk adjustment, or clinical documentation workflows. Strong analytical skills, including the ability to interpret data, identify trends, and translate insights into actionable business recommendations.

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. *Local Louisville candidates are encoluraged to apply

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

• 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
• many other opportunities

Application Deadline

08-29-2026

About us

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 atHumana.comand atCenterWell.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.