Program Delivery Lead - Part D Risk Adjustment

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

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.

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

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

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.