The Associate Director, Delegation Operational Enablement and Support leads strategic enablement, oversight, and operational support for Humana's delegated provider and vendor relationships. This role partners across markets, operational teams, providers, vendors, and leadership to improve delegation processes, resolve complex issues, strengthen governance, and support value-based outcomes and member well-being. You will report to the Director.
Key Responsibilities
- Lead up to around 6 direct reports
- Develop and implement programs, processes, tools, and education that support delegated relationships across their lifecycle.
- Serve as a subject matter expert on delegation requirements, oversight, governance, operational execution, and best practices.
- Lead cross-functional collaboration with market teams, operational partners, provider and vendor partners, and internal leadership.
- Establish, manage, and improve oversight processes, including ownership and support of the Delegation Council.
- Support markets with delegated relationships by resolving pain points, aligning processes, and connecting stakeholders to appropriate business areas.
- Monitor delegation performance, identify risks and trends, and drive continuous improvement in consistency, documentation, education, and stakeholder experience.
- Prepare executive-level reporting, communicate outcomes and risks, and provide strategic recommendations to leadership.
Use your skills to make an impact
Required Qualifications
- Bachelor's degree in Business, Healthcare Administration, or a related field
- 7+ years of experience in healthcare provider and payer relationships
- 2+ years indirect/direct leadership experience
- Experience identifying complex technical and operational problems within departments or across business areas
- Knowledge of Microsoft products, including Word, Excel, PowerPoint
- Experience presenting executive-level reporting, presentations, and recommendations
- Experience implementing process improvement initiatives
Preferred Qualifications
- Experience supporting delegated provider arrangements, value-based care programs, provider operations, or payer-provider partnerships
- Experience with data extraction and analysis technologies such as Power BI
- Experience developing reporting, dashboards, metrics, or performance insights for management
- Experience working with claims systems and encounters
- Experience developing training, education, governance materials, templates, policies, protocols, or process documentation
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
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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.
Application Deadline: 08-04-2026
