Director, Group Medicare Account Management

Humana

. Lead Group Medicare account management performance, client retention, experience, renewal readiness, and continuous improvement .

Posted 10/2/2026full-timeRemote • United StatesLead💰 $124,100 - $294,300 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in Medicare account management, client relationship management, and regulatory compliance while leading high-performing teams to drive client retention and satisfaction. Proficient in negotiation, conflict resolution, and implementing AI and automation capabilities to enhance operational efficiency.

Highest-signal resume keywords

Medicare Account ManagementClient Relationship ManagementRegulatory ComplianceCross-Functional CollaborationPeople Leadership

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills

Client EngagementAccount ManagementRenewalsService DeliveryFinancial Performance ManagementNegotiationConflict ResolutionPresentation SkillsData GovernanceAI-Enabled Tools

Soft Skills

CommunicationCustomer ServiceCollaborationInfluencing Senior LeadersCoaching

Tools & Technologies

Automation ToolsData Governance Tools

Certifications & Qualifications

Life and Health License

Industry Keywords

Healthcare AdministrationManaged CareHealth InsuranceRegulated IndustryCMS Stars Metrics

About the role

Key responsibilities & impact

Lead Group Medicare account management performance, client retention, experience, renewal readiness, and continuous improvement
Translate client engagement strategy into consistent execution across an assigned portfolio, team, or functional area
Lead client value delivery and tailor account plans based on risk, value, and client needs
Build senior client relationships and lead governance forums, business reviews, and escalated issue resolution
Coordinate Sales, Pricing, Finance, Network, Stars, Clinical, Operations, Digital, Marketing, and Product partners
Promote Stars and clinical actions to improve health outcomes and CMS Stars metrics
Monitor account performance, financial metrics, client satisfaction, risks, and opportunities
Develop contract amendments, obtain legal approval, and secure renewal package signatures
Lead renewal planning, RFP activities, negotiations, pricing coordination, and renewal deliverables
Oversee implementation of new business and renewals, including implementation planning and ongoing management support
Serve as an escalation point for account management, sales, implementation, internal partners, and clients
Implement AI and automation capabilities across Account Management workflows
Identify and scale automation use cases in renewal preparation, reporting, meeting follow-up, member engagement, and knowledge management
Drive Client and Member NPS improvement through feedback analysis, root-cause prioritization, onboarding, service, communications, and outreach improvements
Build and sustain a high-performing, client-centric team; set goals, coach employees, address performance gaps, and support succession readiness
Conduct monthly or more frequent meetings with assigned Sr. AEs, AEs, and CEPs
Set retention targets and ensure associated sales incentive payments are accurate

Requirements

What you’ll need

Bachelor's degree in business, healthcare administration, or a related field; advanced degree preferred
Extensive experience, typically 8+ years, in Medicare, managed care, health insurance, or a regulated industry
2–5+ years of people leadership experience
Expertise in client relationship management, regulatory compliance, and cross-functional collaboration
Knowledge of client engagement, account management, renewals, service delivery, and financial or operational performance management
Strong presentation and meeting facilitation skills
Negotiation and conflict resolution skills
Communication, customer service, and collaboration skills
Ability to influence senior leaders and cross-functional partners
Ability to communicate complex information clearly and translate strategy into executable plans
Track record of developing talent, leading change, improving retention and experience, and building scalable operating practices
Working knowledge of AI-enabled tools, automation, data governance, and responsible adoption in business workflows preferred
Ability to travel 50% or more
Life and health license
Minimum download speed of 25 Mbps and upload speed of 10 Mbps for home or hybrid home/office work
Dedicated workspace without ongoing interruptions to protect member PHI / HIPAA information

Benefits

Comp & perks

Medical, dental and vision benefits
401(k) retirement savings plan
Paid time off
Company and personal holidays
Paid parental and caregiver leave
Short-term and long-term disability
Life insurance
Remote work arrangement
Occasional travel to Humana offices for training or meetings
Self-provided internet service for home or hybrid home/office employees
Dedicated workspace to protect member PHI / HIPAA information