Humana

Director

• responsible for driving excellence in care management (CM) and utilization management inpatient (UM) clinical operations
• oversee the assessment and evaluation of members' needs and requirements to achieve and maintain optimal wellness
• guide members/families toward and facilitate interaction with resources appropriate for the care and well-being of members
• provide supervision and daily guidance to care management and utilization management team members
• monitor and evaluate performance metrics and outcomes to ensure the effectiveness and quality of care management activities
• develop and implement departmental policies and procedures in accordance with contract changes and/or updates

Associate Director, Health Services Nursing

Care Coordinator

• The Care Coordinator 2 employs a variety of strategies, approaches, and techniques to manage a member’s physical, environmental, and psycho-social health issues
• Identifies and resolves barriers that hinder effective care
• Facilitate the development of a longitudinal and trusting relationship with each member toward improved quality, continuity, and coordination of care
• Responsible for the coordination of all the member’s needed medical and non-medical services, including functional, social, and environmental services
• Works collaboratively with the Service Coordinator, Transition Coordinator, and other care team staff to address the member’s identified needs
• Coordinates with all Medicare payers, Medicare Advantage plans, and Medicare providers as appropriate to coordinate the care and benefits of members who are also eligible for Medicare

Care Coordinator, RN

• Lead teams of nurses and behavior health professionals responsible for care management
• Oversee the assessment and evaluation of members' needs and requirements for optimal wellness
• Guide development, implementation, and evaluation of care management programs
• Monitor data sharing among internal and external resources to ensure service integration
• Facilitate effective communication with internal and external stakeholders
• Lead preparation and presentation of program reports utilizing data analytics
• Champion initiatives for process improvement and innovation in care management practices

Associate Director, Care Management

IT Support

• Oversees AI system projects and/or programs of a complex nature
• Brings project management discipline to Enterprise AI projects
• Coordinates across engineering, product, data, and partners to move evolving AI work into structured, deliverable execution
• Assembles and leads the project team
• Identifies appropriate resources needed
• Develops schedules to ensure completion of AI delivery projects
• Manages stakeholder partnerships and mitigates risks
• Familiar with the system scope and project objectives
• Oversees the interdependencies and integration of interrelated AI projects
• Sets strategies and leads program execution to deliver longer-term business value
• Applies working knowledge of AI/ML delivery concepts
• Partners effectively with product management and engineering stakeholders to translate technical direction into structured delivery plans

Senior IT Project Manager, Enterprise AI Delivery

Vice President

• Partner with the President of CenterWell and CWLT to define, refine, and execute CenterWell's long-term strategic vision and multi-year growth agenda.
• Lead the annual strategic planning process, translating enterprise priorities into actionable business strategies and measurable outcomes.
• Identify emerging healthcare trends, disruptive market opportunities, and innovations that will shape the future of CenterWell.
• Serve as a strategic thought partner to executive leadership and on matters related to growth, transformation, integration, and value creation.
• Develop and execute strategy projects that relate to CW growth, enablement of key outcomes, and informing key strategic choices for audiences that include the Humana Board, Enterprise Leadership Team, and other senior audiences.
• Own the continued evolution and maturation of CenterWell's operating model, ensuring organizational structure, governance, decision rights, capabilities, and accountability mechanisms support future growth and scalability.
• Lead enterprise-wide efforts to simplify operations, eliminate fragmentation, and accelerate collaboration across Primary Care, Home Health, Pharmacy, enabling functions and future CenterWell businesses.
• Design and implement governance structures that improve decision velocity, cross-functional execution, and enterprise accountability.
• Drive integration initiatives that unlock synergies across CenterWell businesses and strengthen alignment with Humana's long-term strategy.
• Establish and oversee CenterWell's execution management system, ensuring key strategic initiatives achieve intended outcomes and business results.
• Monitor progress against strategic objectives, proactively identifying risks and removing barriers to execution.
• Lead enterprise transformation initiatives, including highly visible cross-functional programs with significant operational, financial, clinical, and organizational impact.
• Foster a culture of accountability, transparency, and results orientation across the organization.
• Collaborate the CWLT, Communications, and other key leaders to translate CW strategy into messaging that builds confidence in the future state vision and strategic positioning of CW.
• Serve as a member of the CenterWell Leadership Team, helping drive enterprise decisions, organizational effectiveness, and leadership alignment.
• Lead development of strategic communications, Board materials, investor and executive presentations, and enterprise performance reviews.
• Act as a key liaison between CenterWell, Humana enterprise leadership, and external stakeholders.
• Support leadership team effectiveness, governance, and organizational health to ensure the CenterWell leadership team operates as a cohesive, high-performing executive team.
• Lead CenterWell's enterprise clinical quality team, ensuring alignment of clinical quality strategies, performance metrics, and improvement initiatives across all lines of business.
• Partner with clinical leaders to identify opportunities to improve patient outcomes, STARS performance, and total cost of care initiatives.

VP, Strategy

Product Manager

• Responsible for conveying the Medicaid product vision and roadmap to an Agile delivery team
• Defines user stories and prioritizes product backlog
• Maximizes value of product created by Agile team
• Liaises with Medicaid market stakeholders and development team
• Serves as Agile team's primary contact for information, work prioritization, and decision-making
• Makes decisions on moderately complex to complex issues regarding business approach for project components
• Accountable for managing and prioritizing the team's backlog
• Facilitates weekly product backlog review session and reviews new change requests, enhancements, and development items
• Accountable for documenting business requirements
• Showcases demonstrations to receive feedback from stakeholders
• Supports SIT Testing through clarifications on requirements and coordinates UAT Testing

Senior Product Owner

Manager

• Assess and evaluate member's needs and requirements to achieve and/or maintain optimal wellness state.
• Guide members and families toward resources appropriate for the care and wellbeing of members.
• Identify and resolve barriers that hinder effective care.
• Ensure patient is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations.
• Create plans of care.
• Communicate with internal and external stakeholders.
• Understand department, segment, and organizational strategy and operating objectives.
• Make decisions regarding own work methods, occasionally in ambiguous situations, and require minimal direction and receive guidance where needed.
• Follow established guidelines/procedures.
• Visit Medicaid members in their homes, Supportive Living Facilities, and/or Long-Term Care Facilities and other care settings.
• Support either MLTSS, LTSS, PI or TOC based on business needs.

Field Care Manager, Nurse

Growth Marketing

• Support pipeline development and market strategy to:
• Maintain and update the national Medicaid opportunity pipeline, including tracking RFP timing, Medicaid managed care program contract status, and emerging trends and activity within Medicaid programs
• Support development, refinement and presentation of the growth prioritization model and related market assessment tools
• Conduct research and analysis to identify and evaluate growth and renewal opportunities in new and existing Medicaid programs
• Lead market intelligence and industry research to:
• Gather and analyze external market data, including membership trends, regulatory developments, and competitive dynamics
• Produce regular insights and summaries (e.g., monthly newsletters, market updates) to inform leadership and cross-functional teams
• Monitor key industry trends and policy changes impacting Medicaid growth strategy
• Support competitive analysis and positioning to:
• Assist in development and maintenance of competitor profiles, membership tracking, and performance comparisons
• Conduct targeted research to support RFP strategy, capture planning, and market entry decisions
• Partner with internal stakeholders to translate insights into actionable strategic recommendations
• Maintain pipeline resources and tools to:
• Manage centralized repositories for contract timelines, market intelligence, and opportunity tracking
• Ensure accuracy, consistency, and accessibility of pipeline and market data across the team
• Support development of standardized templates and processes for pipeline and market analysis
• Collaborate cross-functionally to:
• Partner with Growth Strategy, Capture, Proposal, Product, and external affairs teams to support business development initiatives
• Contribute to strategic planning efforts that support stakeholder engagement activities across priority markets
• Support ad hoc strategic analyses and leadership requests as needed

Strategy Advancement Professional – Medicaid Growth

Operations

• Keeps Design Research practice running smoothly
• Partners with Design Research leadership to manage research knowledge bases, tooling, and infrastructure
• Develops, standardizes, and maintains scalable research practices
• Manages access, permissions, and utilization of research tools/software/platforms
• Coordinates with research tool suppliers
• Maintains research policies and standards

Research Operations Lead

Data Analyst

• Support pipeline development and market strategy to: Maintain and update the national Medicaid opportunity pipeline, including tracking RFP timing, Medicaid managed care program contract status, and emerging trends and activity within Medicaid programs
• Support development, refinement and presentation of the growth prioritization model and related market assessment tools
• Conduct research and analysis to identify and evaluate growth and renewal opportunities in new and existing Medicaid programs
• Lead market intelligence and industry research to: Gather and analyze external market data, including membership trends, regulatory developments, and competitive dynamics
• Produce regular insights and summaries (e.g., monthly newsletters, market updates) to inform leadership and cross-functional teams
• Monitor key industry trends and policy changes impacting Medicaid growth strategy
• Support competitive analysis and positioning to: Assist in development and maintenance of competitor profiles, membership tracking, and performance comparisons
• Conduct targeted research to support RFP strategy, capture planning, and market entry decisions
• Partner with internal stakeholders to translate insights into actionable strategic recommendations
• Maintain pipeline resources and tools to: Manage centralized repositories for contract timelines, market intelligence, and opportunity tracking
• Ensure accuracy, consistency, and accessibility of pipeline and market data across the team
• Support development of standardized templates and processes for pipeline and market analysis
• Collaborate cross-functionally to: Partner with Growth Strategy, Capture, Proposal, Product, and external affairs teams to support business development initiatives
• Contribute to strategic planning efforts that support stakeholder engagement activities across priority markets
• Support ad hoc strategic analyses and leadership requests as needed

Healthcare Growth Strategy, Data Analytics Professional

Full-stack Engineer

• End-to-end decision system delivery
• Own the complete pipeline from member signals to live decisions: feature engineering, decisioning logic, optimization, scoring, deployment into NBA platform software/infrastructure, and production monitoring.
• Decision intelligence architecture
• Design the system that determines what to do for each member, when, and through which channel.
• Translate business objectives into reward structures, constraints, and optimization formulations, and know when a rule, a model, or a solver is the right tool.
• Feature and data layer
• Design and build the member feature layer on the Databricks Lakehouse (clinical, behavioral, web clickstream, socioeconomic signals) in partnership with data engineering.
• Define what signals matter and ensure they are available, correct, and timely at decision time.
• Planning and optimization
• Lead the design of how the system plans sequences of actions across a member journey, balancing short-term engagement with long-term outcome goals.
• This includes reward shaping, constraint satisfaction, policy evaluation, and reasoning about delayed feedback.
• Deployment and production systems
• Own how decision outputs flow into live systems: scoring pipelines, serving infrastructure, action masking, and real-time feedback loops from downstream behavioral signals.
• Experimentation and measurement
• Design holdout frameworks and online evaluation strategies that isolate the effect of decisioning changes.
• Define success metrics and translate experiment results into system improvements and roadmap input.
• Technical team leadership
• Lead a team of engineers across the full delivery lifecycle.
• Run design reviews, set the technical quality bar, and keep delivery moving while holding the architecture together.
• Guide software development teams building the services, APIs, and infrastructure that support decision intelligence algorithms in production.
• Mentorship
• Develop team members through code reviews, pairing, and ongoing technical guidance.
• AI-assisted development
• Champion the use of AI coding and research tools (Claude, Copilot, etc.) across the team and model what high-leverage AI-augmented engineering looks like in practice.

Principal Decision Intelligence Engineer

• Platform reliability - own uptime, performance, and resilience across NBA platform services; identify and resolve bottlenecks, failure points, and scaling constraints before they become incidents
• Hands-on development - actively write and ship production code alongside your team; this is not a supervisory role
• Testing frameworks - build and maintain automated testing infrastructure across unit, integration, and end-to-end layers; establish testing standards and ensure pods are handing off code that meets the bar
• Observability and logging - own the platform's logging, alerting, and monitoring stack; ensure the team has visibility into what the system is doing in production at all times
• Error management - design and enforce error handling patterns across platform services; ensure failures are caught, logged, surfaced, and resolved systematically
• Scalability engineering - evaluate platform components under load and lead efforts to ensure the system scales reliably as member volume and data throughput grow
• Handoff and quality gates - define and enforce the criteria pods must meet before handing off new services or features; own the process that gets code from delivery to production safely
• Contractor management - manage quality and reliability engineers within your pod; set expectations, review work, and hold the team to standards
• Cross-pod coordination - work closely with all delivery pod leads to catch quality and reliability concerns early; be the voice that asks how something breaks before it ships

Lead Full Stack Engineer

Data Engineer

• Pipeline delivery - design, build, and own the Bronze/Silver/Gold lakehouse pipelines that power the NBA platform
• Hands-on development - actively write and ship production SQL, Python, and Spark code alongside your team
• Data modeling - own the Gold layer schema that serves as the canonical member feature set for model training and batch scoring
• Data quality - build and maintain data quality checks, null/sparsity monitoring, and pipeline alerting
• External data integration - onboard new data sources
• Contractor management - manage data engineering contractors within your pod
• Cross-functional partnership - work closely with the Principal Decision Intelligence Engineer on feature requirements

Principal Data Engineer

• Lead advocacy, stakeholder engagement, and federal affairs strategies
• Liaison between Humana Military and external stakeholders
• Build strategic relationships with Military Service Organizations, Veterans Service Organizations, federal officials, and industry partners
• Advise senior leadership on military and Veterans-related policy issues
• Develop advocacy strategies and communications

Director, Federal Affairs

Actuary

• Collaborate with stakeholders to understand business needs, identify issues, and develop actionable insights into drivers of medical claims trends.
• Provide strategic guidance to executives on matters of significance by leveraging strong communication skills to collaborate effectively with stakeholders, present findings to leadership, and document actuarial analyses in accordance with ASOP 41, Actuarial Communications.
• Exercise independent judgment and make sound decisions on complex actuarial matters while working with minimal supervision and determining appropriate courses of action based on varying factors.
• Analyze and forecast financial, economic, and business data by applying technical knowledge, industry insights, and actuarial modeling to inform strategic and operational decision-making and assess the organization’s financial and competitive position over the short, medium, and long term.
• Conduct root cause analyses, establish metrics, and deliver data-driven insights and cost-effective solutions to address data-related issues and support business intelligence initiatives.