Humana

IT Support

• Translate business needs into technical systems solutions and architectural roadmaps
• Work on problems of diverse scope and complexity ranging from moderate to substantial
• Integrate hardware, software and network interfaces to form a system
• Recommend products that will evolve the organization's technical infrastructure
• Provide leadership in developing the organization's technical and architectural staff
• Advise executives to develop functional strategies (often segment specific) on matters of significance
• Exercise independent judgment and decision making on complex issues regarding job duties and related tasks, and work under minimal supervision
• Use independent judgment requiring analysis of variable factors and determining the best course of action

Lead Enterprise Architect – AI

Project Manager

• Manage all aspects of a project, from start to finish
• Design, communicate, and implement an operational plan for completing the project
• Monitor progress and performance against the project plan
• Take action to resolve operational problems and minimize delays
• Identify, develop, and gather resources to complete the project
• Develop project schedules, conduct meetings, and prepare reports to communicate project status
• Set priorities, allocate tasks, and coordinate project teams to meet targets and milestones
• Influence department's strategy
• Make decisions on moderately complex to complex issues regarding project components
• Apply internal processes and enforce project standards
• Interface with internal and external resources to ensure successful project completion
• Prepare presentations and communication materials on behalf of the project team
• Partner with operational teams to drive process improvement and identify/apply best practices
• Monitor and report on project progress and milestones

Senior Project Manager

Vice President

• Lead strategic initiatives to transform and advance Stars back to industry leading
• Monitor and analyze industry trends, CMS updates, competitor activity, and market dynamics that impact the Medicare Stars landscape
• Develop and communicate insights to inform organizational strategy and ensure proactive responses to changes in the regulatory and competitive environment
• Ensure top executives are well informed and have the right information on competitive intelligence to make decisions
• Oversee strategy and integration of digital tools, automation, and artificial intelligence to enhance operational efficiency
• Evaluate, select, and implement innovative technology solutions that streamline Stars data capture, analytics and operational impact
• Partner with IT, Digital and Experience teams to ensure emerging opportunities are integrated
• Develop engagement models to enhance provider connectivity
• Design educational programs and resources that equip providers and members with actionable data
• Establish feedback mechanisms to gather input and continuously improve partnership effectiveness
• Serve as the primary liaison between internal teams, external partners, vendors, and regulatory agencies for Stars initiatives
• Lead cross-functional workgroups to align priorities, share knowledge, and ensure accountability in delivering on Stars objectives
• Manage long term strategic planning with strategic partners

VP, Foundational Capabilities

Artificial Intelligence

• Convey the AI strategy harmonized with enterprise and business strategy
• Lead data- and insights-driven Strategy Advancement
• Activate cross-functional initiatives that transform how Humana uses AI to improve member experience, productivity, and operational performance
• Evangelize AI strategy and harmonize it with enterprise and business strategy in a dynamic, fast-paced environment
• Curate content and build compelling executive reporting and presentations to share progress and innovation from the AI portfolio
• Lead initiatives to analyze complex business problems using internal and external data, producing recommendations and strategic roadmaps that deliver measurable outcomes
• Ensure AI policies, procedures, and operating models align with corporate vision and support large-scale programs and platform transformations
• Provide input to functional strategy; make decisions related to the implementation of new/updated programs and large-scale projects across IT and the business
• Track delivery health of AI initiatives through various forums such as quarterly business reviews, and delivery health dashboard
• Drive Humana’s AI strategy—from use case portfolio and value realization to responsible AI governance (fairness, transparency, privacy, security, bias mitigation, monitoring)
• Partner with business and technology teams to establish AI standards (model lifecycle, MLOps, evaluation, human-in-the-loop controls) and enable safe, compliant deployment across care, service, operations, and finance
• Build AI literacy for leaders and associates through teaching and coaching; help teams adopt GenAI and predictive/ML capabilities for real workflows
• Lead a team of associates charged with accelerating AI initiative deliver both safe and responsibly
• Define success metrics for each strategy (experience, quality, affordability, productivity, compliance)
• Track and communicate progress with data storytelling, dashboards, and executive-ready artifacts
• Improve performance by implementing strategic plans and driving goals and objectives to completion

Director, AI Strategy and Transformation

Financial Planning and Analysis

• Play a key role in supporting IT’s Close, Forecasting, and Budgeting processes
• Manage and analyze IT's financial data, ensuring accuracy and completeness across all reporting views
• Support IT's financials including Close, budgeting and Forecasting Processes
• Combine traditional FP&A responsibilities with strong analytics focus, leveraging tools like SQL, Power BI, and Power Apps
• Drive data accuracy, process efficiency, and strategic insights
• Work consultatively with various departments in creating effective reporting and analyses
• Support month end close process including preparation of journal entries, account analysis, reconciliations, and reporting actual vs budget and forecasts
• Collaborate with business partners in developing methods and criteria for measuring/summarizing financial data
• Maintain and review various system reconciliations between source systems and financial and operational reporting processes
• Support special projects that may necessitate cross-functional partnerships
• Establish, foster and maintain working relationships with peers and management within Finance

Finance Professional, IT Finance

Manager

• Responsible for the oversight of evaluation of member's needs and requirements to achieve and/or maintain optimal wellness state
• Work within specific guidelines and procedures
• Apply advanced technical knowledge to solve moderately complex problems
• Guide members/families toward and facilitate interaction with resources appropriate for the care and well-being of members
• Make decisions related to resources, approach, and tactical operations for projects and initiatives
• Requires cross departmental collaboration
• Conduct briefings and area meetings
• Maintain frequent contact with other managers across the department

Manager, Care Coaching

• manages data to support and influence decisions on day-to-day operations, strategic planning and specific business performance issues
• collates, models, interprets and analyzes data in order to identify, explain, influence variances and trends
• Explains variances and trends and enhances modeling techniques
• Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed
• Follows established guidelines/procedures

Financial Analytics Professional

• Assess and evaluate the conditions of our members
• Develop and implement comprehensive care plans
• Monitor patient progress through regular assessments
• Utilize advanced telecommunication systems to provide medication education

Care Manager, Nurse 2

Data Analyst

• coordinates with other analytics, IT and business areas across the organization
• ensure work is completed with insights from knowledge subject matter experts (SMEs)
• leverages its advanced knowledge of data, modeling, optimization, and tools
• applies disciplined analytics to predict behavior and optimize programs and products to maximize revenue growth
• utilizes advanced or predictive modeling to develop, test and validate cases
• contributes to more innovative approaches to financial models
• understands and analyzes complex data
• articulates to various units within the company
• impacts the business from mathematical concepts
• makes decisions regarding own work methods
• follows established guidelines/procedures

Medical Director

• Provides medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards
• Advises executives to develop functional strategies on matters of significance
• Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, working under minimal supervision
• Oversees the work of Medical Directors who conduct clinical case reviews of the care received by members in an assigned market, member population, or condition type.
• Serve as an expert in a particular condition or functional area
• Typically reports to a member of the corporate executive team

Corporate Medical Director – Grievances and Appeals

Director

• Collaborates with the business portfolio team to align the IT portfolio and demand
• Provide direct oversight of IT Strategy Advancement, IT Portfolio Management and Lean Business Case Analysis and Development, Financial Management, Communications and Change Management, Operations Support and Metrics, Talent Strategy and Management
• Lead a team responsible for execution of the Portfolio Management function
• Work directly with the Segment CIOs to support the execution of their strategies
• Organize and prioritize initiatives and programs based on IT Strategy and strategic roadmap
• Support IT leaders and application owners with appropriate information to understand Total Cost of Ownership (TCO)
• Partner with IT Finance to analyze trends and performance against plan
• Support the development and execution of IT strategy and annual planning processes
• Develop and execute communications strategy to support IT leadership team and associates
• Drive operational maturity by capturing and sharing key data and insights in operational dashboards

Director, IT Portfolio Management – Shared Services

Call Center Representative

• Represents the company by addressing incoming telephone, digital, or written inquiries
• Performs varied activities and moderately complex administrative/operational/customer support assignments
• Addresses customer needs which may include complex benefit questions, resolving issues, and educating members
• Records details of inquiries, comments or complaints, transactions or interactions and takes action accordingly
• Escalates unresolved and pending customer grievances
• Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion

Inbound Call Center Representative

Accountant

• perform general accounting activities, including the preparation, maintenance and reconciliation of ledger accounts and financial statements
• conduct or assist in the documentation of accounting projects
• prepare, record, analyze and report accounting transactions
• ensure the integrity of accounting records for completeness, accuracy and compliance with accepted accounting policies and principles
• provide financial support, including forecasting, budgeting and analyzing variations from budget
• analyze and prepare statutory accounts, financial statements and reports
• understand department, segment, and organizational strategy and operating objectives
• make decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction

Accountant 2 – Medicaid

Clinical Operations

• Collaborate with enterprise leaders and key stakeholders to lead a high-performing team in crafting learning experiences
• Design and implement standardized processes, templates, and learning materials to support clinical enablement across Medicaid markets
• Measure and track the effectiveness of learning programs
• Collect and analyze feedback from surveys, focus groups, and business data to inform recommendations for continuous improvement of program content and delivery
• Remain informed of industry trends, best practices, and emerging technologies to continuously enhance learning and development offerings

Manager, Learning – Clinical Operations

• Provide direction and vision for the Finance function, developing and maintaining a comprehensive 3–5-year strategic roadmap
• Analyze and understand the needs of all Finance towers and the business teams they support to inform target state definition and the approach to achieving it.
• Establish and lead criteria and processes for initiative prioritization, facilitating decision-making with Finance leadership.
• Analyzes the financial implications of proposed investments so that senior managers can evaluate alternatives against the organization's business objectives.
• Define and implement value tracking measures in alignment with Transformation Office (TO) methodology; apply these to prioritized initiatives for ongoing assessment.
• Collaborate with Finance Towers, Enterprise Transformation Office, IT, Data Governance, and other teams to determine sequencing and dependencies of initiatives; develop detailed plans, KPIs, and value metrics; monitor progress against milestones and budgets.
• Oversee portfolio management infrastructure, including project reporting and budget tracking; coordinate with other teams to ensure processes are efficient and effective.
• Manage the finance change portfolio and budget in partnership with IT and Finance teams, ensuring transparency and stakeholder accountability.
• Lead execution of special projects, including process redesign, automation opportunities, and other high-priority, cross-functional transformation efforts.
• Prepare and present materials for the Enterprise Transformation Office and other executive-level audiences.
• Develop and implement training, communication, and capability-building programs; identify skill gaps and create strategies for training and hiring to future-proof the Finance function.
• Foster collaboration across Finance, acting as the connective tissue to share best practices and facilitate knowledge exchange.
• Remain current on emerging technologies and their application within Finance, while driving improvements through organizational and process design.
• Lead and develop a team of approximately four associates, providing mentorship, coaching, and support for career growth and development.