Humana

Product Manager

• Conceives of, develops products for customer use.
• Plan and manage the enhancement and integration of the business products with a special focus on clinical care management and technology solutions.
• Drive transformation and new ideas while maintaining operational thoughtfulness.
• Partner with an Agile delivery team and partners to foster an environment of continuous delivery and improvement.
• Lead new transformation efforts, aligning technology roadmaps with enterprise goals and clinical, operational, and customer experience goals.
• Cultivate strong relationships with senior leaders, business leaders, and technical teams.
• Serve as a trusted advisor, translating complex technical concepts into actionable business recommendations.
• Promote delivery of business capabilities across multiple clinical platforms.
• Evaluate and communicate the growth of architectural and integration decisions.
• Prepare concise, status reports and summaries.

Senior Product Manager

Actuary

• analyzes and forecasts financial, economic, and other data
• establish metrics, provide data analyses, and work directly to support business intelligence
• evaluate industry, economic, financial, and market trends to forecast the organization's financial and competitive position
• ensure data integrity by developing and executing necessary processes and controls around the flow of data
• collaborate with stakeholders to understand business needs/issues, troubleshoot problems, conduct root cause analysis, and develop cost effective resolutions for data anomalies
• understand department, segment, and organizational strategy and operating objectives

Actuarial Analyst

Full-stack Engineer

• Perform software engineering activities in all layers of the stack
• Lead technical architecture and design and present vision
• Solve problems using advanced data structures and algorithms
• Evaluate problems in both strategic and tactical terms
• Lead a small team of high-caliber engineers by mentoring and coaching
• Deliver business-critical systems and components with high quality and on time
• Review pull requests and provide constructive feedback
• Investigate and propose new ideas, frameworks, technologies, or processes

Senior Cloud Full Stack Engineer

Account Manager

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Account Management Professional

Designer

• Support visioning and concept development projects, assisting with user research, analysis and synthesis, concept ideation, prototyping and testing, and implementation planning.
• Contribute to the design and delivery of components integral to communicating our work, e.g., service blueprints, low- and mid-fidelity prototypes, frameworks, concept illustrations, slides.
• Collaborate with UX/UI designers, product teams, marketing, and operations to ensure seamless integration between digital tools and offline touchpoints.
• Demonstrate ability to listen and to thoughtfully contribute to business stakeholder and channel partner team conversations, strengthening our ability to deliver through cross-enterprise collaboration.
• Stay informed about industry trends in health insurance, digital health, and service design best practices.

Service Designer

Auditor

• Extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes
• Reviews inpatient hospital claims for proper reimbursement
• Handles provider disputes in a result-oriented and metrics-driven environment
• Contributes to overall cost reduction by increasing the accuracy of provider contract payments
• Ensures correct claims payment and appropriate diagnosis related group (DRG) assignments
• Analyzes, enters and manipulates database
• Responds to or clarifies internal requests for medical information

Inpatient Medical Coding Auditor

Product Designer

• Lead the Team & Culture: Build, mentor, and inspire a high-performing, inclusive product design team
• Define Channel Experience Strategy: Partner with Research and Content Strategy to create a cohesive, end‑to‑end experience vision
• Elevate Design Quality & Delivery: Create and evangelize strategic deliverables
• Operate with a Startup Mindset: Foster agile ways of working
• Cross‑Functional Leadership: Serve as a senior point of contact for executive and cross-functional partners
• Systems, Accessibility & Governance: Ensure adherence to design system standards
• Continuous Discovery & Measurement: Partner with CX Insights to shape long‑term research strategies

Director of Product Design – Channels

Financial Planning and Analysis

• analyzes and forecasts financial, economic, and other data
• provides strategic advice and guidance to functional team(s)
• solves highly complex problems and works alongside senior leadership to achieve strategic goals
• analyzes the financial implications of proposed investments or transactions
• identifies opportunities to initiate operational changes
• advises one or more areas, programs or functions and provides recommendations to senior executives

Financial Planning & Analysis Principal

Operations

• The Specialty Operations Pharmacy Technician 3 Disease Management Team supports Pharmacists in Specialty Rx medication preparation by dispensing Specialty Rx medications.
• Performs advanced administrative/operational/customer support duties that require independent initiative and judgment.
• May apply intermediate mathematical skills.
• Supports inbound member and provider calls.
• Contact physicians for prescriptions clarification and may enter prescription orders into the system.
• Provide education and resources for new members demonstrating excellent written and verbal communication skills.
• Prioritize requests by interpreting and adapting to procedures, processes and techniques.
• Exercise good judgement and depth of knowledge of administrative processes and organizational knowledge.

Specialty Operations Pharmacy Technician 3

Business Analyst

• Administer and maintain Humana’s Configuration Management Database (CMDB), ensuring all assets, systems, and configurations are accurately recorded, tracked, and updated throughout their lifecycle.
• Develop, implement, and maintain configuration management processes and procedures to ensure accurate tracking of IT assets and system components throughout their lifecycle.
• Perform regular audits and reconciliations of configuration items to identify discrepancies, unauthorized changes, or compliance gaps, and coordinate remediation efforts.
• Contribute to incident and problem management processes by providing accurate configuration data for root cause analysis and impact assessments.
• Document and maintain configuration management procedures, policies, standards (including naming, versioning, and baselining), and control narratives.
• Work closely with project and operations teams to ensure that configuration data supports business needs and project delivery.
• Generate and distribute configuration management reports, dashboards, and metrics for leadership and stakeholders.
• Assist with troubleshooting and resolving configuration discrepancies, collaborating with relevant technical teams as needed.
• Participate in the development and delivery of training and awareness initiatives related to configuration management best practices, risk, and security.
• Support IT asset management by maintaining accurate relationships between assets, configurations, and their dependencies.
• Contribute to continuous improvement initiatives by recommending enhancements to configuration management tools, processes, and documentation.

Configuration Management Analyst

Human Resources

• Architect and scale enterprise-wide skill, competency, and workforce frameworks in consideration of business and talent strategy
• Define and refine skill architecture, workforce taxonomies, and job models to ensure consistency, clarity, and reuse across job families
• Translate complex work, roles, and capabilities into structured, applicable skill definitions
• Partner directly with senior and executive leaders to co-create, validate, and advance skill-based workforce strategies
• Lead design workshops and deliver expert, data-informed recommendations that influence enterprise talent decisions

Talent Management Principal

Medical Director

• Provide medical interpretation and determinations on acute inpatient rehabilitation authorization requests, ensuring alignment with national clinical guidelines, CMS requirements, Humana policies, and clinical standards.
• Collaborate with team members, other departments, Humana colleagues, and clinical leadership to support the review process and facilitate quality outcomes.
• Participate in and complete structured and mentored training programs; utilize ongoing team support during daily work activities.
• Consistently apply critical thinking and maintain high standards in documentation and decision-making within a structured work environment.
• Exercise independence in fulfilling enterprise expectations and meeting compliance timelines.

Medical Director – Acute Rehab

Compliance

• Ensure compliance with governmental requirements
• Contribute through technical expertise and leadership for professional associates
• Lead horizontal teams and evaluate risk adjustment policies
• Inform senior leaders on proposed policies and their impact on customer experiences
• Prepare Humana for future Risk Adjustment changes
• Introduce solutions to complex risk adjustment problems

Compliance Fellow

Vice President

• Lead the strategy, roadmap, and execution for provider products and services that are non-native to the EHR.
• Own the portfolio of provider-facing capabilities delivered through wholly owned applications, third-party, non-EHR partners, and other non-native services that support provider workflows and operational needs.
• Oversee areas of scope across the portfolio, including current and emerging provider-facing tools and services.
• Evaluate the market for external partners, products, and services that could strengthen Humana’s provider offering and better meet provider needs.
• Build and manage executive relationships with third-party partners to align priorities, improve performance, and expand value delivery.
• Coordinate with internal teams responsible for native EHR, CMS & Direct, HIEs & Networks, and Relationship Channels to create a more seamless provider experience.
• Ensure the portfolio creates measurable value for providers, operational value for Humana, and improved outcomes for members and beneficiaries.
• Help shape the provider journey across owned and third-party platform capabilities so products and services work together as a coherent experience rather than a fragmented set of tools.
• Define clear value propositions, positioning, and offering structures for provider products and services, including how those solutions complement or differ from native EHR-based capabilities.
• Support packaging of provider capabilities into clear offerings, including contractable solutions where appropriate.
• Partner with the growth team to improve provider distribution, adoption, and reach of platform and service offerings across priority provider segments.
• Drive portfolio decisions across build, buy, partner, expand, or retire to keep the channel efficient, differentiated, and aligned to provider, enterprise, and market needs.
• Define and manage KPIs for adoption, utilization, partner performance, provider value, operational value, and overall portfolio performance.
• Partner across product, operations, technology, compliance, and business teams to ensure solutions are scalable, well-integrated, and operationally sound.
• Lead and develop a high-performing team across portfolio strategy, partner management, product execution, and channel growth.

AVP, Provider Platforms and Services Channel

• provides executive leadership to Humana in the Home Solutions business of its CenterWell subsidiary
• oversees the financial operations for this business, analyzing and forecasting financial, economic and other data to provide accurate and timely information for strategic and operational decisions
• identifies key business and financial trends and develop action plans to position the Home Health business for optimal performance, effective cost management and efficiency
• drives expansion and maturation of risk bearing, value-based business as well as broader strategic innovation with home-based care
• leads a team of 20 - 30 associates, with three direct reports