Humana

Architect

• Set the vision and direction for enterprise ontologies, business glossaries, and semantic models to unify understanding of core business concepts across all business units and platforms
• Lead the development and evolution of canonical data models, conceptual information models, and domain models at scale, ensuring strategic alignment and reusability
• Drive alignment of ontologies and information models with enterprise strategy, regulatory requirements, and operational imperatives
• Serve as the principal authority for metadata and business glossary standards, collaborating with Data Stewards, and Data Owners to ensure standardized business terms, definitions, relationships, and lineage
• Oversee the enhancement of metadata quality through governance processes, stewardship workflows, and continuous improvement initiatives
• Partner with senior solution architects, engineering leaders, enterprise architecture leaders, platform delivery leaders, analytics executives, and business stakeholders to embed business information architecture into strategic data products, integration patterns, and analytics platforms

Principal, Business Information Architect

Solutions Engineer

• Serve as the technical lead for Contact Center solutions, with hands‑on ownership of Google CX Agent Studio, Google Cloud Platform (GCP), and integrated CCaaS technologies (e.g., Genesys Cloud)
• Design, implement, and optimize cloud‑based contact center and conversational AI solutions leveraging GCP services, including integrations with Google CX Agent Studio, speech technologies, analytics, and AI/ML capabilities
• Provide technical leadership and mentorship to developers and engineers, ensuring adherence to enterprise architecture standards, security, reliability, and scalability best practices
• Partner with business analysts, solution architects, and product owners to translate business requirements into end‑to‑end technical designs and implementations across cloud and SaaS platforms
• Lead development and configuration efforts for omnichannel capabilities, including voice, chat, routing, authentication, analytics, and automation, across Google‑based and vendor platforms
• Drive platform modernization initiatives and migrations (e.g., Nuance migration) with a focus on cloud‑native and GCP‑optimized architectures
• Evaluate, design, and execute Proofs of Concept (POCs), pilots, and solution validations on Google CX Agent Studio, GCP, and related SaaS platforms
• Identify optimization opportunities across performance, latency, cost, and operability; provide actionable recommendations and drive implementation
• Collaborate closely with platform vendors (Google, Genesys, and others) to resolve complex technical issues, influence product roadmaps, and ensure successful adoption of new capabilities
• Participate in Agile ceremonies (sprint planning, demos, retrospectives) while ensuring high‑quality engineering execution and delivery outcomes

Senior Cloud Solutions Engineer – Contact Center

Vice President

• provide executive leadership to the Provider Contracting team that supports Humana's Medicare line of business in the South Central Region
• expect 35% travel in this role
• live in the South Central Region (TX, OK, or AR) and consider qualified candidates who live adjacent to Texas
• deep expertise with the provider community and contracting
• extensive business leadership experience in a managed care environment leading contracting for Medicare products
• comprehensive knowledge of health plan finance and the compensation arrangements between health plans and providers, including plan funding, risk management, and provider reimbursement.

RVP, Provider Contracting

Auditor

• review of information provided in medical records
• understanding of what each line of business allows
• knowledge of Evaluation & Management (E&M) codes
• communicate audit findings confidently
• analyze information and clarify internal requests for medical information
• follow established guidelines/procedures
• perform most work 5 days per week, 8 hours per day between 6AM-6PM

Medical Coding Auditor

Technical Project Manager

• Lead large-scale, complex IT projects and multi-workstream programs with cross-functional dependencies.
• Develop and manage detailed schedules, scope, budgets, risks, and interdependencies.
• Proactively identify delivery risks, drive mitigation strategies, and escalate when necessary.
• Ensure adherence to standard project management methodologies (Waterfall, Agile, Hybrid).
• Serve as a primary point of contact for project executives, business owners, and technical leaders.
• Deliver clear, concise, and executive‑ready updates on health, milestones, risks, and decisions.
• Facilitate steering committee and governance meetings for assigned initiatives.
• Coordinate across multiple teams to manage cross‑project dependencies and readiness checkpoints.

Senior IT Project Manager

Sales

• Deliver: Build trust and educate individuals on Humana's Medicare Advantage plans and additional offerings like Life, Dental, Vision, and Prescription coverage.
• Differentiate: Create meaningful, face-to-face connections through grassroots marketing, community events, and in-home visits—providing a personalized experience that sets Humana apart.
• Grow: Drive self-generated sales, meet performance goals, and expand Humana's presence in the market by becoming a valued resource and building relationships in your community.

Medicare Sales Field Agent

Financial Planning and Analysis

• Collects, analyzes and reports on various market data to connect financial outcomes with operational effectiveness
• Works closely with internal stakeholders including Finance, Actuarial, Clinical, Medicare Risk Adjustment, Provider Contracting, and Provider Engagement
• Leverages data analytics, business insights, cross-functional collaboration, in-depth business knowledge to drive optimization of financial and operational performance for the region
• Leads membership, financial, cost & utilization reporting at all levels
• Supports Humana’s Medicare Advantage product strategy, budgets, and administrative staffing and expenses
• Advises regional leadership of functional strategies on matters of significance while exercising independent judgment and decision-making on complex issues

Market Finance Lead

Operations

• Develop clinical solutions for our members and providers, with accountability from strategy to execution
• Work across clinical initiatives focused on improving outcomes for members with chronic conditions
• Engage with high-performing and low-performing provider groups to understand clinical workflows and operational drivers
• Translate insights into best practices and operational playbooks
• Co-develop and drive the execution of direct-to-member interventions to improve chronic condition management
• Lead the design and refinement of provider-facing data views (dashboards, insights, performance summaries)
• Work with enterprise partners to ensure alignment and remove operational barriers
• Synthesize complex clinical, operational, and analytic information into clear recommendations for executive leadership

Strategy & Operations Lead – Clinical Outcomes

Bilingual

• Evaluate member's needs and requirements to achieve and/or maintain optimal wellness state
• Guide members/families toward and facilitate interaction with resources appropriate for their care and well-being
• Meet members in their location and spend quality time assessing needs and barriers
• Connect members with quality services to promote ultimate well-being and drive health outcomes
• Coordinate services, monitor and evaluate the case management plan against member's personal goals
• Visit Medicaid members in their homes, Assisted Living Facilities, and/or Long Term Care Facilities and other care settings – 75-90% local travel

Field Care Coordinator, Bilingual Preferred

Accountant

• Responsible for preparing, recording, analyzing, and reporting accounting transactions to ensure the integrity and accuracy of financial records
• Provides comprehensive financial support, including forecasting, budgeting, and analyzing variances from budget
• Analyzes and prepares statutory accounts, financial statements, and reports
• Manages the accounting of the business's monthly revenue and claims, and oversees revenue cycle reporting and reconciliations
• Collaborates with Health Care Provider Payment Platforms to ensure accurate financial terms within contractual arrangements and validating quarterly settlements
• Develops methods and criteria for measuring and summarizing financial data, prepares complex analyses
• Leads or participates in special projects as required by the business

Senior Accountant

Communications

• craft internal communication plans that help sales agents and leaders prepare for changes
• develop communications that support the broader change plans created by the Change Management team
• create campaigns for different audiences, raising awareness of what is changing
• determine the knowledge management strategy for such communications
• manage internal channels and continuously improve their usage and effectiveness
• draft and distribute regular communications associated with all change management projects
• design and implement knowledge management strategies and systems
• promote knowledge-sharing behaviors across teams
• identify opportunities for automation, templates, and self-service resources

Senior Communications Professional – Change Management

Community Manager

• Act as a liaison between markets, sales, and community partners to ensure seamless coordination and execution.
• Foster a collaborative, mission-driven team culture focused on growth, impact, and accountability.
• Develop and implement local outreach strategies, including events and partnerships, to generate quality leads.
• Identify and cultivate high-potential lead sources, including T65 opportunities.
• Track and measure grassroots marketing, community outreach, and event success.
• Build and maintain strong relationships with community organizations, local businesses, and other stakeholders.
• Plan and execute community events to enhance brand visibility and generate leads.
• Prepare and present regular reports on outreach activities, performance, and outcomes.

Community Executive

• Provide support to the Sales team throughout the sales cycle
• Collect and organize RFP info (census, claims, RAF, etc.) and track down missing information from Broker/Client Support sold groups in the implementation process
• Collect required materials for Account Installation
• Submit all sold paperwork to Implementation
• Complete LMG system updates (Launch my Group (LMG))
• Attend Implementation call
• Partner with and provide support to brokers as they navigate Humana
• Answer general benefit questions and respond to brokers with marketing flyers
• Partner with internal stakeholders such as marketing, product, actuarial, underwriting, account installation and service
• Creation and Distribution of scheduled market communication
• Agent bonus tracking and organization
• Maintain a strong connection with internal market team members, collaborate to achieve results and solutions

Sales Support Professional

• Oversee a team of Medicare Sales Field Agents
• Recruit, train, and coach agents on selling individual health plan products
• Engage with the community and ensure compliance with CMS guidelines
• Build relationships with internal and external partners

Senior Manager, MarketPoint Sales

Risk

• Conducts quality assurance audits of medical records and ICD-9/10 diagnosis codes
• Performs varied activities and moderately complex administrative/operational/customer support assignments
• Collect medical records to ensure accuracy of member information and obtain provider signatures
• Upload verified documents to Cotiviti centralized repository
• Follow state and federal regulations as well as internal policies and guidelines while retrieving medical records
• Communicate with physician offices by phone and email to efficiently meet all deadlines
• Maintain strict confidentiality and safeguard protected health information (PHI) in compliance with HIPAA guidelines
• Independently manage workload within defined service level expectations