Humana

Care Coordinator

• Visits Medicaid members in their homes, Assisted Living Facilities (ALFs), and/or Long-Term Care Facilities and other care settings – 75-90% local travel.
• Ensure members are receiving services in the least restrictive setting to achieve and/or maintain optimal well-being by assessing their care needs.
• Identifies and resolves barriers that hinder effective care.
• Plans and implement interventions to meet care needs.
• Coordinates services, monitors, and evaluates the case management plan against the member's personal goals.
• Ensures the member progresses towards desired outcomes by continuously monitoring patient care through use of assessment, data, conversations with member, and active care planning.
• Guides members/families towards resources appropriate for their care.

Manager

• Assess and evaluate member needs to support optimal health and wellness outcomes
• Develop and implement individualized care plans, coordinate services, and connect members to resources
• Conduct comprehensive assessments to identify member needs, risks, and barriers to care
• Develop and manage member-centered care plans with measurable goals and outcomes
• Coordinate care across providers, community support systems
• Monitor progress and adjusting interventions to ensure outcomes
• Address social determinants of health, including housing, transportation, and access to care
• Utilize evidence-based care pathways to guide clinical decision-making
• Engage members using coaching and motivational interviewing techniques
• Conduct field-based visits and telephonic outreach for ongoing care management

RN Field Care Manager, Eastern KY

Software Engineer

• Design, develop, and implement AI, GenAI, analytics, and operational intelligence solutions.
• Perform hands-on coding, debugging, testing, and deployment across multiple technology stacks.
• Troubleshoot and resolve critical and non-critical production issues affecting enterprise applications and platforms.
• Conduct root cause analysis and implement permanent corrective actions to improve reliability.
• Build and maintain integrations, APIs, data pipelines, dashboards, and operational tools.
• Collaborate with development, product, reliability, and automation teams to deliver scalable solutions.
• Develop operational intelligence capabilities, predictive insights, and decision-support solutions.
• Drive continuous improvement through automation, AI adoption, and engineering best practices.
• Mentor engineers and provide technical leadership across initiatives.

Senior Technology Leadership Professional – AI, Operations Engineering

Network Engineer

• designs, analyzes, plans and modifies network components supporting customer communication implementation activities
• involves moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors
• responsible for the technical planning, deployment, testing, and validation of network infrastructure supporting new site openings, acquisitions, and enterprise healthcare facilities
• leads site readiness activities including IT closet build-outs, low-voltage cabling, carrier circuit delivery, SD-WAN and network deployments, infrastructure testing, and go-live support
• works across internal teams, vendors, and construction partners to ensure sites are fully operational, compliant with enterprise standards, and ready for business operations
• owns the end-to-end technical readiness of healthcare facilities
• ensures IT closets, low-voltage infrastructure, carrier services, network equipment, testing, validation, and operational handoff are complete prior to go-live

Senior Network Engineer

Engineer

• Lead the design, implementation, and modernization of Unified Communications and Productivity platforms (M365, Teams, SharePoint, OneDrive, Exchange, and related tools)
• Drive migration from legacy and fragmented solutions to modern, cloud-based platforms and standardized architectures
• Own platform health, performance, and reliability, ensuring alignment with enterprise security, compliance, and operational standards
• Lead complex Microsoft 365 migrations, including tenant-to-tenant, M&A integrations, and enterprise platform transformations
• Define and standardize migration patterns, coexistence strategies, and phased modernization approaches
• Support implementation and operationalization of enterprise AI capabilities, including Microsoft Copilot across M365 workloads
• Drive adoption and optimization of productivity and collaboration tools to improve business outcomes
• Mentor and develop engineers across M365, automation, and AI-enabled collaboration technologies

Unified Communication Engineer

Claims Specialist

• partners with professional staff on pre-screening review by applying guidance
• makes appropriate decision which may include interpretation of provider information or data
• focuses on methods, tactics and processes for completing administrative tasks/projects
• regularly exercises discretion and judgment in prioritizing requests and interpreting procedures

Bilingual Claims Review Representative

Sales

• Coach, mentor, educate, motivate and train a team of sales individuals.
• Cultivate, maintain, and build relationships with Humana’s customers, both internal and external business partners.
• Develop marketing budgets, and look for branding opportunities.
• Collaborate with your team and meet members face to face during appointments and events in the Pennsylvania market.

Senior Manager, Medicare Sales

Principal

• Create a clear strategy for Technology, and harmonize that Tech strategy with enterprise and business strategy in a dynamic, fast-paced environment
• Deliver executive-level presentations that frame data-based challenges, opportunities, and the strategic roadmaps to deliver outcomes
• Activate tech strategies by engaging business and tech leaders, handing off execution to operational teams, and driving follow-ups
• Coach direct team members in our Tech Strategy team and indirect team members through our many enterprise partnerships
• Inspire others to embrace and advance Tech's strategy through occasional teaching and coaching sessions that help Humana associates understand and enable Tech strategy
• Familiarize yourself with emerging ideas and technologies, including disruptive ones

Strategy Execution, Advancement Principal

• Assess members health and safety needs to identify their strengths, interests, and preferences to develop a comprehensive Member Care Plan (MCP)
• Coordinate with a Field Care Nurse to provide services that address members' health and safety needs
• Conduct face-to-face social assessments with members upon enrollment and at minimum, every six months
• Conduct quarterly in-person visits and maintain monthly contact with members by phone
• Arrange support services for members, including those related to social integration, community resources, employment, housing, and other non-medical needs
• Evaluate risk factors and provide education to members
• Maintain accurate documentation including case notes, service authorizations, and updates to the MCP

Case Manager

Director

• Collaborates with the business portfolio team to align the IT portfolio and demand
• Provides direct oversight of IT Strategy Advancement, IT Portfolio Management, Financial Management, Communications and Change Management, Operations Support and Metrics, and Talent Strategy and Management
• Supports shared services initiatives across Pharmacy, Primary Care, Home Solutions, and the Office of the Chief Medical Officer
• Leads a team responsible for execution of portfolio management function and IT prioritization process
• Oversees planning, budgeting, and tracking processes with IT Finance
• Develops and executes communication strategy to support IT leadership

Director, IT Portfolio Management – Shared Services

• The Lead Network Architect designs and develops IT infrastructure architecture solutions to business problems in alignment with the enterprise architecture direction and standards.
• The Lead Network Architect works on problems of diverse scope and complexity ranging from moderate to substantial.
• Provides Level 3 design, engineering implementation & support for the Data Center Network Engineering team at Humana.
• Performs on-call and implementation duties on nights and weekends as required.
• Perform advanced Data Center Network design, implementation and troubleshooting (CLOS L3 Spine/Leaf, VxLAN BGP EVPN, MEC, MLAG, vPC).
• Perform advanced Palo Alto design, implementation and troubleshooting.
• Perform advanced Cisco Nexus Route/Switch design, implementation and troubleshooting.
• Perform advanced Arista Route/Switch design, implementation and troubleshooting.
• Review Humana provided business requirements with Humana Network Architects & Engineering teams.
• Create High Level Design & diagrams based on provided business requirements.
• Create Low Level Design & traffic flow diagrams based on provided High Level Design diagrams.
• Create Low Level Design cabling matrix based on provided High Level Design diagrams.
• Verify all necessary equipment and WAN circuits are in stock or have already been ordered.
• If additional equipment or WAN circuits are needed, quote them and review w/project team, then work with Humana network leadership to get them ordered.
• Create implementation plan (build/deploy plan), verification, and backout to accomplish Low Level Design.
• Create implementation Change ticketing in Service NOW, and coordinate w/PM to communicate outage windows following Humana standards.
• Implement (perform build/deploy) - with appropriate change ticketing/coordination.
• Perform post implementation validation/verification and performance testing - document results and provide to Humana.
• Participate in On-Call rotation.
• Perform after-hours solutions implementation; Support other teams as needed, after-hours; Use your skills to make an impact.

Lead, Network Architect – DC Core

Support Engineer

• Provides support to end users for computer, application, system, device issues
• Utilizes technical experience and customer service skill to assist end users to resolve incidents
• Involvement in project planning; installing, configuring, upgrading of computer-related hardware and software
• Identifies, researches, and resolves technical problems of moderate complexity
• Responds to telephone, email, and online requests for technical support
• Documents, tracks, and monitors the problem using applicable systems and tools
• Diagnosis and resolves unique, nonrecurring problems associated with application software and operating systems

Helpdesk Support Technician, Level 2

Fraud Investigator

• Conduct investigations of allegations of fraudulent and abusive practices
• Coordinate investigation with law enforcement authorities
• Assemble evidence and documentation to support successful adjudication
• Conduct on-site audits of provider records ensuring appropriateness of billing practices
• Prepare complex investigative and audit reports
• Understand department, segment, and organizational strategy and operating objectives
• Make decisions regarding own work methods, occasionally in ambiguous situations

Fraud and Waste Investigator

• The Dental Director relies on dental background and reviews dental claims.
• Conduct clinical reviews associated with dental fraud, waste and abuse investigations and create recommendations.
• Stay up to date on all dental industry standards.
• Provide education and guidance for new data tools to review provider outliers.
• Coordinate investigations with law enforcement authorities and assemble evidence/documentation for successful adjudication.
• Conduct on-site audits of provider records ensuring appropriateness of billing practices.
• Prepare complex investigative and audit reports.

Dental Director – Fraud and Waste

General

• Work in a multi-disciplinary team to help Humana better understand how customers experience our products and services.
• Use customer feedback, survey data, sentiment, behavioral signals, and experience KPIs to identify friction, unmet needs, emerging trends, and opportunities to improve the member experience.
• Translate customer experience data into applicable insights and support end-to-end journey improvements.
• Apply judgment, analytical rigor, and communication to influence outcomes, ensuring informed decision-making, and support consumer-centered improvement projects across the organization.
• Provide daily work guidance and subject matter support to CX professionals to ensure delivery of insights and improvement activities.
• Support the execution of Voice of the Customer across Humana's properties, including feedback collection, survey design, sentiment measurement, and experience performance monitoring.
• Use tools such as Qualtrics and analytics platforms to collect, analyze, and interpret customer feedback across channels.
• Analyze structured and unstructured feedback to identify trends, themes, pain points, user needs, and opportunities for product improvement.
• Monitor experience KPIs such as NPS, CSAT, Customer Effort Score, Task Completion, sentiment, and customer behavior trends over time.
• Investigate recurring issues and root causes to understand what is driving friction and how those issues impact the customer experience.
• Translate findings into actionable insights and recommendations that inform product roadmaps, experience strategy, content improvements, and design decisions.
• Create reports, dashboards, and stakeholder-ready presentations that clearly communicate key themes, insights, recommendations, and business implications.
• Track the impact of implemented changes and help teams understand whether improvements are reducing friction, improving satisfaction, or supporting better task completion.
• Partner cross-functionally with Product, Research, Content, Design, Analytics, IT, and business stakeholders to align VOC insights with product strategy and execution.
• Socialize customer feedback and experience insights in a clear, compelling way that helps teams stay connected to member needs and experience performance.
• Support experience improvement projects focused on prioritized end-to-end customer journeys.