Humana

Data Scientist

• The Lead Data Scientist uses mathematics, statistics, modeling, business analysis, and technology to transform high volumes of complex data into advanced analytic solutions.
• Works on problems of diverse scope and complexity ranging from moderate to substantial.
• Develops, maintains, and collects structured and unstructured data sets for analysis and reporting.
• Creates reports, projections, models, and presentations to support business strategy and tactics.
• Advises executives to develop functional strategies (often segment specific) on matters of significance.
• Exercises independent judgment and decision making on complex issues regarding job duties and related tasks and works under minimal supervision.
• Designs predictive models and forecasting capabilities to estimate measure-level and contract-level Star Rating performance.
• Drives the maintenance and enhancement of existing forecasting models, while also identifying opportunities for the team to advance what we deliver associated with Star Rating forecasts and make the connection to action simpler for teammates and leaders.

Lead Data Scientist, Stars Analytics

Manager

• 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, ensuring the team provides support in the least restrictive environment following the MCP.
• Conduct face-to-face social assessments with members upon enrollment and at minimum, every six months, typically at the member's residence.
• 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.
• Ensure cost-effective service delivery.
• Evaluate risk factors and provide education to members.
• Maintain accurate documentation including case notes, service authorizations, and updates to the MCP.

Case Manager

• Assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members.
• Manages a caseload and completing assessments with members in their home or community-based setting, as well as telephonically.
• Provides clinical support and guidance, particularly for members with medical complexity.
• Helps develop and coordinate care plans, ensuring that members receive appropriate services to manage their health needs effectively.
• Addresses barriers to care and advocates for optimal member outcomes.
• Reviews, assesses, and completes medical complexity attestations and clinical oversight activities.
• Ensures members receive services in the least restrictive setting to achieve and/or maintain optimal well-being by assessing their care needs.
• Develops and modifies the Individual Care Plan and involves applicable members of the care team (informal caregiver, coach, PCP, etc.) in the care-planning process.
• Focuses on supporting members and/or caregivers using an interdisciplinary approach to access social, housing, educational, and other services—regardless of funding source—to meet identified needs.
• Serves as the primary point of contact for the Interdisciplinary Care Team (ICT) and is responsible for coordinating with the member, ICT participants, and external resources to ensure the member’s needs are met.

RN Field Care Manager, Nurse

Business Intelligence Developer

• Manage multiple projects simultaneously, ensuring timely and effective delivery from initiation to completion
• Extract, analyze, and interpret data—including clinical data—to identify and recommend business opportunities to stakeholders
• Lead project teams in developing visualizations, tools, or other assets based on data-driven insights
• Accountable for project planning, monitoring progress, setting deadlines, and resolving issues
• Collaborate across CAPI and with external partners to ensure project alignment and successful outcomes
• Operate with a high level of independence and make informed decisions in complex situations
• May assume direct supervisory responsibilities as needed

Senior Business Intelligence Engineer

QA Engineer

• Design, build, and enhance full stack applications and services that power enterprise quality engineering capabilities.
• Develop reusable components, APIs, and shared services to enable standardized quality patterns across teams.
• Contribute to platform reliability, scalability, performance, and operational readiness.
• Apply UI/UX best practices to create seamless, intuitive experiences for engineers and quality professionals.
• Translate executive vision and business requirements into technical design.
• Build modern, responsive, and accessible user interfaces that improve engineer experience.
• Partner with enterprise platform teams to align solutions with established engineering enablement capabilities.
• Design and implement integrations that support modern software delivery workflows.
• Support development of dashboards and reporting capabilities that surface actionable quality and delivery insights.

Lead Software Engineer, Enterprise Platform Quality Engineering

• Assess members, focusing on health and safety needs, to develop a comprehensive Member Care Plan (MCP)
• Conduct regular health assessments
• Coordinate with acute and primary care providers
• Educate members on disease processes and related risks, nutrition, exercise and lifestyle modifications
• Document in member files within required DHS contract timeframes
• Participate in member monthly phone contacts and travel to attend in person visits
• Work remotely from your home and travel approximately 40% of the time

Registered Nurse – Care Manager

Technical Project Manager

• Oversees various system projects and/or programs of a highly complex nature
• Assembles and leads project team
• Identifies appropriate resources needed and develops schedules
• Manages stakeholder partnerships and mitigates risks
• Familiar with the system scope and project objectives
• Coordinates the activities of the team
• Oversees the interdependencies and integration of interrelated projects
• Sets strategies and leads program execution to deliver longer term business value

IT Project Manager

Medical Director

• responsible for driving positive physician engagement and experience within our organization.
• represent Humana externally, driving industry partnerships and thought leadership in value-based care (VBC).
• provide operational leadership in critical areas, including leadership of the Physician Collaborative, Pharmacy and Therapeutics Committee, Public Health and Pandemic Committees.
• represent Humana on the AHIP CMO Committee and with other external partners.
• key leader in the Office of the Chief Medical Officer and will report to the Humana enterprise Chief Medical Officer.
• determine enterprise strategy for provider and clinician engagement and experience.
• maintain an engaged and productive provider and clinician workforce with minimal turnover.
• oversight of the physician, advanced practice provider (APP), nursing, social services, and therapist communities of practice.
• responsible for representing Humana’s provider perspectives, promoting Medicare Advantage and value-based care initiatives, coordinating and developing the annual value-based care report.

Deputy Chief Medical Officer

Product Manager

• Actively participate in cross-functional marketing pods to support campaign planning, execution, and measurement through data expertise.
• Define and manage metadata for new marketing campaigns, ensuring proper documentation and alignment with analytics requirements.
• Serve as a Data Steward for marketing data products, including daily monitoring and metric generation to assess and improve data quality.
• Establish and maintain both preventive and detective data quality controls to ensure accuracy, consistency, and reliability across data assets.
• Ensure campaigns are trackable by validating that data flows seamlessly from campaign setup through to analytics and reporting systems.
• Act as a subject matter expert on available data sources, guiding pod teams on how to effectively leverage data for targeting, personalization, and performance insights.
• Conduct data assessments to identify gaps in available data and collaborate with data design and product owners to address unmet needs.
• Partner with pod teams to define audience logic and translate requirements into actionable specifications for audience selection teams.
• Support campaign and journey testing efforts by validating data capture, audience logic, and downstream analytics readiness.

Senior Product Manager

Business Development Rep

• Develop and execute a comprehensive agent and agency recruitment strategy aligned to IFG's enterprise growth objectives.
• Build and manage a robust pipeline of prospective independent agents and field agencies for recruitment into IFG.
• Represent IFG at national and regional trade shows, industry conferences, carrier events, and networking forums to generate qualified leads.
• Establish IFG as a preferred partner in the Medicare distribution market through brand presence, relationship building, and thought leadership.
• Identify, qualify, and convert high-potential agents and agency partners that align with IFG's quality, compliance, and performance standards.
• Partner closely with Sales Leadership and Regional Sales Managers to ensure seamless onboarding and successful integration of new recruits.
• Track recruitment metrics including pipeline volume, conversion rates, contracted agent counts, and early production indicators.
• Maintain strong relationships with carriers and industry influencers to identify recruitment opportunities and market intelligence.
• Provide market feedback to leadership on competitive recruiting trends, compensation dynamics, and channel shifts.
• Ensure all recruitment efforts align with CMS regulations and carrier guidelines.

Lead, Business Development

• Conduct initial and annual assessments of members' medical, behavioral and social needs
• Coordinates and organizes information from members' assessment to develop a care plan
• Builds constructive working relationships with physicians, social service providers and others
• Review, monitors and updates care plans as indicated
• Provide information to members and providers regarding benefits, service providers and access protocols
• Provide referrals for community resources and social services
• Document member information and contacts made regarding members' care and services provided
• Monitor member's willingness to participate in treatment regimes
• Conduct follow up calls post hospitalization and emergency room visits
• Contribute to interdisciplinary care team meetings
• Educate members on preventive health guidelines and programs

Telephonic Case Manager

Growth Marketing

• Provide strategic leadership and oversight for the prioritization, planning, and execution of high-impact, enterprise-wide growth initiatives
• Serve as the principal architect for large-scale Medicare Advantage strategy initiatives
• Engage with executive leadership to frame and address complex business challenges
• Lead strategic integration efforts, ensuring cohesive alignment of growth initiatives across multiple business units and corporate functions
• Develop and deliver executive-level presentations, reports, and recommendations
• Champion talent development and mentorship, cultivating a high-performing, diverse team

Growth Strategy Director

Procurement

• generate and implement efficient sourcing and category management strategies
• manage the company's supply portfolio ensuring transparency of spending
• monitor performance through oversight documentation through supplier negotiations and promotional opportunities
• develop and implement procurement strategies to achieve cost savings and operational efficiency
• lead sourcing initiatives, including supplier identification, evaluation, and selection
• negotiate contracts, pricing, and terms with suppliers to maximize value
• manage supplier relationships and monitor performance, including quality, delivery, and compliance.

Procurement Lead – Medicaid

• Define and execute the quality engineering strategy for Humana’s enterprise-scale insurance technology platforms, aligned to business priorities and enterprise direction.
• Build, lead, and develop a high-performing organization of quality engineering leaders, engineers, and SDETs across multiple teams.
• Promote a culture of shared quality ownership and “built-in quality” within agile delivery teams.
• Own end-to-end delivery quality outcomes across the insurance technology portfolio.
• Lead defect management practices including triage, root cause analysis, and prevention strategies to reduce escaped defects.
• Drive AI- and automation-first quality engineering practices to improve speed, coverage, and confidence across the delivery lifecycle.
• Partner with Product, Engineering, Architecture, Platform, and DevOps leaders to embed quality throughout the delivery lifecycle.

AVP, Quality Engineering – Insurance Segment

Vice President

• Lead Execution of Cross-Functional Operating Model Initiatives
• Lead execution of select, high-impact initiatives requiring coordination across centralized and market teams
• Centralization of services
• Process standardization
• Workflow redesign across functions
• Translate strategic intent into clear operating models, roles, workflows, and timelines
• Foster alignment and collaboration across: Centralized functions, Market leadership
• Focus on initiatives where: Ownership spans multiple functions
• Decisions require cross-functional alignment
• Execution depends on engagement and integration across stakeholders
• Drive Cross-Functional Integration and Decisions
• Define and drive clarity on: Standardization vs. market flexibility, Resource allocation, Sequencing and prioritization
• Establish and enforce decision timelines and accountability
• Ensure Delivery and Accountability
• Support initiative owners in achieving milestones, deliverables, and outcomes, and ensure accountability for results
• Identify risks, remove barriers, and drive issue resolution
• Proactively communicate and escalate critical issues and decisions, providing clear recommendations to stakeholders
• Ensure initiatives move from design through implementation to sustained adoption, with ongoing focus on member and provider experience
• Define and Implement Operating Model Changes
• Collaborate with functional and market leaders to define and implement changes in work processes
• Drive thoughtful consolidation, standardization, and workflow redesign
• Ensure alignment of process, technology, organizational structure, and associate engagement
• Establish Execution Governance
• Establish and lead an execution governance model that includes: Cross-functional decision forums, Initiative reviews and consistent execution cadence, Transparent executive-level reporting
• Maintain a unified view of all work, including dependencies, risks, and progress
• Deliver Measurable Outcomes
• Ensure initiatives deliver measurable impact, including: Medical cost trend improvement, Administrative cost efficiency, Quality performance (e.g., STARS, HEDIS), Enhanced provider and member experience
• Track value realization, incorporate feedback, and adjust priorities to maximize outcomes