Humana

Chief Technology Officer

• Leading enterprise-level solution architecture and design efforts.
• Defining and maintaining IT principles, policies, and standards to ensure consistency and security across systems.
• Advising stakeholders on emerging technologies and best practices.
• Overseeing the implementation of technology strategies to support organizational goals.
• Mentoring and supporting IT teams as needed.
• Ensuring adherence to compliance and governance frameworks.

Lead Tech Leadership Professional

Manager

• Perform telephonic and face to face assessments and evaluations of the member's needs and requirements
• Ensure member is progressing towards desired outcomes by continuously monitoring care through assessments and/or evaluations
• Create member care plans
• Collaborate with providers and community services to promote quality and cost-effective outcomes

Care Manager – Behavioral Health

• Conduct comprehensive Medicaid-required psychosocial and functional assessments as part of the care management process to identify member needs, risks, strengths, and barriers affecting health and independence.
• Develop, implement, coordinate, and monitor individualized, person‑centered care plans following Medicaid program requirements, ensuring services and supports align with member‑identified goals and outcomes.
• Perform ongoing reassessments and care plan updates at required intervals and as member needs change, monitoring health status, safety, service effectiveness, and progress toward desired outcomes.
• Conduct required face‑to‑face visits with members in their homes or community settings to assess needs, evaluate service delivery, provide education, and support member engagement in care.
• Coordinate and monitor Medicaid-covered services, and community-based resources to ensure access, continuity of care, and avoidance of service gaps.
• Document assessments, face‑to‑face visits, care plans, member interactions, and service coordination activities following Medicaid, contractual, and organizational documentation standards.
• Educate members on preventive health measures, wellness strategies, and care adherence to support improved health outcomes and compliance with Pay for Performance (P4P) quality measures.
• Build collaborative relationships with members, families, caregivers, providers, and community agencies to promote engagement, trust, and care coordination.
• Collaborate with physicians, interdisciplinary care teams, and other healthcare professionals to coordinate and integrate medical, behavioral, and social services.
• Educate members and providers regarding Medicaid benefits, covered services, provider roles, and appropriate use of healthcare services; refer members to community resources and social services.

Case Manager

Medical Billing and Coding

• identify opportunities to improve provider documentation and creates an education plan tailored to each assigned provider
• report to the Manager, Medicare Risk Adjustment
• arrange educational sessions with assigned providers aimed at quality of care and documentation improvements
• identify educational needs based on reports
• prepare comprehensive reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques
• provider onsite education, based on business needs
• collaboration with other market provider facing role
• use data analytics tools to assess coding quality, identify error patterns, and monitor compliance with internal and external standards
• analyze coding audit results and other relevant data to develop data-driven educational materials and interventions
• participate in cross-functional teams to improve documentation, data integrity, and workflow processes

Medical Coding Educator

Bilingual

• Handle 40+ inbound calls daily from members and providers in a back-to-back call center environment
• Address multiple member and provider needs, including benefit questions, service issues, and general inquiries
• Escalate unresolved and pending customer grievances
• Document all interactions, actions taken, and outcomes in internal systems
• Resolve routine to moderately complex issues by following established guidelines and workflows
• Identify issues requiring escalation and ensure handoff to the appropriate teams
• Meet quality, productivity, and customer experience expectations

Bilingual Dental Inbound Representative

• Lead a team of Network Performance Professionals dedicated to improving provider performance and enhancing Stars ratings
• Build and maintain strong relationships with assigned physician groups, implementing strategies and tactics that elevate network performance
• Ingest data from various sources, analyze it, and inform the team and leadership of learnings
• Create data-supported, focused education to drive team tactics and improve performance
• Articulate and model desired culture attributes, actively supporting team engagement, performance, well-being improvement plans, and team activities

Manager, Network Performance

Product Manager

• Oversee the implementation of client benefit offerings
• Manage annual plan changes and documentation across approximately 40 milestones
• Perform comprehensive audits tied to all CMS required Member Annual Communication (MAC) Materials
• Deliver daily accurate portfolio status updates
• Participate in the Request for Procurement (RFP) process

Group Medicare Insurance Product Manager

Technical Product Manager

• Develop and articulate technical product vision, strategy, and roadmap aligned with Specialty business priorities and organizational objectives.
• Build and maintain effective, collaborative relationships with business and IT stakeholders to ensure transparency, mutual understanding, and shared goals.
• Lead the gathering and prioritization of requirements, ensuring stakeholder needs are consistently represented.
• Oversee cross-functional teams through the product lifecycle, from concept through delivery and ongoing optimization.
• Coordinate the transition of in-house solutions to third-party models, ensuring minimal disruption and alignment with strategic outcomes.
• Monitor product performance using defined metrics, solicit feedback, and implement continuous improvements.
• Ensure compliance with all relevant policies, standards, and regulatory requirements.
• Serve as the technical product manager and subject matter expert for the core platform's architecture, configuration, integrations, and ongoing performance.
• Design and validate solution architectures including data models, APIs, workflow configuration, and integration with enterprise platforms.
• Partner with the vendor teams to translate business requirements into scalable technical solutions, participating in design reviews and solution planning.
• Lead complex engineering efforts including data migration design, environment configuration, interface development and platform extensions.
• Establish and enforce engineering best practices including coding standards testing approaches, documentation and use of AI.
• Support project delivery teams by creating technical blueprints, estimating development effort and mitigating technical risks.
• Troubleshoot and resolve escalated technical issues including root-cause analysis and remediation.
• Provide technical mentorship to engineers and cross-functional team members, helping develop internal expertise around the new platform.
• Collaborate with enterprise architecture, security, and tech operations teams to ensure solution compliance with company standards.
• Inform platform roadmap evolution, assessing new features, upgrades and enhancements for existing and future business.
• Support change management efforts by contributing to change readiness process, documentation, and communication.

Technical Product Manager – Specialty Core Platform

QA Engineer

• works in a team environment on Humana's health plan accreditations
• performing complex tasks related to compliance with accreditation standards across multiple operational areas
• Help develop and implement quality improvement interventions and audits
• Help resolve deficiencies that impact plan compliance with national accreditation standards
• Work with operational areas to prepare documentation and files for presentation to NCQA
• Advise operational leaders and frontline associates in developing functional strategies for compliance with accreditation standards
• Use analysis of variable factors and determining the best course of action

Senior Accreditation Professional – NCQA HEA, HEA+

Accountant

• Perform general accounting activities
• Prepare, maintain and reconcile ledger accounts
• Conduct or assist in the documentation of accounting projects
• Ensure the integrity of accounting records
• Provide financial support including forecasting and budgeting
• Analyze and prepare statutory accounts, financial statements and reports

• Collaboratively design the multi‑year product strategy and vision for enterprise IAM.
• Translate long-term business and security needs into actionable roadmaps, OKRs, and measurable outcomes.
• Champion zero trust, least privilege, and modern identity standards across the organization.
• Lead cross-functional product development from concept to launch.
• Work closely with Engineering to define technical capabilities.
• Partner with security architecture teams to ensure alignment to NIST and HIPAA.
• Develop detailed acceptance criteria, user stories, and epics in Agile/Scrum or SAFe environments.
• Serve as a voice for IAM across enterprise stakeholders.
• Collaboratively communicate roadmap updates, outcomes, value realization, and risk posture to senior leadership.
• Define platform-level KPIs for IAM and optimize identity flows using analytics, research, NPS/CSAT, and A/B testing.

Lead Product Manager – Customer Identity Access Management

Solutions Engineer

• Supports development and execution of cloud implementation strategy within organization's existing IT infrastructure.
• Implements organization's cloud strategy from a technical perspective, including design, planning, integration, maintenance and support of cloud architecture.
• Works with stakeholders to evaluate cloud systems and identify appropriate solutions.
• Collaborates with product managers and engineers to develop specifications for new cloud based products/services.
• Drives the roll-out of cloud management platforms, evaluates its performance and implements enhancements.

Senior Cloud Solutions Engineer – Genesys IVR

Human Resources

• Lead the design, implementation, and scaling of enterprise skill architectures, competency models, and workforce taxonomies
• Develop enterprise-level skill frameworks in consideration of talent management, workforce planning, and skill-based organization strategies
• Translate complex work activities into clear, structured, and reusable skill definitions across job families
• Evaluate skill models to ensure consistency and enterprise applicability
• Partner with HR and business leaders on job architecture and organization design, supporting skill-based workforce concepts
• Lead skill and framework design workshops, engaging partners in discovery and validation
• Collaborate with partners to co-design and validate skills and competency frameworks, incorporating business and enterprise needs
• Apply analytical reasoning and pattern recognition to assess workforce trends, gaps, and framework effectiveness
• Influence senior leaders through subject-matter expertise, data-driven insights and communication
• Advise executives on talent, workforce, and skill strategies, exercising independent decision-making on complex issues

Talent Management Lead

Data Engineer

• is responsible for leading the modernization, optimization, and stabilization of the Wisconsin Medicaid Market's data platform ecosystem across two independent health plan technology stacks.
• owns the market's Data Warehouse and ODS, drives ETL/data movement strategy (including SSIS modernization), and improves the reliability, observability, and security posture of data pipelines supporting critical Medicaid operations.
• partners closely with the Market BI team as their IT counterpart to improve data access and flow, including establishing and managing Databricks pipeline patterns and platform enablement as the BI environment evolves.
• owns and evolves the Wisconsin Medicaid Market's data stores and data movement ecosystem, including the Data Warehouse and ODS, and the ETL processes that connect vendor and internal systems.
• accountable for modernizing and optimizing the market's data platform to improve reliability, reduce technical debt, strengthen observability/fault tolerance, and increase engineering efficiency in a complex dual-stack environment.
• is also the Market BI team's primary IT partner for data platform enablement — improving data access patterns, strengthening pipeline governance, and helping establish a maintainable approach to Databricks pipelines and workflows as the market matures its analytics capabilities.
• requires collaboration, high accountability, and comfort operating in ambiguity while continuously improving data reliability, security, and outcomes for associates, members, providers, and other stakeholders.

Lead Data Engineer – Modernization, Reliability

Customer Support

• Become a part of our caring community
• Provide timely and effective sales support to Humana’s selling agents
• Handle a high volume of inbound and possible outbound phone calls to assist insurance agents with pre-enrollment inquiries
• Assist agents with all pre-enrollment inquiries including compliance verification, enrollment, product, and processes
• Utilize documents, websites, and local networks to research and resolve inquiries of agents
• Leverage internal documentation and websites to investigate, guide, and support agents
• Build and strengthen relationships with both internal and external agents
• Keep closely attuned to the needs and perspectives of agents