Humana

Manager

• Overseeing the Stars Portfolio working with the Stars LOB and matrixed to the Director, Stars IT leader
• Collaborate with Stars business leaders, Stars IT teams, and stakeholders to align portfolio priorities with healthcare strategy
• Organize and prioritize Stars-related projects and programs
• Ensure appropriate resources are allocated to initiatives aimed at improving Stars ratings
• Advise executives on portfolio strategy and operational alignment
• Exercise independent judgment and decision-making on complex Stars portfolio management issues
• Lead special projects related to Stars, including data analysis, metric production, and trend reporting
• Manage multiple tasks and deadlines, ensuring accuracy and timely delivery of key Stars initiatives
• Communicate effectively with senior leaders, delivering clear presentations and recommendations

Lead, Stars Portfolio Manager

Solutions Engineer

• Lead the design and implementation of Oracle ERP Cloud Financials solutions along with other Finance platforms, ensuring alignment with business objectives and best practices.
• Collaborate with business partners to gather requirements, conduct workshops, and develop functional specifications.
• Analyze business processes related to finance and project accounting and recommend improvements leveraging Oracle ERP capabilities.
• Conduct fit-gap analysis and develop solution architectures and end-to-end design documentation.
• Oversee or perform technical development including data migration (FBDI, ADFdi, HDL), integrations (OIC, PaaS, VBCS), extensions, and financial interfaces.
• Review and validate functional design documents (FDDs), technical design documents (TDDs), process flows, and integration specifications.
• Develop and support reporting solutions using OTBI, BI Publisher, and data models.
• Troubleshoot and resolve issues across both functional and technical domains throughout the project lifecycle (design, build, test, deploy, and stabilize).
• Communicate effectively with business and IT stakeholders to ensure solution quality and stakeholder alignment.
• Apply AI use cases to Finance, including Accounts Payable, Accounts Receivable, financial close, and analytics.
• Support and enable AI-driven automation, including the implementation and integration of chatbots, GenAI, Copilots, Natural Language Processing (NLP), and analytics automation in Oracle ERP solutions.

Lead Cloud Finance Solutions Architect

Full-stack Engineer

• Develop and maintain full stack web applications utilizing GraphQL for queries, mutations, and Apollo/Relay client management.
• Implement web components using encapsulation, shadow DOM, and custom elements for reusable and maintainable UI.
• Create accessible, responsive, and scalable styles using CSS and SCSS.
• Build applications with React and Next.js, utilizing hooks, server-side rendering (SSR), routing, and state management.
• Integrate with REST and SOAP APIs for third-party services.
• Work with Adobe Experience Manager (AEM) components, templates, and content fragments.
• Deploy, monitor, and scale solutions on Azure and/or Google Cloud Platform.
• Participate in DevOps processes, including CI/CD pipeline configuration and version control.
• Apply security and compliance standards, including PCI, HIPAA, and CMS requirements.

Software Engineer

Medical Director

• The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards.
• You will advise executives to develop functional strategies (often segment specific) on matters of significance.
• Exercise independence on complex issues regarding job responsibilities and related tasks, requiring analysis of variable factors and determining the best course of action.
• The Corporate Medical Director will conduct clinical case reviews of the care received by members in an assigned market, member population, or condition type. You may serve as an expert in a condition or functional area; they do not typically spend time engaging in case reviews directly.
• Schedule: 8am-5pm Thurs-Sun 8-10 hours per day

Corporate Medical Director – G&A

• Oversee public cloud engineering and operations for the CenterWell Home Health subsidiary of Humana
• Implement the technical foundation for a variety of IaaS and PaaS services in public cloud service providers
• Collaborate with product managers and engineers to develop specifications for new cloud-based products/services
• Drive the roll-out of cloud management platforms, evaluate performance, and implement enhancements
• Advise executives to develop functional strategies on significant matters

Lead Cloud Solutions Engineer

Director

• Own the end-to-end architecture for Member platforms, ensuring alignment with enterprise standards and strategic objectives
• Define integration patterns for enrollment, ID Cards, and member data systems
• Champion modernization initiatives, including API-first design, cloud adoption, and data interoperability
• Ensure seamless integration across internal systems and external partners
• Collaborate with Product Owners, business leaders, and cross-functional teams to deliver solutions that meet regulatory and business requirements

Director, Enrollment Technology Solutions

Sales

• Conduct selling activities related to inbound calls inquiring about individual health plan products
• Use knowledge of the product portfolio training to accurately assess the distinct needs of different consumers
• Explain the differences between various health insurance options
• Assist the consumer in selecting coverage that meets their unique needs
• Model a high level of professionalism, integrity, and quality with every inbound and outbound consumer phone interaction

Direct Marketing Sales Agent

Systems Engineer

• leading the strategic direction, design, and implementation of associate technology at Humana, focusing on Mac solutions.
• oversight of multiple systems and projects, including Mac Onboarding, Network, policy management, compliance, and automation across Mac technologies.
• accountable for implementing business continuity and oversee and evaluate Mac security, privacy, network, and new device solutions across different lines of business.
• instrumental part of growing the Mac devices across Humana’s many different areas across Security, Network, Development and Engineering.
• partner closely with peers across Architecture, Product Management, Support Services, and Experience & Design.

Lead Systems Engineer, Mac Engineering

Architect

• Establishing, documenting, advancing, and maintaining the enterprise's information landscape.
• Driving enterprise-wide alignment and reuse of business concepts and data definitions.
• Collaborating across teams and educating the information architecture community.
• Reviewing and governing enterprise standards for ontology modeling and semantic alignment.
• Ensuring adherence to industry best practices in information architecture and data governance.

Senior Business Information Architect

Financial Planning and Analysis

• Analyzes and forecasts financial, economic, and other data for strategic decisions
• Develops financial modeling and reporting in support of budgets and forecasts
• Advises executives on functional strategies
• Responsible for all aspects of the Specialty Pharmacy P&L
• Requires partnership with operations, analytic teams and leaders across pharmacy
• Presentation of financial results to leaders

Financial Planning & Analysis Lead

• Successful execution of regulatory risk adjustment audits minimizing financial impacts to Humana through strong operational execution
• identifying areas of opportunity for improvement and leveraging key partnerships with Quality Cost & Strategy partners
• market risk adjustment associates, and other associates across Humana, including legal and regulatory compliance partners
• Operational excellence of all coding quality audits the team conducts
• Drive development of analytics of audit data and results to inform future strategy to minimize Humana’s risk regarding risk regarding risk adjustment data
• Provide compliance oversight over all risk adjustment activities through execution of clearly defined programs, identified and defined key metrics and reporting
• Establish and manage goals, priorities, staffing and budgets for the team.

Director of Program Delivery

• Build trust and educate individuals on Humana's Medicare Advantage plans and additional offerings like Life, Dental, Vision, and Prescription coverage.
• Create meaningful, face-to-face connections through grassroots marketing, community events, and in-home visits—providing a personalized experience that sets Humana apart.
• 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

Business Intelligence Analyst

• generates ad hoc reports and regular datasets or report information for end-users using system tools and database or data warehouse queries and scripts
• integrates data from multiple sources to produce requested or required data elements
• programs and maintains report forms and formats, information dashboards, data generators, canned reports and other end-user information portals or resources
• may create specifications for reports based on business requests
• understands department, segment, and organizational strategy and operating goals, including their linkages to related areas
• makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed
• follows established guidelines/procedures

Medicaid Data and Reporting Analyst

• 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

• Analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions
• Collects, compiles, verifies, and analyzes financial data and economic indicators
• Evaluates industry, financial, and market trends to forecast the organization’s financial and competitive position
• Supports financial decisions through comprehensive data extraction, analysis, and reporting
• Utilizes expertise in data mining to manage complex datasets and generate actionable insights
• Responsibilities may include financial modeling, reporting, and budgeting