Humana

Insurance

• Lead large, high-impact workstreams within the Insurance Segment Strategy team’s project portfolio, from problem structuring to analysis to recommendations
• Analyze market trends, competitive dynamics, and internal performance data to inform strategic decisions
• Develop clear, data-driven recommendations and communicate findings to senior leaders
• Collaborate with stakeholders across the organization to translate strategy into execution
• Prepare executive-level presentations and materials for senior leadership and the Board of Directors
• Support the annual strategic planning process and ongoing business reviews
• Mentor and develop junior team members, fostering a collaborative team environment

Insurance Strategy Lead

Systems Engineer

• Analyze, integrate, and visualize complex datasets using T-SQL, PL-SQL, TOAD, Power BI, Azure, Snowflake, PowerAutomate, and other data management tools
• Develop long-term data solutions in partnership with IT, consolidating multiple business-generated tables into single repositories using Snowflake and Azure
• Elicit, document, and prioritize business and technical requirements; develop project plans and timelines
• Write user stories for Agile development and partner with IT and business stakeholders
• Coordinate cross-team collaboration, cultivating relationships with internal business and IT partners
• Document end-to-end data processes, ensuring data accuracy and quality of solutions
• Champion the customer by accurately representing prioritized needs during requirements, development, and testing phases
• Implement change management processes and maintain accurate requirements documentation
• Support production turns and incident monitoring, including occasional nights or weekends as needed

Senior Business Systems Analyst

Director

• Lead enterprise integrations across APIs, HL7, FHIR, EDI/X12, and Epic ecosystems.
• Drive architecture and delivery for clinical and healthcare data platforms using Databricks and Snowflake.
• Provide technical leadership for Epic Tapestry and preferably Compass Rose integrations.
• Support healthcare operations including Utilization Management (UM), Care Management (CM), HEDIS, STAR Ratings, and Value-Based Care initiatives.
• Leverage AI, automation, and analytics to streamline workflows and improve operational performance.
• Partner with business, clinical, and technology leaders to define scalable, AI-first solutions.
• Lead engineering teams, architecture decisions, and vendor engagements.

Director, Technology Solutions

Auditor

• Audit information system applications to ensure appropriate controls
• Evaluate security controls, identify vulnerabilities, and recommend improvements
• Perform IT audit and cybersecurity-focused consulting engagements
• Collaborate with internal audit team members to align IT audit coverage with enterprise cyber risk priorities
• Develop communication skills for discussing security findings and risk acceptance decisions

Internal Auditor – Technology

Procurement

• work as liaison between vendors and Humana supporting internal business areas
• ensure vendors meet contractual obligations as part of the Medicare Prescription Payment Plan program
• build and maintain positive relationships with vendors
• monitor vendor activities: SLA’s, reporting, system reliability, and CMS compliance
• facilitate meetings with vendors to monitor business activity
• conducts quarterly business review meetings to discuss performance
• investigate escalated vendor concerns and collaborate with internal business partners and vendors
• monitor all M3P vendors budget vs actual spend
• address any billing discrepancies
• support system monitoring, file transmissions, member communications, call center inquiries, and production issues resolution
• assist with quality assurance and user acceptance testing
• collaborate with the Risk and Compliance team to ensure vendors are in compliance with CMS regulations

Senior Vendor Management Professional

Full-stack Engineer

• Define and execute the enterprise strategy for quality engineering platforms, frameworks, and enablement capabilities.
• Establish and drive a multi-year roadmap aligned to Humana’s technology strategy and software delivery priorities.
• Standardize quality engineering tools, patterns, and practices to reduce fragmentation and improve consistency at scale.
• Serve as the executive owner for enterprise shared quality engineering platform services and adoption outcomes.
• Lead strategy, development, and continuous evolution of Humana’s Quality Engineering Platform as a core enablement capability for delivery teams.
• Enable data-driven quality intelligence through integrated dashboards, scorecards, and reporting that provide visibility into quality and delivery health.
• Drive end-to-end traceability across requirements, test assets, automation, defects, releases, and production outcomes (where supported by enterprise tooling).

AVP, Enterprise Platform Software Engineering

Security Engineer

• defines the standard for Humana's cybersecurity and technology-related risk management approach
• identifies and reports on related risk
• designs, develops, and performs information security and technology risk assessments
• develops and oversees the cybersecurity and technology-related risk management initiatives, programs, and projects for Humana
• makes decisions regarding own work methods with minimal direction and occasional ambiguity

Cybersecurity Professional

General Counsel

• Provide impactful legal advice and services on employment law matters, including litigation and strategy.
• Support Humana entities and employees by managing employment-related disputes and advising on labor and employment issues.
• Represent Humana entities in employment-related litigation, including administrative charges and lawsuits.
• Draft employment policies.
• Develop case strategy.
• Resolve employment disputes.
• Organize and manage individual case matters.
• Assist with internal investigations regarding workplace issues as needed.
• Advise HR on the legal and ethical implications of HR processes involving artificial intelligence (AI).
• Collaborate with HR to identify and mitigate potential legal risks in technology and AI-related projects.

Counsel – Labor and Employment

Product Designer

• The AI Learning Design Lead plays a critical role in designing, developing, and delivering strategic learning experiences that support the organization’s AI initiatives
• Serves as the primary point of contact for all AI Learning Program stakeholders, including executives, HR, and external partners
• Partners with the Associate Director to represent the program in executive forums, to define and provide updates on roadmap, measurement rubrics, learning prioritization, and scaling strategies
• Design and develop learning programs that build foundational AI literacy as well as advanced capabilities across the workforce
• Create learning pathways that help employees effectively integrate AI tools into their daily work
• Partner across the organization to support skilling initiatives
• Manage vendor relationships to ensure our program has what it needs to succeed
• Own the full lifecycle of the AI Learning program budget, from creation to tracking and burn management
• Oversee the planning and execution of all AI Learning events, ensuring high-quality experiences that reflect the program's values
• Maintain strong documentation practices to ensure transparency, continuity, and informed decision-making
• Develop and manage program governance materials, including committee operating guidance and program documentation

Learning Design Lead – AI

Program Manager

• Lead and oversee the Medicaid Clinical Operations PMO function, ensuring successful execution of strategic initiatives aligned to organizational and state priorities.
• Manage a portfolio of large-scale initiatives including: State implementations and expansions Medicaid operational transformation efforts
• Build, lead, mentor, and develop a high-performing team of project managers and PMO professionals.
• Partner with internal and external stakeholders to coordinate implementation activities across business, clinical, operational, and technology teams.
• Identify implementation risks, operational impacts, and dependencies early and proactively drive mitigation strategies.

AD, Program Management – PMO

Architect

• Develop 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.
• Work closely with Enterprise Architecture and Data Platform delivery teams to enable and scale usability across the enterprise.
• Serve as the subject matter expert 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.
• Drive the adoption, integration, and optimization of metadata management tools to ensure consistency with enterprise information architecture standards.
• 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.
• Promote the definition and adoption of semantic layers, shared business definitions, and reusable information patterns across cross-functional teams.
• Translate complex business strategies and concepts into structured, enterprise-scale information models, providing thought leadership and mentorship.
• Establish and govern enterprise standards for ontology modeling, naming conventions, metadata taxonomy, and semantic alignment.
• Lead the evolution of enterprise data governance frameworks, stewardship models, and domain governance structures in partnership with senior stakeholders.
• Ensure adherence to industry best practices in information architecture, FAIR data principles, and semantic data governance, and proactively monitor emerging trends and technologies.
• Identify, assess, and resolve complex inconsistencies in data definitions, business rules, and semantic structures, driving enterprise-wide remediation and best practices.
• Lead support for regulatory, risk, and audit requirements by ensuring data meaning, provenance, and lineage are traceable, documented, and defensible.
• Provide subject-matter expertise and guidance on data meaning, business context, and strategic data initiatives at the enterprise level.

Lead, Business Information Architect

• Design, develop, and deploy Policy-Based Access Control (PBAC) policies to enable fine-grained and dynamic authorization
• Work closely with business, security, and application teams to understand business requirements and translate them into scalable, secure authorization policies
• Author, test, deploy, and manage policies in PBAC platforms; experience with PlainID is highly preferred
• Lead policy lifecycle management, including documentation, versioning, change tracking, and governance
• Diagnose and resolve issues with existing authorization policies and implementations, improving stability and performance
• Design and integrate authorization solutions using RESTful APIs
• Work extensively with SQL, including schema design, DDL operations, and data analysis to support IAM use cases
• Deploy, manage, and support IAM workloads on Azure infrastructure, with strong hands-on experience in Azure Kubernetes Service (AKS)
• Demonstrate a solid understanding of networking concepts, including secure API communication, authentication flows, and cloud networking fundamentals
• Implement secure DevOps practices using GitHub, GitHub Actions, and CI/CD pipelines for policy and application deployments
• Develop PowerShell and shell scripts to automate IAM processes, enhance operational efficiency, and reduce manual effort
• Ensure all IAM and authorization solutions align with organizational security standards, compliance requirements, and best practices

Senior Cybersecurity Engineer

• Review inpatient medical records and claims to ensure accurate coding and reimbursement
• Assign and validate ICD-10-CM, ICD-10-PCS, and DRG codes
• Audit coding quality and identify opportunities for improvement
• Investigate and resolve provider disputes with a fair, fact-based approach
• Analyze complex clinical documentation and coding scenarios
• Collaborate with other teams to clarify coding and medical information
• Contribute to cost savings by improving payment accuracy and reducing errors

Inpatient Medical Coding Auditor

• works with EIP Department leaders and Humana enterprise stakeholders to identify, define, and develop security architecture requirements and secure designs for AI technology solutions across Humana's business, information technology, and security domains
• leads the development of technical architecture & designs, develop security requirements, perform threat modeling and ensures alignment of security & risk imperatives with business priorities
• responsible for the high-level design and patterns of security program infrastructures to enable the protection of Humana tools, data, systems, and networks
• drives alignment between the EIP security strategy, security architecture and infrastructure, and Humana's overall business and technology strategic priorities
• responsible for planning, designing, and proposing architectural patterns or security enhancements for Humana's information security and technology infrastructures
• engages with relevant EIP stakeholders to identify current and emerging security threats and works to design security architecture elements to mitigate threats as they emerge
• actively works to identify gaps within existing EIP reference architecture and designs updates to impacted security architecture elements to mitigate emerging threats
• performs and oversees efforts to conduct threat modeling, risk analyses and security assessments of relevant enterprise / EIP infrastructure
• develops and manages security requirements for GenAI, model, MCP, Agentic AI solutions and software integration with Humana systems
• ensures EIP and Humana stakeholder security requirements are necessary to protect Humana's business functions and are adequately addressed in all aspects of enterprise architecture (i.e., reference models, segment and solution architectures)
• focuses on AI security threats, designs, and secure implementation of AI processes and solutions (applications and software)
• identifies opportunities to facilitate process and tooling automation, and where possible, within existing security architecture patterns
• may participate in the research, evaluation, and implementation of AI testing tools, frameworks, and utilities for Humana's enterprise and EIP Departments

Senior AI Security Architect

Operations

• Ensure interaction between the company and members are optimized
• Support Medicaid member mail processing
• Receiving, sorting, and distributing incoming and outgoing correspondence related to Medicaid member services
• Ensure accurate and timely processing of enrollment forms, eligibility documentation, claims-related communications, and other member correspondence
• Tracking mail status, maintaining confidentiality of member information, and collaborating with other teams to resolve mail processing issues and ensure compliance with Medicaid program requirements
• Reviewing and processing incoming member communications and routing appropriately