Humana

Software Engineer

• Build and lead a team that designs and implements automated mechanisms to perform daily operational health checks across enterprise systems.
• Support the Stars initiative by ensuring consistently reliable, high-quality, and resilient technology operations.
• Prioritize and govern technology changes, ensuring execution during periods of minimal business disruption and without conflict across initiatives.
• Develop and execute a strategy to improve service levels and the effectiveness of service communications, supporting the organization’s goal of becoming a metrics-driven enterprise.
• Recruit, develop, and lead a team of highly skilled engineers who are innovative problem-solvers and experienced across a broad range of technologies.
• Serve as a clear, confident, and effective communicator, particularly during periods of elevated risk or crisis, given responsibility for enterprise incident response.

VP, Application Reliability – Operations Engineering

Business Intelligence Analyst

• Solve complex business problems using data from various sources to provide insights to decision-makers
• Lead the design, development, and optimization of Power BI dashboards, reports, and data visualizations
• Analyze complex business problems by leveraging data to identify trends, opportunities, and actionable insights
• Translate business requirements into scalable Business Intelligence solutions
• Partner with executive leaders to understand reporting needs
• Develop and maintain data models, KPIs, and performance metrics
• Ensure data accuracy, integrity, and consistency
• Drive continuous improvement of BI processes
• Perform advanced data analysis to uncover root causes and support initiatives
• Serve as a subject matter expert for Power BI and provide guidance on report design and best practices

Business Intelligence Lead

Product Designer

• Design and deliver end-to-end user experiences for Humana’s medical benefits products and services
• Collaborate with product, engineering, marketing, analytics, and research partners to identify opportunities and develop innovative solutions
• Utilize user research, usability testing, analytics, and member feedback to inform design decisions
• Create user flows, wireframes, prototypes, and high-fidelity designs
• Advocate for accessibility, inclusivity, and design best practices
• Present design recommendations to stakeholders, incorporating feedback and building alignment across teams

Senior Product Designer – Benefits Servicing

Clinical Operations

• Lead Medicaid Clinical Operations, including clinical and nonclinical teams supporting utilization management, care management/service coordination, program operations, process improvement, training, and project execution.
• Establish clear operating rhythms, accountability structures, workforce productivity expectations, and performance management processes across distributed clinical operations teams.
• Build and sustain an engaged, high-performing leadership culture focused on associate development, retention, operational discipline, and measurable outcomes.
• Develop and execute Medicaid clinical operations strategies that support growth, market expansion, state contract requirements, enterprise priorities, and scalable operating model transformation.
• Translate clinical strategy, market commitments, and program designs into operational workflows, staffing models, performance targets, and implementation plans.
• Oversee Medicaid utilization management and care management/service coordination functions, ensuring consistent clinical practices, regulatory compliance, timely decision-making, and appropriate escalation management.
• Strengthen care navigation, member access, provider coordination, and interventions that reduce avoidable utilization and improve health outcomes.
• Partner with Product, Technology, Data, Analytics, and Operations teams to translate Clinical Operation’s needs, regulatory requirements, workflow gaps, and performance priorities into clear business requirements, use cases, and solution expectations.
• Establish, monitor, and improve key performance metrics, including quality, compliance, cost of care, access, utilization, productivity, service levels, member experience, provider experience, revenue, margin, and client or contract performance commitments.

VP, Medicaid Clinical Operations

Outside Sales

• 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

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

Risk

• Conduct quality assurance audits of medical records and ICD-9/10 diagnosis codes
• Perform varied activities and moderately complex administrative/operational/customer support assignments
• Ensure coding is accurate and properly supported by clinical documentation within the health record
• Follow state and federal regulations as well as internal policies and guidelines
• Participate in provider education programs on coding compliance

Risk Adjustment Representative

General

• Initiates, negotiates, and executes dental provider contracts and agreements for the organization
• Communicates contract terms, payment structures, and reimbursement rates to providers
• Analyzes financial impact of contracts and terms
• Maintains contracts and documentation within a tracking system
• Assists with identifying and recruiting providers based on network composition and needs
• Makes decisions regarding own work methods, occasionally in ambiguous situations

Provider Contracting Professional – Dental Network

Content Marketing Manager

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Senior Content Designer

Pharmacist

• integrate programs developed to improve overall health outcomes with a focus on prescription drugs
• oversee medication therapy, strategy on comprehensive medication reviews, and prescription drug optimization in cases where patients are taking multiple medications
• drive health awareness with patients through Rx Education and targeted quarterly campaigns
• place outbound calls to confirm patients are taking drugs and provides counseling
• influence department’s strategy
• make decisions on moderately complex to complex issues regarding technical approach for project components
• perform work without direction
• exercise considerable latitude in determining objectives and approaches to assignments

Senior Clinical Programs Pharmacist

Business Support

• Gather, compile, and verify information and enters it into documents such as reports, presentations or forms;
• Provide data entry of provider contacts and documentation into business systems.
• Coordinate activities related to annual AFH certifications.
• Code and sort documents to be processed or filed.
• Respond to, or redirect, routine inquiries from external or internal sources about our company, its activities, or processes.
• Perform other routine administrative activities according to our established procedures.

Business Support Coordinator

Representative

• represent the company by addressing incoming telephone, digital, or written inquiries
• perform varied activities and moderately complex administrative/operational/customer support assignments
• address customer needs which may include complex benefit questions, resolving issues, and educating providers
• record details of inquiries, comments or complaints, transactions or interactions and take action in accordance to it
• escalate unresolved and pending customer grievances

Inbound Contact Representative

Project Manager

• Establish and maintain integrated project plans, timelines, trackers, and related tools that provide visibility into priorities, milestones, risks, dependencies, and decision points
• Maintain and continuously improve governance structures, ways of working, templates, and project management tools to strengthen consistency, accountability, and execution effectiveness
• Develop materials for senior leadership updates and discussions, translating complex project activity into clear status summaries, key insights, and decision-support content
• Oversee the central project site and related documentation processes to ensure materials are organized, current, accessible, and aligned to team standards
• Identify and implement opportunities to simplify workflows and advance project management practices, including use of Copilot, Power Automate, and similar tools to improve speed, collaboration, and efficiency
• Provide research, analytical, synthesis, and documentation support that helps translate contracts, regulations, market insights, and partner input into actionable team deliverables

Strategic Project Manager – Medicaid Capture Management

Full-stack Engineer

• Serve as a hands-on software engineering advisor to IT executives
• Advise SVP and executive technology leaders on engineering strategy, platform health, delivery risks, architectural decisions, and modernization opportunities
• Translate complex software engineering issues into clear business, risk, funding, and execution recommendations
• Act as a player by actively building and improving software
• Personally contribute to critical engineering work by designing, coding, testing, reviewing, and deploying capabilities across enterprise platforms, integration layers, and production systems
• Use modern development practices, including agentic AI-enabled coding where appropriate, to accelerate delivery and improve system reliability
• Coach developers and raise engineering standards
• Mentor associate engineers, contractors, and delivery teams through code reviews, pairing, technical design discussions, and best-practice coaching
• Set expectations for clean code, small pull requests, meaningful commits, automated testing, secure coding, and efficient delivery practices
• Drive engineering alignment across complex delivery teams
• Coordinate engineering outcomes across matrixed internal teams, vendors, architects, product owners, and business partners
• Ensure solutions are technically sound, architecturally consistent, secure, scalable, and aligned to enterprise standards and long-term platform strategy
• Lead platform roadmap, technical investment, and transformation discipline
• Partner with business and IT leadership to define the product/platform roadmap, identify funding needs, prioritize engineering investments, and challenge decisions that create technical debt, operational risk, or misalignment with enterprise transformation goals
• Exercise the judgment and credibility to say "no" when needed to protect long-term platform health

Principal Software Engineer

• Lead the response to complex production incidents.
• Bring together experts across teams to rapidly restore service and drive lasting improvements.
• Partnering closely with engineering to deliver innovative solutions.
• Ensure new releases reach production with minimal disruption.
• Maintain, integrate, and analyze software applications within the organization.
• Provide technical support for production environments.
• Diagnose and resolve issues to ensure system stability.
• Collaborate with application teams, quality assurance, configuration, deployment, and support.