Humana

Account Executive

• Manage a Book of Business of 100+ Specialty Only clients
• Develop and execute strategies for assigned client relationships to achieve membership retention and growth targets
• Meet retention and cross-sell objectives for assigned book of business
• Act as a strategic business partner to Humana's Group Sales Representatives, clients, agents, and consultants
• Seek opportunities to execute cross sell strategies by adding new Humana lines of business
• Coordinate the renewal process including formal Request for Proposal process with internal partners
• Maintain contractual obligations and reporting requirements
• Represent Humana at community events, associations and industry organizations
• Liaison between assigned clients and Humana internal areas for escalated issues
• In-depth analysis of reporting related to trends and utilization

Client Executive

Compliance

• Lead and manage all disaster recovery compliance efforts, including data management, governance, and regulatory reporting
• Oversee internal and external audit response activities
• Manage IT controls and coordinate RFP responses for disaster recovery requirements
• Conduct annual DR audits of SaaS providers
• Drive vendor due diligence for new and renewing contracts
• Partner with Business Continuity leaders to mature business capability mapping
• Administer, manage, and develop the ServiceNow Disaster Recovery module

Associate Director, IT Disaster Recovery – GRC

Vice President

• Own and evolve the enterprise solution architecture across CenterWell segments, defining reference architectures, integration patterns, and architectural guardrails that ensure scalability, resiliency, security, and regulatory compliance across cloud, data, and application platforms.
• Lead and remain hands-on with senior architects and engineers, driving architectural decisions through proof-of-concept development, code reviews, and technical deep dives—balancing strategic direction with practical, executable design.
• Define and execute a modern technology strategy spanning cloud-native platforms, APIs, data architecture, and engineering practices that directly enable business growth, operational efficiency, and faster time-to-market.
• Establish and scale developer experience (DevEx) and engineering enablement, including CI/CD pipelines, platform tooling, coding standards, reusable services, and DevSecOps practices to improve developer productivity, quality, and consistency across segments.
• Lead automation and optimization initiatives, leveraging AI/ML, agentic workflows, RPA, and low-code/no-code platforms to reduce manual effort, streamline operations, and measurably improve business outcomes.
• Partner closely with business, product, and segment CIO leaders to identify high-impact opportunities for technology-driven transformation, translating complex business problems into scalable technical solutions.
• Build, mentor, and lead high-performing, cross-functional teams of architects, platform engineers, and automation specialists, fostering a culture of technical excellence, continuous improvement, and learning.
• Drive cross-segment alignment and reuse, ensuring consistent architectural patterns, shared platforms, and common engineering practices that reduce fragmentation and accelerate delivery across CenterWell.

AVP, Cross Segment Technology

Data Engineer

• developing and optimizing scalable data pipelines to support critical analytics and business intelligence
• designing, building, and maintaining data models and architectures that enable efficient storage, retrieval, and processing of large-scale datasets
• working with key stakeholders to define the business problem, determine requirements, and ensure quality deliverables
• managing and prioritizing data engineering roadmaps in partnership with business leaders, translating strategic objectives into actionable work items and clear delivery plans
• implementing best‑practice data governance, data quality, and data security standards, ensuring that pipelines and datasets are reliable, well‑documented, and compliant with organizational requirements
• facilitating regular stakeholder communication, providing updates on progress, risks, and dependencies while ensuring expectations are aligned across technical and non‑technical audiences
• conducting code reviews and enforcing data engineering best practices

Senior Data Engineer

Operations

• Serve as the enterprise leader for in-home risk adjustment and Stars performance in the home.
• Coordinates In-home program will outreach 5 M members, and conduct ~1.5 M preventative in-home visits annually.
• Responsible for bid commitments and corresponding delivery of incremental accurate diagnosis value.
• Ensures 100% compliance with CMS and state regulatory requirements.
• Advance the organization’s reputation as a leader in preventative care and member experience that yields higher retention and growth.
• Accountable to deliver enterprise transformation commitments that ensure a combined strategy and delivery, so members receive accurate diagnosis, Stars care opportunity closure, and follow-up care from in-home visits.
• Ensures flawless execution on care opportunities present during the encounter
• Develop and execute a coordinated enterprise strategy for in-home member engagement, aligning with organizational goals and regulatory requirements.
• Collaborate cross-functionally to integrate home-based wellness initiatives with broader population health management strategies.
• Monitor and analyze emerging industry trends, technologies, and best practices to inform and evolve the in-home wellness approach.
• Oversee the implementation of in-home health and well-being assessments, testing, and diagnostic protocols to accurately evaluate member health status.
• Direct the process for connecting members to appropriate follow-up care, care management referrals, and primary care scheduling based on individual needs.
• Guide the standardization and utilization of health information exchange (HIE) data, lab results, pharmacy claims, and supplemental member information.
• Lead vendor management activities including contract negotiation, credentialing, relationship management, and performance oversight.
• Oversee process documentation, compliance reviews, risk management, and program governance.
• Ensure adherence to all internal and external regulations pertaining to in-home care delivery, data management, and member communications.

AVP, In-Home Wellness Strategy – Operations

Ecommerce

• Convey product vision and roadmap to an Agile delivery team by defining user stories and prioritizing product backlog
• Collaborate with partners to anticipate needs and translate into product requirements
• Create a product roadmap based on the aligned vision
• Manage the product backlog and prioritize it based on changing requirements
• Develop user stories and lead grooming sessions to ensure requirements are met
• Monitor and evaluate product progress at each stage of the process
• Participate in Scrum meetings and product sprints
• Perform user acceptance testing and accept user stories before releasing

Senior Digital Product Owner – Ecommerce

Security Engineer

• design and deliver innovative training programs that shape the cybersecurity culture at Humana
• collaborate with leaders and subject matter experts to develop engaging, targeted education
• drive curriculum development for new products and tools
• create technical resources and champion cyber awareness across all levels of the organization
• develop and maintain in-person and online education and training infrastructure
• produce technical documentation, presentations, and documents to reinforce cybersecurity-related knowledge across Humana
• conduct learning needs assessments and identify requirements and plans for instructional opportunities

Lead, CyberSecurity Advocacy

• Ensures mandatory reporting completed.
• Complies, conducts, and summarizes compliance audits/reports to include deficiencies and risks.
• Collects, review records, summarizes issues and analyzes data daily, weekly, monthly, or as needed to assess outcome and operational metrics for the team and individuals to determine appropriate course of action.
• Audits CM medical records and operation for compliance.
• Proficiency in analyzing, tracking, and interpreting data trends, operational guidelines and procedures are adhered to.
• Ensures DMAS Cardinal Care Guidelines, NCQA, CMS, and Humana's Healthy Horizon's Policy and Procedures are followed.
• This is a mainly a virtual position, however, it may require occasional travel for meetings or audits to ensure accreditation is met.
• Ensures auditing is completed timely and communicated with leadership.
• Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed.
• Other duties as assigned per CM or Quality leadership.

Compliance Nurse – Medicaid

Sales

• Responsible for leading overall Partner channel sales strategy and transformation to drive membership growth, member retention, and cost per sale.
• Build and expand relationships with external partners to promote, accelerate and drive Senior Product sales across all field channels, responding to unforeseen market changes and consumer buying preferences.
• Scale intelligent enablement (e.g., call effectiveness tools, CRM adoption, playbooks) to improve contact, conversion, and throughput.
• Set quarterly objectives and KPIs for all partner types (Field, CC/BPO, FMOs) and hold leaders accountable with transparent dashboards.
• Champion an enterprise growth mindset that prioritizes STARs, member outcomes, and complaint reduction (CTM/k).
• Implement progressive oversight policies to proactively address outliers (e.g., accretion, CTMs) and ensure end-to-end CMS compliance in partner operations, sales practices, and marketing activations.
• Lead a high-performing leadership bench (5 direct reports; ~200 associates) with clear roles, operating rhythms, and success metrics skilled at data-driven decision-making, change leadership, and cross-functional collaboration.
• Build and sustain a best-in-class partner operating cadence (planning, enablement, execution, inspection, and continuous improvement).
• Drive effective CRM utilization and data quality to power targeting, sequencing, and coaching at scale.

VP, Partner Sales Channel

Business Intelligence Developer

• Solve complex business problems using data from internal and external sources to provide insights to decision-makers
• Develop and maintain sales and retention reporting systems using BI tools like Power BI, SQL, Excel
• Collaborate with stakeholders on requirements for sales and retention analytics
• Design and implement data models, ETL processes, and data pipelines
• Create interactive dashboards and reports presenting insights and key performance indicators
• Perform ad-hoc analysis to identify trends and opportunities for improvement in performance
• Monitor data quality and ensure reliable reporting

Business Intelligence Engineer – Group Benefits

Manager

• works primarily in a telephonic environment
• assesses and evaluates members' needs and requirements
• guides members/families toward and facilitates interaction with resources
• employs a variety of strategies and techniques to manage a member's physical, environmental and psycho-social health issues
• Identify and resolve barriers that hinder care
• Ensure patient is progressing towards desired outcomes by monitoring patient care through assessments and evaluations
• Create member care plans

Care Manager, RN – Medicaid

• The Lead IGA Security Architect is the enterprise authority for Identity Governance & Administration (IGA)
• Defines the architectural vision, standards, and integration patterns for the full identity ecosystem
• Operates with broad autonomy, advising executives and solving complex identity challenges
• Architect enterprise RBAC, ABAC, and policy‑based access models
• Oversee provisioning workflows, connector logic, identity data transformation, and workflow automation
• Ensure identity governance practices support SOX, HIPAA, PCI, ISO 27001, NIST, and internal controls requirements

Lead IGA Security Architect

Full-stack Engineer

• Maintain and enhance an existing enterprise application built using Windows Forms and .NET frameworks.
• Improve application performance, reliability, and maintainability through refactoring, optimization, and technical clean-up.
• Work hands-on(80%) across backend, frontend, and database layers, including upgrading existing components and developing new features.
• Collaborate with offshore development teams by participating in code reviews, troubleshooting, and shared development work.
• Enhance and refactor existing Windows Forms screens, backend services, and integrations using modern engineering practices where appropriate.
• Partner with Product Owners, QA, and Senior team members to deliver enhancements and modernization improvements.
• Analyze and resolve complex issues within existing code with partial guidance from senior engineers or leads.
• Support efforts to gradually modernize portions of the application while maintaining system stability.

Full Stack Engineer

Business Intelligence Analyst

• Design, develop, and maintain complex IVR channel reports and dashboards using Google BigQuery and Data Studio
• Collaborate with cross-functional teams to integrate IVR channel data with other data sources and systems
• Optimize and improve the performance of IVR channel reports and dashboards
• Troubleshoot and resolve technical issues related to IVR channel data and reporting

Senior Business Intelligence, Data Engineer

Support Engineer

• Provides support to end users for computer, application, system, device, access and hardware issues
• Utilizes technical experience and customer service skill to assist end users to resolve incidents and fulfil requests remotely and escalate as needed
• Involvement in project planning; installing, configuring, upgrading, and troubleshooting of computer-related hardware and software components
• Responding to and resolving customer requests; team leadership to ensure customer support expectations are addressed in accordance with policy
• Identifies, researches, and resolves technical problems of moderate complexity
• Responds to telephone, email and online requests for technical support
• Documents, tracks, and monitors the problem using applicable systems and tools
• Performs root cause analysis, develops checklists for typical problems and recommends procedures and controls for problem prevention