Humana

Full-stack Engineer

• Design, implement, and operate mission-critical stateful services that form the backbone of real-time, automated decisioning and personalization platforms.
• Architect and manage transactional state stores serving as the single source of truth
• Employ the outbox pattern to guarantee atomicity of state updates and event publication
• Engineer services with robust observability through: Structured logging, metrics, and alerting
• Mentor and guide engineers on best practices for safe, reliable, and maintainable distributed systems

Senior Software Engineer – Next Best Action

• Architect and deliver foundational services for real-time recommendations
• Own design and implementation of State Machine and Transactional Outbox
• Ensure robust, traceable, and high-performance solutions
• Collaborate with platform, data, and product teams
• Mentor peers and set technical standards
• Lead design reviews and establish development standards
• Utilize AI tools for engineering processes

Lead Software Engineer – Next Best Action

Manager

• Assess and evaluate members' needs and requirements to achieve and/or maintain optimal wellness state
• Guide members and families toward resources appropriate for care and wellbeing
• Employ a variety of strategies, approaches, and techniques to manage a member's physical, environmental, and psycho-social health issues
• Identifies and resolves barriers that hinder effective care
• Ensures member is progressing towards desired outcomes by continuously monitoring patient care through assessments and/or evaluations
• Create plans of care
• Communicate with internal and external stakeholders
• Understand department, segment, and organizational strategy and operating objectives
• Make decisions regarding own work methods (occasionally in ambiguous situations) with minimal direction
• Follow established guidelines/procedures
• Visit Medicaid members in their homes, Supportive Living Facilities, and/or Long-Term Care Facilities and other care settings – 75-90% local travel

Field Care Manager, RN

Risk

• Serve as a strategic leader responsible for designing, implementing, and overseeing enterprise-wide data governance initiatives
• Lead the development, implementation, and ongoing management of data governance frameworks, policies, and standards
• Identify, assess, and monitor data-related risks across the enterprise; recommend and support mitigation strategies
• Oversee secure and compliant data sharing processes internally and externally
• Collaborate with business and technical stakeholders to define and enforce data use guidelines
• Serve as a subject matter expert on regulatory, compliance, and contractual data use restrictions
• Establish and maintain data stewardship and data owner accountability throughout the organization
• Monitor, report, and escalate material events or risks in accordance with the organization’s risk governance framework
• Support audit and regulatory examinations related to data governance

Senior Enterprise Data Governance Professional

Operations

• Analyze current Medicaid long-term support and services programs to identify areas for improvement.
• Research, analyze, and interpret state contracts and responses.
• Develop and implement strategies to enhance program efficiency.
• Oversee the creation, review, and update of program descriptions.
• Collaborate with relevant stakeholders to ensure accuracy and completeness of program descriptions.
• Interpret complex regulations and process to translate them into easily understandable policies and procedures.
• Lead initiatives to streamline processes related to Medicaid services.
• Collaborate with internal teams, external partners, and Medicaid agencies.

Lead, LTSS Process Improvement

Actuary

• responsible for the overall management and oversight of actuaries and/or support staff
• identifying and managing risks
• analyzing potential risks and estimating financial consequences
• developing and recommending controls to minimize risks
• assessing and communicating information regarding actuarial/business risks across the organization
• providing peer review and counsel on company, industry, and regulatory practices
• monitoring developments in actuarial techniques and researching applicable laws and regulations
• influencing department’s strategy
• making decisions on moderately complex to complex issues regarding technical approaches for project components
• supporting Humana’s MA-PD and PDP bid filings by ensuring appropriate interpretation and implementation of CMS guidance
• participating in CMS audits and reviews related to Humana’s Medicare bids
• creating and maintaining process improvements to bid filings

Associate Actuary, Risk and Compliance

Cloud Engineer

• Perform technical planning, architecture development, and ongoing evolution of cloud computing environments.
• Develop and modify architectural specifications, define standards for cloud products and service offerings.
• Partner closely with security, infrastructure, application, and data teams for secure solutions.
• Lead and support acceleration of HGB cloud adoption initiatives.
• Design and govern secure cloud architectures.
• Assist in migration strategies for existing HGB assets to Azure Government Cloud DevOps.
• Embed security-by-design principles into cloud architectures.
• Educate teams on cloud, security, and architecture best practices.

Senior Cloud Architect

Sales

• Lead and be accountable for all sales associates across the home health organization, with a specific focus on delivering same store and new market growth commitments.
• Serve as a key executive on the CWHH leadership team, influencing national growth strategy for all locations.
• Spearhead development, communication, and execution of effective growth strategies, including capture management and business development with a focus on senior populations.
• Partner with Marketing to advance CenterWell’s brand, digital presence, and market messaging.
• Establish CenterWell Home Health as a recognized national leader and trusted brand.
• Ensure CenterWell’s value proposition is clearly understood and contributes to long-term relationships, collaboration, growth, and retention.
• Collaborate with marketing and operations to launch new markets, monitor customer acquisition costs, conversion goals, and performance in both new and established markets.
• Create and monitor executive and market-level funnel reporting for growth and key performance indicators.
• Advance sales analytics, predictive modeling, and market archetype strategy.
• Lead recruiting, hiring, coaching, development, and performance management for all direct and indirect team members.
• Drive innovation to enhance sales processes, including territory assignment, incentive models, staffing ratios, and performance management of front-line sales reps and sales team leaders.
• Develop and recommend sales expense budgets; monitor expenditures to ensure compliance.
• Oversee centrally coordinated sales initiatives and projects.
• Foster collaboration and joint accountability across sales, operations, clinical, and strategy teams.

Vice President, National Sales Leader

Designer

• Designs and implements short-term incentive compensation programs
• Owns all incentive design for the Primary Care Organization
• Responsible for incentive plan education and roll-out
• Advises executives on developing functional strategies

Incentive Design Compensation Lead

Customer Support

• Help the company achieve sales goals by focusing on specific customer groups and market segments.
• Manage complex tasks requiring careful consideration.
• Measure effectiveness of sales programs and support cost control efforts.
• Prepare reports to improve sales outcomes and business growth.
• Collaborate with business, marketing, and finance leaders.
• Execute proactive outbound engagement to create early-stage interest.

Sales Development, Support Specialist

• 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 in your community.
• Engage with customers in the FIELD through a mix of in-person, virtual, and phone interactions.

Medicare Sales Field Agent

• Partner with a Care Coach (also referred to as a Case Manager), taking the lead on health-related needs
• Conduct regular health assessments for members
• Implement appropriate strategies and services to develop individualized care plans
• Contribute to the creation, continuous evaluation, and coordination of the member's plan of care
• Contact and coordinate with acute and primary care providers
• Promote health and wellness through patient education on disease prevention
• Document daily in member files within required DHS contract timeframes
• Participate in member monthly phone contacts and attend in person visits in member's setting

RN Case Manager

Business Intelligence Developer

• Work with large and complex data sets that requires you to be comfortable with joining, filtering, and transposing the data to fit the current need
• Be coding/working within Databricks
• Knowing SQL is a must with the preference being python/pyspark knowledge
• Developing automations across Databricks, Power BI, and Microsoft Products such as Power Automate
• Having a mindset surrounding how to set up a process end to end is utlmately the goal of every project you will be working on
• Translating current processes/business requests into an end to end process
• Having a general level of curiosity and a passion for data and getting into the details of the request
• Developing Front End Dashboards to better support/educate your business partners

Business Intelligence Engineer

Administration

• Contribute to the administration of utilization management.
• Provide non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members.
• Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques.
• Work under limited guidance due to previous experience and depth of knowledge of administrative processes and organizational knowledge.

Administration Coordinator 2

• Performs telephonic and face to face assessments and evaluations of the member’s needs and requirements to achieve and/or maintain an optimal wellness state by guiding members/families toward the appropriate resources for the care and overall wellbeing of the member.
• Ensures member is progressing towards desired outcomes by continuously monitoring care through assessments and/or evaluations.
• Creates member care plans.
• Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas.
• Employs a variety of strategies, approaches, and techniques to manage an Enrollee’s behavioral, physical, environmental, and psycho-social health needs.
• Ensures Enrollees are progressing toward desired outcomes by continuously monitoring their assessments and evaluations.
• Identifies and resolves barriers that hinder effective care and ensures through continuous monitoring of assessments and evaluations that the Enrollee is progressing toward desired outcomes.
• Makes decisions about their own work methods, occasionally in ambiguous situations, and requires minimal direction, receiving guidance where needed.
• Follows established guidelines/procedures.
• Collaborates with providers and community services to promote quality and cost-effective outcomes.
• Periodic travel to Humana Oklahoma City office for meetings and training.