Humana

Data Scientist

• Engage in and support all aspects of the HEDIS program and regulatory operations
• Drive internal and external partnerships to coordinate, guide, and oversee implementation of clinical measures
• Analyze data to solve a wide variety of business problems and create data visualizations that drive strategic vision

Senior HEDIS Data Manager

IT Support

• Ensure customer success in designing, building, and migrating applications, software and services to the Cloud.
• Collaborate with Humana enterprise teams and/or vendors/partners to define, mature and operationalize cloud patterns, reference architectures, and frameworks for successful cloud adoption.
• Lead architectural discussions, design exercises, and proof of concepts to create world class Cloud Native solutions while ensuring these solutions are practical, implementable and easily consumable by our application teams.
• Author or otherwise contribute to customer facing publications such as playbooks, run books, templates, standards guidance, etc. ensuring these artifacts enable our customers to easily consume Cloud capabilities at scale.
• Provide guidance and thought leadership to enterprise teams with modern/future state cloud architecture and drive discussions with teams about best practices, trade-offs, implications for technical design & decisions.
• Exercise independent judgment and decision making on complex issues regarding job duties and related tasks and works under minimal supervision.

Senior Enterprise Architect

Administration

• Provides non-clinical support for the policies and procedures ensuring best and most appropriate treatment, care or services for members
• Decisions are typically focused on interpretation of area/department policy and methods for completing assignments
• Works within defined parameters to identify work expectations and quality standards
• Works under minimal direction
• Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion

Administration Coordinator

Events

• assesses and evaluates member needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitating interaction with resources appropriate for the care and wellbeing of members
• Provides specialized support for members receiving Long Term Services and Support (LTSS), with a focus on addressing health-related social needs (HRSNs), providing psychosocial support, and ensuring LTSS meets the member's service needs
• May support members residing in NFs by building relationships with facility staff, advocating for member care (including access to needed behavioral health services)
• Contacts members telephonically and face-to-face to establish goals and priorities, evaluate resources, develop plans of care, and identify LTSS providers and community partnerships to provide a combination of services and supports that best addresses the needs and goals of members and caregivers through person centered thinking approaches
• Focuses on supporting members and/or caregivers utilizing an interdisciplinary approach in accessing long term services and support, social, housing, educational and other services, regardless of funding sources to meet their needs
• Develops and modifies Individual Service Plans and involve applicable members of the care team in care planning (Informal caregiver coach, PCP, etc.)

Care Coach – Transition, Custodial Prevention

Engineer

• codes software applications based on business requirements.
• work on assignments that involve complex issues.
• standardizes the quality assurance procedure for software.
• oversees testing, debugging, and develops fixes.
• research complaints and makes necessary adjustments and/or recommendations to resolve complex software related issues.
• influence department’s strategy within required scope of work.
• make decisions on moderately complex to complex issues regarding technical approach for project components.
• exercises considerable latitude in determining objectives and approaches to assignments.
• part of a team that cross-functions heavily with automation teams.

Senior Blazor Engineer

Pharmacist

• require a broad understanding of pharmacy, managed care, PBM, market and regulatory insights to develop, and/or implement formulary strategies
• involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors
• use clinical and financial data driven methods to develop and influence formulary strategies for Humana's Medicare line of business
• support the development of formulary strategies to mitigate Humana’s costs and trend while improving our member’s health outcomes and costs
• facilitate and make informed formulary decisions consistent with our formulary guiding principles and enterprise objectives
• translate information from multiple sources to clearly communicate a compelling clinical, data-driven message to executive-level audiences on our formulary strategies
• work across multiple departments to support formulary strategy development and decisions
• collaborate with appropriate business partners to ensure accurate and timely implementation of formulary decisions
• leverage market trends and competitive intel insights to support the development of formulary strategies

Lead Medicare Formulary Strategy Pharmacist

Actuary

• Analyze and forecast financial, economic, and other data to provide accurate and timely information for strategic and operational decisions.
• Evaluate industry, economic, financial, and market trends to forecast the organization's short, medium and long-term financial and competitive position.
• Own the input and reasonableness checks for various assumptions as part of a granular Medicare Advantage underwriting margin forecast.
• Collaborate with data suppliers to understand the data, troubleshoot problems, and conduct root cause analysis.
• Support the monthly presentation of results to stakeholders for strategic decision making.
• Make enhancements to the methodology of claims/premium forecasting and eventually include other lines of business in the model.

Associate Actuary

Medical Billing and Coding

• Identify opportunities to improve provider documentation and create an education plan tailored to each assigned provider
• Arrange educational sessions with assigned providers aimed at quality of care and documentation improvements
• Prepare comprehensive reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques
• Provider onsite education, based on business needs
• Collaboration with other market provider facing role
• Use data analytics tools to assess coding quality, identify error patterns, and monitor compliance with internal and external standards
• Analyze coding audit results and other relevant data to develop data-driven educational materials and interventions
• Participate in cross-functional teams to improve documentation, data integrity, and workflow processes

Medical Coder

Security Engineer

• acts in a security assessor role to review acquisition environments of diverse scopes and complexity ranging from moderate to substantial against well-known cyber security frameworks.
• help Humana assess and integrate acquired companies into the organization.
• work with Humana's technology organization and various internal groups to review and contribute to integration initiatives with available technology including hardware, software, applications, and peripherals with the purpose of ensuring that security meets Humana's expectations.
• review acquisition environments and assists the teams with creating, tracking, and implementing remediation plans to address identified security gaps.
• Lead a risk assessment and/or audit of IT controls and systems.
• conduct audit review procedures and evaluate the company's technological infrastructure against HITRUST, NIST, PCI and other internal security control frameworks.
• communicate well verbally and in writing to various types of audiences.
• understand when an identified risk is worthy of escalation to leadership and can manage discussions that support the escalation.

Senior M&A Security Professional

Director

• Lead the strategy, design, governance, and maturity of Humana's enterprise Incident Management capabilities in the Service Operations Organization.
• Establish a clear vision, operating model, and roadmap for enterprise adoption.
• Define practice standards, policies, strategies and governance models to ensure execution across teams.
• Develop a multi-year practice maturity roadmap, aligned with Humana's priorities and digital transformation goals.
• Champion the integration of AI and AIOps capabilities into the Incident Management Practice.
• Ensure reliable, repeatable execution of incident response practices across platforms and teams.

Associate Director, Incident Management Practice

• Coordinating incident resolution in partnership with the Restoration Lead to drive technical teams toward rapid service recovery
• Making incident prioritization decisions based on the Enterprise Priority Matrix
• Communicating timely, clear, and actionable updates to enterprise stakeholders, including business and technical leadership
• Preparing and distributing post-incident summaries, and executive-level notifications
• Escalating issues appropriately and ensuring accountability across support teams and vendors
• Partnering with Problem Management to ensure incidents with recurring patterns are addressed structurally
• Identifying trends and recommending improvements to tools, processes, and operational practices
• Supporting continuous improvement initiatives, including automation and process optimization
• Participating in on-call or escalation rotations for off-hours incident support

Senior Problem, Incident and Event Management Engineer

Product Manager

• Serve as the Director’s primary partner in shaping and advancing the strategy and roadmap for the Humana Spending Account Card
• Translate strategic direction into clear execution plans, workstreams, and cross-functional deliverables
• Develop analyses, options, and recommendations to inform leadership decision-making
• Support evolution of the Spending Account Card as a scalable supplemental benefit capability
• Lead execution of benefit design and structural changes aligned to CMS regulations and business goals
• Oversee benefit configuration, system setup, testing coordination, and quality assurance
• Provide subject-matter expertise on regulatory requirements and implementation best practices
• Support audit readiness, compliance reviews, and documentation accuracy
• Identify opportunities to improve member experience, operational efficiency, and benefit clarity
• Drive continuous improvement initiatives using performance data and stakeholder feedback
• Support partner management on vendor management for card processing and benefit administration
• Act as a trusted point of contact for cross-functional Spending Account Card initiatives
• Facilitate working sessions and decision forums to drive alignment

Principal, Insurance Product Management – Supplemental Benefits Operations

Bilingual

• assess and evaluate members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members
• identify and resolve barriers that hinder effective care
• ensure patients are progressing towards desired outcomes by monitoring patient care through use of assessment, data, conversations with member, and active care planning
• understand department, segment, and organizational strategy and operating objectives, including their linkages to related areas
• work with an assigned member population over the phone performing health assessments, care planning, and education on chronic conditions and any gaps in their health care plans

Bilingual Care Manager, Telephonic Nurse

• assesses and evaluates member's needs and requirements to achieve and/or maintain optimal wellness state
• guides members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members
• employs a variety of strategies, approaches and techniques to manage a member's health issues
• identifies and resolves barriers that hinder effective care
• ensures patients are progressing towards desired outcomes by continuously monitoring patient care
• makes decisions regarding own work approach/priorities, and follows direction
• manages and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation

Bilingual Telephonic Care Coach

• Architect goal setting and goal decomposition mechanisms for autonomous agents operating in uncertain or open-ended environments
• Design and implement dynamic planning systems (e.g., hierarchical planning, curriculum learning, scratchpad/self-refinement loops)
• Collaborate on memory, tool-use, and feedback-loop designs enabling multi-step, self-directed agent behavior
• Develop evaluation frameworks for alignment with human intent, consistency, progress against long-horizon objectives
• Prototype agents that interface with APIs, MCP servers, search engines, databases, or real-world actuators to pursue goals safely and efficiently
• Explore mechanisms to detect and mitigate goal misalignment, looping behavior, or undesirable emergent strategies
• Work across teams to integrate goal alignment with safety, alignment, and operational reliability mechanisms