Humana

Data Engineer

• Serve as a technical expert for Snowflake and Azure, leading hands ‑ on implementation across ingestion, transformation, orchestration, and platform optimization.
• Develop and maintain API ‑ driven integrations using MuleSoft, enabling secure, scalable connectivity between cloud and on ‑ prem systems.
• Drive the migration from on ‑ prem SQL Server environments to Snowflake, including re ‑ architecting pipelines, data models, and workflows for the cloud.
• Implement engineering best practices, including CI/CD for data, infrastructure ‑ as ‑ code, version control, testing frameworks, and observability.
• Independently troubleshoot complex data and platform issues, identifying root causes and designing effective long ‑ term solutions.
• Collaborate with data architects, analysts, and business partners to translate requirements into robust, production ‑ ready solutions.
• Mentor and support data engineers, providing technical guidance, code reviews, and thought leadership to elevate engineering standards.
• Optimize data models, storage patterns, and compute usage to ensure cost ‑ efficient and high ‑ performance operations.
• Partner with IT, security, and governance teams to ensure compliance, data quality, and secure handling of sensitive healthcare data.
• Evaluate and introduce new tools, frameworks, and cloud capabilities that enhance our data platform and engineering productivity.

Lead Data Engineer

Vice President

• Serve as the senior clinical executive responsible for shaping and executing the region’s clinical engagement strategy
• Drive quality improvement, cost efficiency, and population health outcomes through strategic provider partnerships, data-informed decision-making, and cross-functional collaboration
• Cultivate and maintain trusted relationships with CMOs and senior executive/clinical leaders at provider and care delivery partner organizations
• Serve as lead clinical executive for provider groups, translating clinical and quality priorities into actionable strategies
• Enhance innovation with hospital systems while fostering collaboration and reducing operational barriers
• Drive population health initiatives to improve the health and well-being of our members
• Collaborate with finance, analytics, and market leadership to identify cost and quality outliers and implement targeted action plans
• Provide clinical input into network development, contract negotiations, and delegation oversight
• Represent the organization in regional health coalitions and community health initiatives
• Lead regional implementation of clinical focused strategic programs

Regional VP of Health Services

Operations

• Manage the delivery of Stars-related projects within Stars Enterprise Activation, ensuring milestones, timelines, and budgets are met.
• Serve as a critical liaison between the principal and functional teams, translating strategic priorities into actionable plans.
• Identify delivery risks early, implement mitigation strategies, and escalate issues as needed.
• Maintain program dashboards, track KPIs, and provide regular status updates to leadership.
• Coordinate with enterprise partners including analytics, quality, compliance, legal, IT, and operational teams to embed Stars strategies into workflows.
• Drive process enhancements to improve efficiency and increase Stars performance outcomes.
• Identify Stars data opportunities and work across stakeholders to improve data accuracy and compliance.

Program Lead – Stars Enterprise Activation, Insurance Ops

Network Engineer

• design and develop IT infrastructure architecture solutions to business problems
• develop and evaluate network performance criteria and measurement methods
• prepare analysis of short-term or long-term capacity needs for switching, routing transmission and signaling
• conduct network architecture design, feasibility and cost studies
• develop alternative routing scenarios and changes in required sequence of network activities
• advise executives to develop functional strategies on matters of significance
• manage vendors and service providers, encompassing negotiations and adherence to service level agreements
• support the management of Network OpEx budget

Lead Network Architect

Manager

• Telephonically assess Medicare, Medicaid, and/or and Group Account members and create actionable and measurable care plans to help guide and track the members' progress toward goals
• Use nursing judgment to assess and coordinate care for acute situations (APS, EMS)
• Discuss transitions of care to assist with safe discharge to the home and coordinate care for DME, home health, provider appointments, etc.
• Guide members and their families toward and facilitate interaction with resources appropriate for the care and wellbeing of members
• Assess member’s physical, environmental and psycho-social health issues and work in collaboration with a multi-disciplinary team, such as social workers, dietitians, pharmacists, etc., employing a variety of strategies/techniques to manage appropriately and provide timely intervention

RN Care Manager

Support Engineer

• maintains, repairs, and troubleshoots desktop hardware and software packages
• responsible for customer service and end-user training
• performs varied activities and moderately complex administrative/operational/customer support assignments
• researches and resolves technical problems of moderate complexity, typically escalated from first line support teams
• responds to escalated telephone, email and online requests for technical support
• documents, tracks, and monitors the problem using applicable systems and tools

Desktop/End User Support Technician 2

Director

• The Director, Payment Integrity uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims.
• The Director leverages technology and the clinical and coding expertise of their associates to identify potential overpayments to be substantiated via review of medical records.
• The Director contributes to the investigations of fraud, waste and abuse.
• The Director requires an in-depth understanding of how organizational capabilities interrelate across the function or segment.
• The Clinical and Coding Medical Record Review Director of Payment Integrity contributes to overall cost reduction, by increasing the accuracy of provider payments in our payer systems, and by ensuring correct claims payment.
• The Director oversees internal teams and stacked vendor operations conducting reviews of inpatient and outpatient services using automation, new innovative technology and expertise.
• The Director will make decisions related to the implementation of new/updated programs or large-scale projects.
• The Director will lead Operations for technical procedures and processes, and implements strategic plans, drives goals and objectives, and improves performance.

Clinical Coding Director, Payment Integrity

• The Field Care Manager Nurse 2 assesses and evaluates member's 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
• The Field Care Manager Nurse 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action
• The RN Field Care Manager will be responsible for managing a caseload and completing assessments with members in their home or community-based setting, as well as telephonically
• Provides clinical support and guidance, particularly for members with medical complexity
• Helps develop and coordinate care plans, ensuring that members receive appropriate services to manage their health needs effectively
• Addresses barriers to care and advocates for optimal member outcomes
• Reviews, assesses, and completes medical complexity attestations and clinical oversight activities
• Ensures members receive services in the least restrictive setting to achieve and/or maintain optimal well-being by assessing their care needs
• Develops and modifies the Individual Care Plan and involves applicable members of the care team (informal caregiver, coach, PCP, etc.) in the care-planning process
• Focuses on supporting members and/or caregivers using an interdisciplinary approach to access social, housing, educational, and other services—regardless of funding source—to meet identified needs
• Serves as the primary point of contact for the Interdisciplinary Care Team (ICT) and is responsible for coordinating with the member, ICT participants, and external resources to ensure the member’s needs are met

RN Field Care Manager, Nurse

Project Manager

• Become a part of our caring community and help us put health first
• The Associate Director, IT PMO is accountable for the overall effectiveness, maturity, and delivery outcomes of the Cybersecurity segment in the IT Project Management Office.
• This role provides strategic leadership for program and project delivery, leads PMO managers and senior practitioners, and supports establishing the operating model, standards, and rhythms that enable predictable, high‑quality execution of complex initiatives.
• The Associate Director partners closely with Portfolio Management, Finance, Cybersecurity, and Business Leadership to ensure approved initiatives are delivered successfully, interdependencies are actively managed, and delivery performance is transparent and aligned with enterprise objectives.

Associate Director, IT Project Management

Scrum Master

• Works with an aligned team to iteratively and incrementally deliver value
• Acts as a catalyst for change and a servant leader for aligned team(s)
• Drives the implementation of frameworks focusing on value, flow, quality, and continuous improvement
• Guides the Scrum Team on using Scrum and agile methodologies to deliver high-quality products
• Removes impediments that may obstruct the team's goals

Scrum Master 2

Business Development Rep

• Develop and execute a comprehensive agent and agency recruitment strategy aligned to IFG's enterprise growth objectives
• Build and manage a robust pipeline of prospective independent agents and field agencies for recruitment into IFG
• Represent IFG at national and regional trade shows, industry conferences, carrier events, and networking forums to generate qualified leads
• Establish IFG as a preferred partner in the Medicare distribution market through brand presence, relationship building, and thought leadership
• Identify, qualify, and convert high-potential agents and agency partners that align with IFG's quality, compliance, and performance standards
• Partner closely with Sales Leadership and Regional Sales Managers to ensure seamless onboarding and successful integration of new recruits
• Track recruitment metrics including pipeline volume, conversion rates, contracted agent counts, and early production indicators
• Maintain strong relationships with carriers and industry influencers to identify recruitment opportunities and market intelligence
• Provide market feedback to leadership on competitive recruiting trends, compensation dynamics, and channel shifts
• Ensure all recruitment efforts align with CMS regulations and carrier guidelines

Lead, Business Development – Agent and Agency Recruiting

Call Center Representative

• Set and execute the enterprise strategy for external call center sales partnerships
• Lead large-scale partner relationships, shape multi-year growth strategies, and ensure alignment between external partners and enterprise objectives
• Oversee and deliver annual and multi-year revenue targets across all external call center partners
• Define and execute the overarching partner sales strategy, ensuring consistent execution across a diverse partner portfolio
• Provide executive oversight of all existing external call center partnerships
• Build and maintain a robust pipeline of new partner relationships
• Negotiate and oversee complex commercial agreements
• Establish performance frameworks, KPIs, and reporting cadences to measure partner effectiveness, productivity, quality and compliance
• Drive continuous improvement initiatives to enhance sales effectiveness, customer experience, and operational efficiency across partner channels
• Collaborate with internal stakeholders across Sales Operations, Compliance, Marketing, Technology and Training
• Lead, mentor, and develop a high-performing team responsible for partner management, strategy, growth and execution

Sales Associate Director, External Call Center

Sales

• Lead the planning, execution, and oversight of sales support programs, including Medicare complaints and Stars enablement initiatives.
• Develop and implement strategies to improve sales operational efficiencies, reduce member complaints, and enhance customer satisfaction.
• Collaborate with cross-functional teams to align sales support efforts with organizational quality and performance measures.
• Analyze data to identify gaps and opportunities, prioritize initiatives, and monitor progress toward goals.
• Foster a culture of innovation and continuous improvement within the sales support function.
• Prepare executive-level presentations using Microsoft PowerPoint to visualize program strategies, progress, and outcomes.
• Communicate complex information clearly and persuasively to enterprise senior executives and key stakeholders.
• Ensure compliance with regulatory requirements and internal policies.
• Manage and mentor a team of sales support professionals, providing guidance and professional development.
• Establish reporting mechanisms and communicate program outcomes to senior leadership.
• Represent the sales support function in organizational planning and strategy forums.

Director, Sales Support

• Lead the Finance reporting and analytics roadmap across business segments, translating leadership priorities into scalable analytics and reporting capabilities that allow standardized financial insights across CenterWell
• Define and improve common reporting constructs, KPIs, and financial views across finance while aligning analytics initiatives with broader finance transformation strategy.
• Provide leadership oversight and architectural direction for analytics and reporting solutions using Power BI, SQL-based data models, and the Snowflake/Databricks finance data platform
• Oversee the design and delivery of centralized financial and executive reporting solutions on the analytics platform. This drives the transition from fragmented manual reporting toward automated, scalable reporting environments. Additionally, ensure consistency, usability, and adoption across leadership teams.
• Guide the development of governed financial datasets and reusable analytical assets. These assets leverage SQL-based data models and cloud data platforms, such as Snowflake and Databricks. This enables finance teams to access standardized, trusted data through centralized analytics environments.
• Lead cross-functional analytics initiatives addressing key finance priorities and support the evolution from descriptive reporting toward driver-based and forward-looking insights.
• Partner with data platform and engineering teams to operationalize advanced analytics outputs and support finance automation and AI-enabled reporting initiatives.
• Lead and develop a team of BI and analytics professionals, setting priorities, delivery plans, and quality standards across initiatives.
• Ensure alignment between reporting demand and platform architecture and oversee delivery of finance reporting modernization efforts.
• Partner with finance transformation, planning, FP&A, Controller, and business finance stakeholders to align reporting and analytics capabilities with business needs.
• Collaborate with data platform teams to ensure Snowflake/Databricks data architecture and SQL data models support finance analytics and reporting requirements.

Associate Director, Business Intelligence

• Provide HEDIS technical specification expertise and consultation – ensuring operations are appropriately governed by specifications and strategic levers are in-play to optimize measure performance
• Lead HEDIS clinical and data integrity audit readiness strategies and continuous monitoring programs to mitigate compliance and regulatory risk
• Lead HEDIS clinical curriculum development and delivery to support medical record review and data file integrity activities
• Own HEDIS standards for measure interpretation, documentation requirements, and compliance guidance
• Own risk management planning related to regulatory submissions, including identification of vulnerabilities and development of mitigation strategies
• Provide senior-level communication and recommendations on compliance risks, quality performance, and improvement opportunities
• Serve as enablement liaison and collaborator across cross-functional teams and operational swim lanes to ensure alignment of quality initiatives and performance goals
• Lead clinical process strategic framework development to support consistent and high-quality HEDIS data collection and submission
• Advise and influence team strategy, supporting initiatives, and long-term roadmap; including supporting strategic exploration efforts by shaping pilots, defining success criteria, and guiding execution paths
• Lead large-scale, high-impact strategic initiatives to optimize operational efficiencies and performance outcomes
• Accelerate shared accountability for continuous improvement by ensuring partner transparency, creating alignment, inspiring action, and delivering tangible results
• Foster a culture of quality, accountability, and continuous improvement across quality functions