Humana

Manager

• Develops and grows positive, long-term relationships with physicians, providers and healthcare systems.
• Supports and improves financial and quality performance within the contracted working relationship with the health plan.
• Applies advanced technical knowledge to solve moderately complex problems.
• Leads a team of provider relations associates responsible for growing positive, long-term relationships with network PCP/Medical, behavioral health and Long-Term Services and Support (LTSS) providers.
• Facilitates a positive provider relationship management experience, through provider training, education, responding to provider inquiries, and resolving issues or complaints.
• Identifies and leads opportunities to make changes to improve operations across teams.

Manager, Provider Engagement

Product Manager

• Act as the Principal liaison accountable for delivery of key work
• Ensure we prioritize and deliver overall aligned backlog
• Interface with CenterWell IT leadership and tech leaders in Infrastructure and Operations daily
• Conceive, develop, deliver, and manage products for use across Humana
• Oversee and manage all phases of the product lifecycle, from design conception to delivery
• Provide strategic advice and guidance to functional team(s)
• Work with engineering to create new design patterns as needed to support CWHM
• Drive forward resolutions requiring SteerCo escalation
• Work with relevant Humana stakeholders to create, prioritize, and manage product iteration backlogs
• Ensure final products meet IT and Humana standards

Principal, IT Product Management

Business Intelligence Developer

• designs and owns data pipelines and ETL processes for both internal and external data
• facilitates solving complex business problems through advanced data and analytics
• ensuring data is effectively managed, transformed, and easily accessible
• works on problems of diverse scope and complexity ranging from moderate to substantial
• help define and implement best practices to collect, integrate, analyze, and present our organization's raw data to create insightful and actionable business information
• exercises independent judgment and decision-making on complex issues regarding job duties and related tasks

Lead Business Intelligence Engineer

Risk

• Support enterprise-wide marketing initiatives, contributing to the planning and execution of programs that span multiple brands, business units, and strategic priorities
• Contribute to annual planning and intake processes, helping create and refine annual plans, business intake briefs, and marketing briefs
• Partner cross-functionally to enable cohesive storytelling, working with Brand Strategy, Product Marketing, Corporate Communications, and other teams to ensure consistency across enterprise initiatives
• Collaborate with Customer Lifecycle Marketing (Got to Market) teams, supporting campaign development and activation within an agile pod model while ensuring alignment with brand strategy, guidelines, and tone of voice
• Ensure campaign alignment to brand and experience standards, supporting adherence to approved marketing strategy, brand positioning, and customer experience principles
• Manage campaign coordination and execution support, tracking deliverables, timelines, feedback, and revisions to enable smooth and on-time execution
• Maintain and evolve brand governance tools, supporting the development, organization, and ongoing management of brand guidelines, templates, messaging frameworks, training resources, and playbooks
• Support brand audits and compliance efforts, gathering examples, tracking findings, and summarizing insights and recommendations to improve consistency and adherence
• Champion consumer-centric thinking, ensuring that enterprise and cross-brand initiatives are grounded in meaningful consumer insights while honoring business priorities and enterprise goals

Associate, Enterprise Initiatives – Brand Governance

Operations

• travel between four different locations each day
• perform installation, implementation, client support, client services, client administration, customer service, enrollment and eligibility, claims processing, and call center operations
• investigate and settle claims and customer service issues
• exercise discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques

Consumer Service Operations Representative III

Business Intelligence Analyst

• Lead Strategic BI Initiatives: Design, develop, and deliver business intelligence tools and analyses that support key organizational priorities across sales, operations, and customer experience.
• Partner with Senior Leadership: Serve as a trusted advisor to executives and business leaders, translating complex data into clear, actionable insights that inform strategic decisions.
• Drive Analytical Excellence: Perform deep-dive analyses to uncover trends, relationships, and opportunities to inform decision-making.
• Ensure Data Quality and Governance: Collaborate with data engineering and governance teams to ensure BI solutions are scalable, reliable, and aligned with enterprise standards.

Business Intelligence Lead

• Acts as a consultant to the Risk Adjustment team leaders
• Identify and analyze potential risks and sources of loss to evaluate business processes and drive improvements
• Focus on Project Management and is responsible for oversight of the Risk Adjustment Operations processes
• Develops and implements controls and cost-effective approaches to minimize risks
• Assess and communicate information regarding business risks with functions across the organization
• Advise executives to develop functional strategies on matters of significance
• Provide consultative services to drive efficient, effective, and compliant risk adjustment processes

Risk Management Lead

Account Executive

• Manages a Book of Business of 100+ Specialty Only clients
• Develops and executes strategies for client relationships to achieve membership retention and growth targets
• Meets retention and cross-sell objectives for assigned book of business
• Acts as a strategic business partner to Humana's Group Sales Representatives, clients, agents, and consultants
• Seeks opportunities and partners with Specialty Sales Executive to execute cross-sell strategies
• Coordinates the renewal process, including the formal Request for Proposal process with internal partners
• Maintains contractual obligations and reporting requirements, including Performance Guarantees
• Collaborates with various internal departments to support the client’s strategic goals
• Coordinates resources for client Open Enrollments, on-site events, and activities
• Leads the Open Enrollment strategy for assigned clients

Client Executive

Sales

• Provide support to the Sales team throughout the sales cycle.
• Collect and organize RFP info (census, claims, RAF, etc.) and track down missing information from Broker/Client Support sold groups in the implementation process.
• Collect required materials for Account Installation.
• Submit all sold paperwork to Implementation.
• Complete LMG system updates ( Launch my Group (LMG)).
• Attend Implementation call.
• Partner with and provide support to brokers as they navigate Humana.
• Answer general benefit questions and respond to brokers with marketing flyers.
• Partner with internal stakeholders such as marketing, product, actuarial, underwriting, account installation and service.
• Creation and Distribution of scheduled market communication.
• Agent bonus tracking and organization.
• Maintain a strong connection with internal market team members, collaborate to achieve results and solutions.

Sales Support Professional

Project Manager

• Partner with subject matter experts to define and deliver Provider Directories content adherent to contract requirements, RFPs and established processes.
• Develop comprehensive project plans to outline scope, timelines, resources, and deliverables for Provider Directory new builds, monthly reviews, and annual reviews.
• Create and execute project plans and timelines for Medicaid Welcome Kit new implementations, annual refreshes, and ad hoc updates.
• Coordinate and manage the end-to-end project lifecycle, ensuring all states, from initial planning to final delivery, are executed effectively.
• Work with leaders to establish project milestones and ensure project deliverables are met on time and within scope.
• Facilitate regular project meetings, ensure clear communication of progress, action items, updates, and any barriers.
• Communicate project timelines, deliverables, and changes effectively to internal stakeholders.
• Provide ongoing support to internal stakeholders regarding provider directory content and related inquiries.
• Manage document control processes, ensuring that all versions are properly stored and documented.
• Maintain training and provider directory/welcome kit process documents.
• Work as a liaison with Print Team and Web Team to load provider directories to web, load to OES system and print management.
• Manage ad hoc projects as assigned.

Senior Project Manager, Insurance Product

Content Marketing Manager

• Define and scale Humana’s UX content design vision across digital ecosystems, grounded in health literacy, accessibility, and member trust
• Manage and grow a best-in-class UX content design team supporting web, mobile, voice, chatbot, and other emerging channels
• Champion a consistent and inclusive voice that reflects Humana’s values of kindness, clarity, and care—tailored to diverse member populations
• Partner with leaders across product, experience design, marketing, legal, compliance, and clinical teams to ensure aligned, high-impact digital content delivery
• Establish scalable frameworks, taxonomies, and governance models for content reuse, localization, personalization, and accessibility (WCAG, ADA)
• Leverage data, user research, and behavioral science to guide content decisions that improve member engagement and outcomes
• Oversee editorial standards, content operations, and team performance to deliver high-quality experiences efficiently and effectively

Director, Content Design

• Oversee the development, review, and maintenance of Utilization Management (UM) policies and procedures, ensuring alignment with regulatory and enterprise standards.
• Support UM governance by collaborating with UM leadership and committees to ensure program operations meet internal and external requirements.
• Coordinate and manage the collection, analysis, and submission of quality reporting data relevant to UM, ensuring accuracy and timeliness.
• Serve as a resource for reporting and escalation of suspected policy violations, working in accordance with documented Humana procedures.
• Facilitate training and communication related to UM policy requirements, governance processes, quality reporting, and compliance protocols.
• Support audit activities, including maintaining records of policy lifecycle events, quality metrics, exceptions, and resolutions.
• Monitor regulatory and enterprise policy changes, translating requirements into updated UM governance and reporting practices.

Policy Governance Lead

Account Manager

• Lead, coach, and develop a team responsible for serving as the primary point of contact for physical and behavioral health providers in the Oklahoma Medicaid network.
• Oversee the planning and execution of regular in-person and virtual meetings with providers to deliver training, education, and orientation regarding Humana policies, procedures, and systems.
• Ensure new providers receive effective onboarding support, including orientation sessions and timely access to necessary resources.
• Supervise the team's response to provider questions and inquiries, ensuring prompt and accurate resolution in collaboration with internal enterprise business teams (e.g., claims, prior authorization, referrals, provider education).
• Guide the coordination and facilitation of Service Operating Committee meetings with providers, ensuring effective agendas, materials, and cross-functional participation (clinical, provider engagement, etc.).
• Ensure timely and clear communication of updates regarding Humana’s policies, procedures, and Oklahoma’s SoonerSelect program to network providers.
• Direct the planning and execution of regional provider townhalls and trainings to promote engagement and satisfaction.
• Collaborate with internal operational teams (e.g., claims, reimbursement, provider enrollment) to support high-quality provider interactions.
• Monitor and enforce compliance with Oklahoma managed care contractual requirements, including provider relations processes such as claims dispute resolution within required timeframes.
• Use data, feedback, and performance metrics to identify trends and implement continuous improvement strategies for provider engagement and retention.
• Represent the Provider Relations function in cross-departmental meetings and initiatives as needed.

Provider Engagement/Relations Manager

Bilingual

• Serve as a health-care professional handling a variety of health-related problems
• Focus on outpatient medicine, continuity of care, health maintenance, and disease prevention
• Keep medical history and medical records
• Refer patients to specialists as needed
• Influence department’s strategy
• Make decisions on moderately complex to complex issues regarding technical approach for project components.

Bilingual Primary Care Physician

• Conceives of, develops, delivers, and manages products for customer use.
• Work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
• Orchestrates complex, cross-platform technology initiatives that advance enterprise strategy and operational reliability.
• Plan and manage the enhancement and/or integration of the business products with a special focus on clinical care management and technology solutions.
• Translate business vision into scalable technology solutions, ensuring seamless integration across platforms such as clinical care management platforms, telephony, data systems, and enterprise architecture.
• Serve as a key interface between business and technology, driving transformation and innovation while maintaining operational rigor.
• Partner with an agile delivery team & stakeholders to foster an environment of continuous delivery and improvement.