Humana

Director

• lead the strategy, design, governance, and maturity of Humana's enterprise Incident Management capabilities
• lead the Incident Management practice end to end including standards, tooling, metrics, workforce capability, and continuous improvement
• establish a clear vision, operating model, and roadmap for enterprise adoption
• define practice standards, policies, strategies and governance models
• develop a multi-year practice maturity roadmap
• lead the ServiceNow Incident Management Practice and guide ServiceNow maturity through automation, AI‑driven insights, self‑healing workflows, and advanced reporting
• govern incident priority models, escalation frameworks, and executive communication standards
• champion the integration of AI and AIOps capabilities into the Incident Management Practice
• ensure understanding of ITIL and organizational risk, compliance, and audit requirements
• lead governance forums and Incident Practice meetings

Associate Director – Incident Management Practice

Manager

• Assess and evaluate high acuity member's needs and requirements
• Create individualized care plans
• Attend interdisciplinary care team meetings
• Manage a member's physical, environmental, and psycho-social health issues
• Identify and resolve barriers that hinder effective care
• Collaborate with internal and external providers or departments

Field Care Manager, RN – Maternal-Child Health

Sales

• 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 and building relationships in your community

Medicare Sales Field Agent

• 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
• Drive self-generated sales, meet performance goals, and expand Humana's presence in the market by becoming a valued resource and building relationships in your community

• Design and implement distribution strategies that align with Humana’s Medicare Advantage growth objectives and long-term sustainability goals.
• Foster strong, collaborative relationships with cross-functional teams including Product, Marketing, Service, Stars, Centerwell and Operations to ensure seamless execution of distribution strategy initiatives.
• Build and manage relationships with external partners such as large sales organizations, technology vendors and others to both create efficiencies and deliver outsized growth.
• Champion initiatives to enhance the member, prospect and agent experience, leveraging feedback and analytics to improve customer satisfaction and retention throughout the distribution process.
• Establish key performance indicators (KPIs), track progress, and report on distribution strategy outcomes, making data-driven recommendations for improvement.
• Identify and implement innovative approaches and technologies to optimize distribution efficiency and effectiveness.

Associate VP, Consumer Sales Strategy

Product Manager

• Shape the future of our Medicaid portfolio and make a meaningful difference in vulnerable communities
• Guide dynamic teams and oversee innovative product development
• Collaborate with senior leaders and cross-functional partners to meet regulatory standards
• Monitor, analyze, and report on product performance metrics and member outcomes
• Champion the adoption and maturity of Agile and Lean Portfolio Management practices
• Cultivate a culture of continuous improvement by coaching team members

Associate Director – Medicaid Product Management

Events

• Facilitates the coordination and restoration of services impacting key technology platforms and applications
• Serves as a central point of contact for high-priority incidents, driving timely resolution while minimizing business impact
• Responsible for managing the full lifecycle of incidents from detection through resolution
• Makes incident prioritization decisions based on the Enterprise Priority Matrix
• Communicates timely, clear, and actionable updates to enterprise stakeholders
• Prepares and distributes post-incident summaries, and executive-level notifications
• Escalates issues appropriately and ensures accountability across support teams and vendors
• Partners with Problem Management to ensure incidents with recurring patterns are addressed structurally
• Identifies trends and recommending improvements to tools, processes, and operational practices
• Supports continuous improvement initiatives, including automation and process optimization
• Participates in on-call or escalation rotations for off-hours incident support

Senior Problem, Incident and Event Management Engineer

• assesses and evaluates members' needs in a telephonic environment
• achieve and maintain wellness state by guiding members/families toward and facilitating interaction with resources appropriate for care
• work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action
• report to the Manager, Care Management
• support the Transition of Care (TOC) program
• assist with HEDIS completion follow up visits

Care Manager, Telephonic Behavioral Health

Business Intelligence Developer

• Solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers
• Manages Big Data and data quality in databricks
• Supports development of data and creation of processes, reporting, and visualizations for all Humana Healthy Horizons Medicaid Risk Adjustment, prospective programs, and interoperability
• Takes initiative to create innovative solutions to complex business problems
• Follows established guidelines/procedures

Medicaid Business Intelligence Engineer

Financial Planning and Analysis

• Responsible for supporting the development, implementation and monitoring of medical/financial risk
• Identifies, assesses, and mitigates any medical or financial risk that arises from inadequate or failed processes, people, systems, or external events
• Maintains a balance between risk mitigation and efficiency
• Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed
• Follows established guidelines/procedures

Medical/Financial Risk Evaluation Professional

Business Intelligence Analyst

• enables fast, reliable visibility into CAHPS & HOS performance by operating the internal intelligence service
• solves complex business problems by designing and maintaining standardized reporting, metrics, and visualizations
• ensures that the right signals are visible, accessible, and actionable for survey results, leading indicators, and member risk modeling
• provides daily and weekly dashboards, rapid ad hoc analysis, and alerting on meaningful shifts
• selects and leverages tools, technologies, applications, and practices to collect, integrate, analyze, and present survey and performance data
• ensures observability of CAHPS & HOS performance, standardizing metrics, dashboards, and visualizations
• advises Stars leadership and other stakeholders to develop strategies focused on survey performance, member experience, and risk modeling
• supports experience-related objectives that impact Star Ratings

Business Intelligence Lead – CAHPS & HOS Analytics

• Work as an Oklahoma-based, primarily telephonic care manager.
• Assess and evaluate enrollees' needs and requirements to achieve or maintain optimal wellness.
• Guide enrollees/families towards and facilitate interaction with appropriate resources for their care and wellbeing.
• Collaborate with the interdisciplinary care management team including community health workers and housing support specialists.
• Employ a variety of strategies, approaches, and techniques to manage an Enrollee’s behavioral, physical, environmental, and psycho-social health needs.
• Create Enrollee care plans and ensure Enrollees are progressing toward desired outcomes by continuously monitoring their assessments and evaluations.
• Identify and resolve barriers that hinder effective care.

Care Manager, Telephonic Nurse 2

Operations

• Manage and develop a team of senior level project managers, business system analysts, and product owners.
• Manage the project portfolio and coordinate projects, ensuring understanding of Humana's strategic goals.
• Partner with IT and business stakeholders to facilitate IT budget management and drive IT prioritization consistent with business needs.
• Support Program Increment (PI) planning, ensuring proper intake and prioritization of work in Azure DevOps (ADO).
• Oversee User Acceptance Testing (UAT), coordinating with business representatives to ensure effective testing coverage.
• Coordinate closely with Department of Health Services (DHS) and attend all required meetings.
• Drive operationalization of the annual strategic plan in coordination with Market Development and Engagement leadership, maintaining a two-way communication process for reviewing and prioritizing new initiatives.
• Maintain a two-year roadmap for projects to support long-term planning and transparency.
• Ensure compliance with Humana's governance standards and project management best practices.

AD, Program Management, Medicaid Operations PMO

• Oversees the strategic development and maintenance of Ohio Medicaid plan's provider network
• Drives network optimization and value while ensuring compliance with network requirements
• Assesses provider network performance to inform contracting and terminations
• Works closely with the Provider Relations team to address network operational issues
• Sets value-based payment strategy
• Creates strategy for Ohio Medicaid provider network, including contracting approaches and unique partnerships
• Monitors performance against key performance indicators and contractual commitments
• Collaborates with leadership and clinical teams to achieve strategic goals and priorities

Director, Network Optimization

• Assess and evaluates member's needs and requirements for optimal wellness
• Guide members/families toward appropriate resources for care and wellbeing
• Employ various strategies to manage a member's health issues
• Identify and resolve barriers that hinder effective care
• Ensure patient progress towards desired outcomes through continuous monitoring
• Create member care plans as needed
• Follow established guidelines/procedures