Jobs at Humana

Leads reliability, availability, performance, monitoring, incident response, deployments, testing, and production support for critical enterprise applications and pharmacy technology platforms. Coordinates high-severity incident resolution, conducts root cause analysis, develops automation and operational tooling, establishes reliability standards and governance, and advises leadership on service health and risks. Provides technical mentorship and leverages generative and agentic AI to improve troubleshooting and engineering productivity. Participates in occasional after-hours and weekend escalations.

Analyzes complex internal and external data using data mining, predictive modeling, forecasting, and optimization to guide business decisions, improve patient experiences, and drive revenue growth. Presents insights to senior leadership and collaborates with analytics, technology, product, finance, and patient experience teams. The role is remote with occasional travel for training or meetings.

Leads software engineering teams responsible for enterprise applications, databases, data platforms, APIs, integrations, modernization, and operational support. Owns technology roadmaps, resource planning, budgets, lifecycle management, engineering standards, security, scalability, reliability, and delivery execution. Partners with business leaders, architects, and product teams to align technology investments with enterprise goals. Drives cloud adoption, automation, AI-powered engineering tools, and continuous improvement while communicating strategy, risks, and outcomes to senior leadership.

Analyzes and forecasts financial, economic, market, and healthcare data, with a focus on Lifetime Value and Net Present Value modeling. Builds and maintains models using SAS, Snowflake, SQL, and Databricks; establishes metrics; ensures data integrity; investigates anomalies; and supports strategic and operational decisions. Partners with actuarial, finance, marketing, sales, and strategy teams while advising executives on complex analytical issues.

Owns day-to-day operations, onboarding, production support, performance, and continuous improvement for Humana’s FHIR APIs and healthcare interoperability products. Coordinates with product, IT, security, architecture, compliance, and external partners to manage incidents, escalations, support models, operational metrics, documentation, and backlog enhancements. The role leads cross-functional initiatives, supports regulatory reporting, improves partner connectivity and onboarding, and mentors product teams.

Build, deploy, and operate production machine learning and decisioning pipelines for Humana’s Decision Intelligence Platform. Responsibilities include MLOps, feature engineering, scoring workflows, monitoring, optimization-aware decisioning, reinforcement learning, simulation, constrained optimization, and large-scale data processing. The role partners with engineering and product teams to deliver reliable, scalable, auditable systems while addressing clinical eligibility, operational constraints, policy failure modes, and regulated-domain requirements.

Leads enterprise Salesforce and MuleSoft platform engineering strategy, architecture, delivery, governance, modernization, and operations across business segments. Oversees large Agile engineering teams, contact center technology, integrations, AI and automation initiatives, DevOps, security, regulatory compliance, vendor management, budgets, and platform reliability. Partners with executives to align technology roadmaps and investments with business outcomes while developing organizational talent and driving digital transformation.

Leads enterprise risk measurement, governance, reporting, and second-line oversight. Designs risk methodologies, appetite thresholds, indicators, dashboards, taxonomies, and executive reporting processes. Partners across Finance, Compliance, Technology, Audit, and business functions to improve risk data, automation, consistency, and decision support. Oversees ERM transformation priorities, advises leaders, manages governance routines, escalates material issues, and develops a team responsible for risk analytics, reporting, and program support.

Leads financial modeling, valuation, forecasting, and SQL-based analytics for Medicare Advantage and Risk Adjustment programs. Owns model development, validation, enhancement, and performance measurement; translates healthcare methodologies and business requirements into scalable analytical solutions. Partners with Finance, Operations, Analytics, and senior leaders to assess financial outcomes, improve forecasting accuracy, communicate assumptions and risks, and influence decisions without formal authority. Requires advanced SQL, Excel, financial modeling, healthcare analytics, stakeholder leadership, and Medicare Risk Adjustment expertise.

Design, develop, deploy, and operate production AI applications that process clinical documents using LLMs, RAG, agentic workflows, structured extraction, and human-in-the-loop review. Build full-stack services, document pipelines, evaluation frameworks, observability, and cloud-native infrastructure. Optimize systems for accuracy, reliability, scalability, latency, and cost while meeting healthcare privacy, security, compliance, and auditability requirements.

Owns the translation of approved business requirements into implementation-ready documentation for Humana’s Next Best Action platform. Coordinates Product Managers and configuration teams, manages action and treatment requirements, reviews completeness, resolves ambiguities, supports backlog and change management, tracks implementation progress, and improves documentation standards. The role is remote with occasional travel and focuses on scalable decisioning configuration practices across business areas and channels.

Develops, integrates, tests, deploys, and supports cloud-based conversational AI and contact center solutions. Configures GCP services, builds API and enterprise integrations, supports platform modernization, troubleshoots production issues, and implements authentication, workflow orchestration, monitoring, security, and CI/CD practices. Collaborates with architects and cross-functional teams in Agile delivery while maintaining technical documentation and improving platform reliability.

Leads strategic sourcing, procurement, category management, and outsourcing initiatives from opportunity assessment through negotiation, contracting, and value realization. Develops multi-year sourcing strategies, conducts RFIs/RFPs/RFQs, builds financial business cases, negotiates complex contracts, and manages strategic supplier performance. Partners with executives and cross-functional teams to optimize spend, mitigate risk, improve supplier outcomes, and advance responsible sourcing.

Leads enterprise architecture by translating business, technology, security, and data needs into scalable systems, target-state designs, and roadmaps. Integrates security governance with architecture processes, establishes traceability for compliance and approvals, embeds standards in SAP LeanIX, and automates governance workflows through OneFlow and Security Requirements as Code. Partners with security, engineering, product, and delivery teams, drives adoption through training and forums, and guides complex technology decisions and risks.

Lead IT due diligence and end-to-end integration for M&A, divestitures, JVs, and investments. Develop integration strategies, Day 1 plans, budgets, risk mitigation, governance, and stakeholder communications across applications, infrastructure, cloud, cybersecurity, data, vendors, and IT teams to realize synergies and value.

Own regional Medicare Advantage product portfolios across strategy, CMS bid filings, benefit configuration, member materials, provider directory oversight, implementation, and enrollment readiness. Lead cross-functional partners, maintain filing and product accuracy, identify risks and dependencies, develop recommendations, and ensure compliant, timely execution. The role requires strong product judgment, analytical ability, detailed documentation, and influence without formal authority.

Build scalable cloud-native data and machine learning solutions using Databricks, Spark, PySpark, and SQL. Develop batch and real-time healthcare data pipelines, enterprise data models, Lakehouse architectures, semantic layers, and AI-assisted analytics workflows. Partner directly with business and clinical stakeholders to discover requirements, prototype solutions, deliver demos, drive adoption, and provide technical leadership. Ensure HIPAA-compliant security, governance, lineage, auditability, and regulatory readiness.

Leads a team of Insurance Product Managers supporting Medicare Advantage portfolios. Oversees resource allocation, product validation, testing, filings, implementation, regulatory readiness, quality controls, and delivery across shared-service workflows. Partners with Senior Product Managers, Compliance, Operations, Marketing, Claims, and regional teams to manage risks, improve processes, standardize operations, and ensure accurate, compliant deliverables. Coaches employees, monitors performance metrics, and drives accountability during deadline-driven Medicare Advantage and CMS regulatory cycles.

Leads enterprise readiness strategies for healthcare implementations, modernization, decommissioning, operational transformation, and service response initiatives. Partners with business, technology, clinical, and operational stakeholders to assess impacts, mitigate risks, establish governance, manage transitions, and drive adoption. Oversees implementation through stabilization and continuous improvement while supporting operational recovery and executive decision-making.

Leads enterprise solution architecture for healthcare technology initiatives, including target-state architectures, reference patterns, governance, integrations, cloud and data platforms, and generative or agentic AI capabilities. Partners with product, engineering, security, compliance, and executive stakeholders to deliver scalable, secure, resilient solutions across healthcare ecosystems. Defines integration strategies, architecture roadmaps, non-functional requirements, and governance processes while guiding multi-team delivery in regulated HIPAA environments.