Jobs at Humana

Provides comprehensive case management for frail elders and adults with disabilities in Wisconsin Family Care. Assesses health and safety needs, develops member care plans, coordinates services with nurses and community agencies, conducts in-person assessments and visits, arranges social and medical supports, evaluates risks, educates members, manages authorizations, and maintains case documentation. The remote role requires up to 40% travel throughout Milwaukee County and surrounding areas.

Supports Humana’s enterprise Transformation Office by leading workstreams, conducting industry and qualitative research, building financial and business models, managing stakeholders, and synthesizing data-backed recommendations into executive-level deliverables. The role requires strategic thinking, quantitative analysis, project coordination, communication, and adaptability in a fast-paced consulting-style environment.

Lead AI-driven reconciliation and automation to improve encounter data quality. Own model performance, identify root causes, partner with technical and business teams to enhance models, prioritize roadmap, and scale automation while communicating results to stakeholders.

Leads enterprise-wide technology strategy, architecture standards, modernization roadmaps, and digital transformation across healthcare, payer, provider, pharmacy, clinical, corporate, and digital domains. Partners with executives, engineering, infrastructure, cybersecurity, product, and business stakeholders to drive software rationalization, cloud transformation, platform standardization, operational resiliency, cost optimization, and secure, scalable technology platforms.

Designs and supports secure, compliant Azure and GCP DevOps platforms, including CI/CD pipelines, Kubernetes environments, GitOps workflows, and JFrog tooling. Owns software supply chain security, artifact governance, vulnerability management, feature flagging, automation, developer self-service, and platform reliability. Provides L3 support, incident response, documentation, compliance controls, and on-call coverage while enabling enterprise-scale software delivery.

Leads the strategy, roadmap, delivery, and continuous improvement of Humana’s enterprise IVR and conversational automation portfolio. The role drives Google GECX-based voice bots, routing, LLM/NLU capabilities, generative and agentic experiences, platform modernization, governance, and measurable customer and operational outcomes. Responsibilities include building product teams, managing enterprise initiatives, partnering cross-functionally, influencing executives, and overseeing risks, dependencies, architecture, and prioritization.

Lead enterprise architecture to align business vision and technology strategy, drive application modernization (including mainframe re-architecture), define technology standards, mentor architects, enable cloud-based solutions, document current and target state architectures, and support governance to deliver value, reduce cost, and improve observability and compliance.

Leads Humana’s enterprise contract management function, overseeing supplier agreement negotiation, execution, governance, and lifecycle management. Responsibilities include leading Contract Managers, improving processes and cycle times, implementing contract lifecycle technology, managing contractual risk and compliance, supporting executive negotiations, and partnering with Procurement, Legal, Compliance, Privacy, Risk, and business stakeholders. The role is fully remote, requires 5–8 direct reports, and includes up to 10% domestic and international travel.

Leads clinical program strategies to improve Medicare members’ medication adherence and appropriate medication use through telehealth and in-home care. Analyzes Stars performance, metrics, trends, and care gaps; coordinates initiatives across departments; presents recommendations; and manages programs independently under tight deadlines. Requires Medicare or Medicaid experience, project leadership, strong communication, and Microsoft Office proficiency. Preferred qualifications include managed care, provider relations, HEDIS, CMS Stars, quality improvement, and clinical medication or coding experience.

Leads actuarial and analytics teams delivering Medicaid healthcare trend insights and strategic recommendations. Oversees cost, utilization, claims, and total cost of care analyses; translates findings into executive presentations; partners with finance, clinical, network, operations, and market leaders; manages analytical priorities and quality; and advises senior leadership on business performance and healthcare cost improvement.

Supports value-based healthcare programs through complex SQL analysis, reporting, data reconciliation, payment support, and evaluation of new program opportunities. Develops monthly and ad hoc reports using Excel and Azure Synapse Analytics, interprets complex healthcare and insurance data, and communicates findings to senior leadership. The role also supports program implementation, maintenance, process improvement, and provider relationships.

Leads complex analytics initiatives and partners with business leaders to define problems, analyze pharmacy, sales, and operational data, and develop actionable recommendations. Manages engagements across the full analytics lifecycle, from discovery through solution delivery and implementation support. Designs metrics, dashboards, frameworks, and decision-support tools while communicating insights to executive, operational, and technical audiences. The role emphasizes consultative analytics and business problem solving rather than software development or data infrastructure engineering.

Performs enterprise cash reconciliations, balance sheet reconciliations, and month-end close activities. Investigates discrepancies, monitors aged items, supports audits and internal controls, and partners with AP, Billing, Claims, Treasury, and IT. Leads process improvement, automation, system implementation, reporting, and cash operations initiatives while developing dashboards and maintaining reconciliation documentation.

Owns product vision, roadmap, backlog prioritization, user stories, release planning, and Agile delivery for CCM Connect modernization projects. Partners with stakeholders, development teams, and vendors to maximize product value, validate customer needs, monitor iteration progress, and deliver products on schedule and within budget. The role also supports user acceptance testing, performance analysis, and go-to-market planning.

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.

Leads and mentors software engineers while architecting, developing, testing, debugging, and continuously delivering enterprise cloud applications. Owns software quality, code reviews, technical problem-solving, and resolution of complex issues. Builds Java and Spring Boot microservices, REST APIs, and cloud solutions using modern DevOps practices. Collaborates across agile teams, promotes responsible AI-assisted development, and advises leadership on technical strategies.

Provides non-clinical utilization management administrative support for Long-Term Services and Supports programs. Responsibilities include managing shared mailboxes, entering data, preparing reviewer materials, submitting state deliverables, tracking reports, communicating with members and providers, and coordinating follow-up with care management. Requires healthcare administrative experience, strong communication skills, and proficiency with Microsoft Office. The position is remote for Michigan residents, with occasional travel for training or meetings.

Leads digital cloud and application architecture for Humana’s web platforms, translating business needs into enterprise technology solutions. Sets technical direction, develops architecture strategies and roadmaps, collaborates with product owners and cross-functional teams, evaluates build-versus-buy decisions, communicates solution risks and benefits, and mitigates delivery risks. The role focuses on Adobe Experience Platform and cloud infrastructure supporting MyHumana, Go365, and Humana Pharmacy.

Design and advance Humanas mobile-first member experiences across apps, web, SMS, notifications and emerging channels. Lead end-to-end journey design, apply user-centered research, create accessible interaction and visual designs, and collaborate with product, engineering, research, and stakeholders to drive engagement, adoption, retention, and measurable business outcomes.

Supports live events, video productions, livestreams, studios, control rooms, and offsite AV systems. Responsibilities include troubleshooting, maintenance, installations, technical direction, system design, event setup, equipment operation, inventory and asset management, redundancy planning, and onsite technical escalation. The role partners with IT, facilities, vendors, and event stakeholders, supports mobile production environments, conducts venue assessments, and ensures production systems remain reliable and deployment-ready.