Search the 77 jobs at Humana

The Associate Actuary, Analytics/Forecasting is responsible for analyzing and forecasting financial and economic data to guide strategic decisions, ensuring data integrity, and developing insights through collaboration and data analysis. This role involves addressing complex issues independently and contributing to the department's strategy.

As a Senior Cloud Architect at Humana, you will design and manage scalable cloud solutions, ensuring compliance and data quality while collaborating with IT and business teams. Responsibilities include improving current technologies, overseeing cloud privacy, and handling infrastructure movement techniques to support healthcare solutions.

The Senior Data Scientist will engage in Generative AI initiatives, leveraging advanced machine learning techniques and large language models to build applications. Responsibilities include data collection, analysis, reporting, and influencing strategic business decisions based on complex data evaluation.

The Value-Based Programs Analyst supports value-based provider relationships, focusing on enhancing provider experience and achieving value goals. Responsibilities include analyzing financial patterns with Excel and SQL, reviewing provider contracts, ensuring compliance with regulations, and collaborating across departments.

The Financial Analytics Lead will collaborate with senior management to evaluate enterprise initiatives, develop financial models, and create dashboards using Power BI, contributing to strategic decision-making. They will oversee data infrastructure and collaborate with cross-functional teams to drive insights and influence operational performance.

The Coding Educator 2 enhances provider documentation by creating educational plans for assigned providers, reviewing medical records, and arranging educational sessions to improve documentation quality and care. This role involves collaboration with various departments and decision-making for project components with minimal supervision.

The Financial Planning & Analysis Lead analyzes and forecasts financial data to support strategic and operational decisions. Responsibilities include analyzing investments and economic indicators, advising executives on financial strategies, and managing complex projects. The role requires independent judgment and should result in accurate information for senior management.

The Product Owner 2 will lead marketing journeys and campaigns while collaborating with an Agile team to prioritize projects and improve communication strategies. This role involves gathering requirements, developing roadmaps, and ensuring effective collaboration with stakeholders to meet project goals, ultimately enhancing consumer experiences.

As a Social Worker/Case Manager, you'll coordinate social service care for members of the Wisconsin Family Care program, collaborating with health coordinators and conducting assessments to support members' daily lives and comprehensive care plans.

The Senior Systems Administrator is responsible for complex support of IT systems, including installation, testing, maintenance, and operations of servers and applications. They ensure effective integration of technology for end users, manage software licensing, and work on disaster recovery and business continuity planning. This role requires decision-making on complex issues and influences departmental strategy.

As a Case Manager, you will provide assistance and care management for members of the Wisconsin Family Care program. Responsibilities include conducting assessments, developing care plans, coordinating with health professionals, and supporting members in achieving their personal goals. You will work collaboratively with a Health and Wellness Coordinator and may travel to meet with members in their communities.

The Senior Systems Administrator is responsible for complex support of IT applications and servers, ensuring effective integration, maintaining software and server administration, configuring security systems, and coordinating disaster recovery efforts.

As a Senior Data Manager, you will acquire, clean, and develop datasets supporting business analysis and reporting. You will work on data architecture and lifecycle management while ensuring data reliability and accessibility. Responsibilities include collaborating with business units, translating needs into technical requirements, and preparing data for visualization and reporting.

The Network Operations Coordinator 3 manages provider data and supports customer service through data integrity management, audits, credentialing, and contract management. They make decisions on administrative processes with discretion and judgment, ensuring effective service operations.

The Actuarial Analyst 1 analyzes and forecasts financial data to provide strategic and operational insights, ensures data integrity, and collaborates with stakeholders to support business needs. Responsibilities include establishing metrics, conducting root cause analysis, and implementing effective resolutions for data anomalies.

As a Social Worker/Case Manager, you will provide comprehensive social service care management for members in the Family Care program, focusing on the needs of frail elders and individuals with disabilities. Responsibilities include conducting assessments, coordinating care plans, and collaborating with healthcare teams to support member well-being.

The SVP of Specialty at Humana will lead the Specialty Business, overseeing financial performance across Dental, Vision, Medicare Supplement, and Prescription Drug Plans. Key responsibilities include developing business strategy, managing P&L, driving growth, fostering collaboration with leadership, and recruiting top talent.

The Value-Based Contracting Lead ensures effective development and translation of Medicaid VBP models into contracts and educational materials. This role involves managing negotiation processes, collaborating with cross-functional teams, and serving as a subject matter expert in VBP contracting, ensuring compliance and operational effectiveness.

The Lead Research Scientist will drive initiatives to enhance healthcare delivery and outcomes by employing mathematical and data science methods. This involves collaborating with stakeholders to evaluate healthcare programs, transforming complex data into actionable insights, and making recommendations based on data analysis and clinical input.

The UM Administration Coordinator contributes to the administration of utilization management by providing non-clinical support, answering calls, verifying clinical information, documenting communications, and creating correspondence, all while collaborating with various stakeholders to ensure efficient operations.