20 open positions available
Analyze complex datasets to provide insights and support strategic decision-making using data tools and visualization techniques. | Extensive experience with SQL, large-scale data analysis, and data visualization tools like PowerBI or Tableau, with healthcare data proficiency preferred. | Become a part of our caring community and help us put health first The Senior Business Intelligence Engineer solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Senior Business Intelligence Engineer work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Business Intelligence Engineer describes the tools, technologies, applications and practices used to collect, integrate, analyze, and present an organization's raw data in order to create insightful and actionable business information. Begins to influence department’s strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments. Use your skills to make an impact Required Qualifications 5 years or more of technical experience in data analysis Proven expertise in SQL and related data systems, with a strong track record of querying, analyzing, and managing complex datasets Extensive knowledge and hands-on experience with Microsoft Office Suite, including advanced proficiency in Word, Excel (pivot tables, formulas, macros), Access, and PowerPoint Demonstrated ability to work with large-scale, complex data sets within enterprise environments, ensuring data integrity, accuracy, and actionable insights Experience analyzing data to solve a wide variety of business problems and create data visualizations that drive strategic direction Proficiency in understanding Healthcare related data Proficiency in verbal and written communication to senior leadership Must be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications Bachelor's degree Experience with tools such as PowerBi and Tableau for creating data visualizations Expertise in data mining, forecasting, simulation, and/or predictive modeling Additional Information This role is not eligible for work visa sponsorship. Work-At-Home Requirements WAH requirements: Must have the ability to provide a high-speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense. A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required. Satellite and Wireless Internet service is NOT allowed for this role. A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Interview Format As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making. If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $89,000 - $121,400 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 02-18-2026 About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Leading strategy development, technology services, and operational support for research teams to improve efficiency, compliance, and research quality. | Extensive experience in research or research operations, analytics, data management, or finance, with management experience and familiarity with research tools and technology implementation. | Become a part of our caring community and help us put health first At Humana Healthcare Research (HHR), a health outcomes subsidiary of Humana, our mission is to deliver high-quality scientific research and contribute to real-world evidence in healthcare for improving quality of care and population health. Our focus is on the publication of peer-reviewed research to guide business decisions and add to the body of knowledge for the scientific community and the society at large. The Director, Strategy Advancement leads HHR's Shared Services team, providing critical strategy development, technology services, and operational support across multiple research teams. This role ensures continuous improvement, efficiency, compliance, and high-quality execution of research activities. At Humana Healthcare Research (HHR), a health outcomes subsidiary of Humana, our mission is to deliver high-quality scientific research and contribute to real-world evidence in healthcare for improving quality of care and population health. Our focus is on the publication of peer-reviewed research to guide business decisions and add to the body of knowledge for the scientific community and the society at large. The Director, Strategy Advancement leads HHR's Shared Services team, providing critical strategy development, technology services, and operational support across multiple research teams. This role ensures continuous improvement, efficiency, compliance, and high-quality execution of research activities. Key Responsibilities: Strategy and Innovation: Leads initiatives to address complex business challenges, support strategic planning, and drive innovation and process improvement. Partners with subject matter experts across functions to deliver actionable insights and recommendations. Develops and implements new tools and technologies (e.g., AI, API‑based data sourcing) to improve efficiency, profitability, and research quality, while identifying opportunities to streamline operations and strengthen research infrastructure. Research Tools Oversight: Oversees maintenance and optimization of research tools, including statistical software, literature repositories, AI tools for research, and various project and activities tracking systems. Driving Financial Performance: In collaboration with AVP of Humana Healthcare Research and Enterprise Finance team, co-manages HHR's P&L responsibilities including strategic budget development, revenue and expense forecasting, procurement governance, and ensuring consistent, compliant, and timely invoicing practices. Compliance: Ensures that policies and procedures align with HHR's vision. Oversees research policies and procedures to support adherence to human subject research regulations and contractual obligations with clients and vendors. Shared Resource Management: Coordinates services such as medical writing, project management, and legal support to enable successful research delivery. Team Leadership: Directs and manages the Shared Services team to support research operations across diverse research groups (currently 5FTEs) Use your skills to make an impact Required Qualifications: Master's Degree 8 or more years of technical experience including research or research operations, analytics, data management, information technology, or finance Experience with identifying and implementing technology capabilities in large organizations-- especially those requiring partnership with IT and procurement departments-- to further efficiencies and revenue capability 3+ years of management experience Strong operational leadership and project management skills. Ability to drive strategic initiatives and foster collaboration across teams. Experience with P&L responsibilities or budget management responsibilities Preferred Qualifications: Familiarity with research operations, research compliance standards, and research regulatory frameworks Experience with research tools, technology implementation, and process optimization. Additional Information: As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. Work at home requirement: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $168,000 - $231,000 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 02-12-2026 About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Manage projects from start to finish, ensuring timely and within-budget delivery, and support strategic planning and operational initiatives for the CDS organization. | Requires 5+ years of technical experience, project management skills, and a bachelor's degree, with a preference for experience in healthcare or related fields. | Become a part of our caring community and help us put health first The Senior Project Manager manages all aspects of a project, from start to finish, so that it is completed on time and within budget. The Senior Project Manager work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Project Manager designs, communicates, and implements an operational plan for completing the project; monitors progress and performance against the project plan; takes action to resolve operational problems and minimize delays. Identifies, develops, and gathers the resources to complete the project. Prepares designs and work specifications; develops project schedules, budgets and forecasts; and selecting materials, equipment, project staff, and external contractors. Communicates with other operational areas in the organization to secure specialized resources and contributions for the project. Conducts meetings and prepare reports to communicate the status of the project. Sets priorities, allocates tasks, and coordinates project staff to meet project targets and milestones. Begins to influence department’s strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction. Exercises considerable latitude in determining objectives and approaches to assignments. This specific role will support across the Clinical Drug Strategy (CDS) organization. Example tactical responsibilities include strategic planning/goals & communications, special projects (e.g. Domani, Medicaid), budget coordination, support of key strategic & operational meetings, and other projects which support the CDS leadership team. Use your skills to make an impact Required Qualifications Bachelor's degree 5 or more years of technical experience Must be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications Additional Information Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $86,300 - $118,700 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 07-03-2026 About us About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more. Our unique care model focuses on personalized experiences, taking time to listen, learn and address the factors that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more time with patients, providing compassionate, personalized care that brings better health outcomes. We go beyond physical health by also addressing other factors that can impact a patient’s well-being. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation’s largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first – for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Lead the development and management of data products related to CMS Stars and HEDIS, ensuring compliance and quality. | Extensive experience in healthcare data, project leadership, and familiarity with CMS and NCQA standards, with advanced skills in SQL and data analysis. | **Become a part of our caring community and help us put health first** The Lead, Technical Product Owner requires someone known for creative problem solving. This role solves complex business problems and issues using data and custom software from internal and external sources. The role works on problems of diverse scope and complexity ranging from moderate to substantial. It is responsible for leading, defining and delivering on the roadmap of multiple data and business application products. This role bridges product ownership, data and software engineering, and regulatory healthcare data requirements, ensuring that data ingestion, transformation, and delivery are optimized for quality measurement, reporting, and compliance with CMS standards. We are seeking an individual with a growth mindset, who is a highly experienced Technical Product Owner to drive the development of data products specifically related to CMS Stars and HEDIS quality measures. The ideal candidate has deep expertise in Stars/HEDIS data, regulatory requirements, and agile product development, and 3 tier software development and technical support for critical systems. In this role, you will teach and collaborate with business stakeholders, data engineers, and IT teams to translate complex requirements into actionable product features that support quality measurement, reporting, and compliance. • *Key responsibilities:** + **Technology strategy and roadmap of Business and Data Products:** Define and maintain the vision, strategy, and roadmap for data products that enable CMS Stars and HEDIS reporting. Ensure alignment with enterprise goals and departmental priorities. + **Backlog management:** Own, groom, and prioritize the product backlog for one or more agile teams, ensuring it reflects business needs, regulatory changes, and technical dependencies. + **Requirements translation:** Elicit detailed requirements from stakeholders (e.g., business, compliance, and analytics) and translate them into clear user stories with defined acceptance criteria for development teams. + **Cross-functional collaboration:** Act as the primary liaison between business stakeholders and technical teams. Facilitate communication and alignment across data engineering, analytics, compliance, and QA teams. + **Technical guidance:** Work closely with data architects and engineers to design and validate data flows, mappings, and transformations. Provide guidance to ensure technical solutions are feasible and aligned with the product vision. + **Data quality and compliance:** Collaborate with governance teams to establish data quality benchmarks and implement testing protocols. Ensure data products adhere to CMS mandates and NCQA standards. + **Technical debt management:** Advocate for the resolution of technical debt and architectural improvements, balancing short-term feature delivery with long-term product sustainability. + **Stay current:** Monitor evolving CMS, NCQA, and HEDIS requirements and coordinate necessary updates in response to specification changes. + **Travel for this role is quarterly** • *Use your skills to make an impact** • *Role Essentials** + Bachelor's degree + 8 or more years of experience in data flow & analysis and software application building & enhancements + 2 or more years of project leadership experience + Strong experience with healthcare data, particularly clinical and claims data used in **HEDIS measurement** + Familiarity with **CMS Stars programs** , NCQA standards, and quality performance metrics. + Advanced experience working with big and complex data sets within large organizations + Experience analyzing data to solve a wide variety of business problems and create data visualizations that drive strategic direction + Proven ability to work with cross-functional teams and translate requirements between business, project management and technical projects or programs + Proficiency in understanding Healthcare related data + Proficiency in verbal/written communication to senior and executive leadership • *Role Desirables** + Advanced Degree in a quantitative discipline, such as Mathematics, Economics, + Finance, Statistics, Computer Science, Engineering or related field + Knowledge of NCQA, CMS, and health plan quality measurement programs. + Deep understanding of healthcare interoperability standards (e.g., HL7, FHIR, X12). + Advanced in SQL, SAS and other data systems + Expertise in data mining, forecasting, simulation, and/or predictive modeling + Experience creating analytics solutions for various healthcare sectors • *Additional Information** To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for you. Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. • *Scheduled Weekly Hours** 40 • *Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $117,600 - $161,700 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. • *Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 02-26-2026 • *About us** Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. • *Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website. • *Become a part of our caring community and help us put health first** The Lead, Technical Product Owner requires someone known for creative problem solving. This role solves complex business problems and issues using data and custom software from internal and external sources. The role works on problems of diverse scope and complexity ranging from moderate to substantial. It is responsible for leading, defining and delivering on the roadmap of multiple data and business application products. This role bridges product ownership, data and software engineering, and regulatory healthcare data requirements, ensuring that data ingestion, transformation, and delivery are optimized for quality measurement, reporting, and compliance with CMS standards. We are seeking an individual with a growth mindset, who is a highly experienced Technical Product Owner to drive the development of data products specifically related to CMS Stars and HEDIS quality measures. The ideal candidate has deep expertise in Stars/HEDIS data, regulatory requirements, and agile product development, and 3 tier software development and technical support for critical systems. In this role, you will teach and collaborate with business stakeholders, data engineers, and IT teams to translate complex requirements into actionable product features that support quality measurement, reporting, and compliance. • *Key responsibilities:** + **Technology strategy and roadmap of Business and Data Products:** Define and maintain the vision, strategy, and roadmap for data products that enable CMS Stars and HEDIS reporting. Ensure alignment with enterprise goals and departmental priorities. + **Backlog management:** Own, groom, and prioritize the product backlog for one or more agile teams, ensuring it reflects business needs, regulatory changes, and technical dependencies. + **Requirements translation:** Elicit detailed requirements from stakeholders (e.g., business, compliance, and analytics) and translate them into clear user stories with defined acceptance criteria for development teams. + **Cross-functional collaboration:** Act as the primary liaison between business stakeholders and technical teams. Facilitate communication and alignment across data engineering, analytics, compliance, and QA teams. + **Technical guidance:** Work closely with data architects and engineers to design and validate data flows, mappings, and transformations. Provide guidance to ensure technical solutions are feasible and aligned with the product vision. + **Data quality and compliance:** Collaborate with governance teams to establish data quality benchmarks and implement testing protocols. Ensure data products adhere to CMS mandates and NCQA standards. + **Technical debt management:** Advocate for the resolution of technical debt and architectural improvements, balancing short-term feature delivery with long-term product sustainability. + **Stay current:** Monitor evolving CMS, NCQA, and HEDIS requirements and coordinate necessary updates in response to specification changes. + **Travel for this role is quarterly** • *Use your skills to make an impact** • *Role Essentials** + Bachelor's degree + 8 or more years of experience in data flow & analysis and software application building & enhancements + 2 or more years of project leadership experience + Strong experience with healthcare data, particularly clinical and claims data used in **HEDIS measurement** + Familiarity with **CMS Stars programs** , NCQA standards, and quality performance metrics. + Advanced experience working with big and complex data sets within large organizations + Experience analyzing data to solve a wide variety of business problems and create data visualizations that drive strategic direction + Proven ability to work with cross-functional teams and translate requirements between business, project management and technical projects or programs + Proficiency in understanding Healthcare related data + Proficiency in verbal/written communication to senior and executive leadership • *Role Desirables** + Advanced Degree in a quantitative discipline, such as Mathematics, Economics, + Finance, Statistics, Computer Science, Engineering or related field + Knowledge of NCQA, CMS, and health plan quality measurement programs. + Deep understanding of healthcare interoperability standards (e.g., HL7, FHIR, X12). + Advanced in SQL, SAS and other data systems + Expertise in data mining, forecasting, simulation, and/or predictive modeling + Experience creating analytics solutions for various healthcare sectors • *Additional Information** To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for you. Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. • *Scheduled Weekly Hours** 40 • *Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $117,600 - $161,700 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. • *Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 02-26-2026 • *About us** Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. • *Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
Lead and coordinate large, multi-year enterprise programs, manage risks, dependencies, and stakeholder communications, and ensure delivery of strategic objectives. | Over 10 years of experience in leading complex enterprise-scale programs, strong matrix leadership skills, experience with vendor transitions and large operational change initiatives, and excellent communication skills. | Job Description: • Lead end-to-end delivery of a large, multi-year productivity and labor optimization program. • Establish and maintain integrated program plans, milestones, dependencies, risks, and delivery rhythms across multiple teams and project managers. • Serve as the central point of coordination to prevent siloed execution and ensure alignment across segments, vendors, and operating models. • Drive clarity and structure in a dynamic environment where scope, schedule, and budget may continue to evolve. • Manage program schedule, budget and any changes to scope. • Deliver executive-level presentations that frame data-based challenges, opportunities, benefits realization, and progress towards the strategic roadmap. • Facilitate technology implementation supported by a thorough understanding of portfolio, product, program, project and agile delivery models. • Implement and operate a central project governance model, including escalation paths, decision frameworks, and issue resolution. • Proactively identify scope, schedule, resource, financial, and change risks; develop mitigation strategies and surface trade-offs early to leadership. • Ensure consistent application of project management standards, reporting, and controls across all teams. • Track progress against productivity targets and key milestones, highlighting gaps and recommended corrective actions. • Coordinate delivery activities tied to vendor strategies, including phased rollouts by segment. • Partner with Procurement and Operations leaders to align transition plans with rate cards, MSAs, vendor consolidation strategies, and evolving operating models. • Support complex vendor migrations, SOW conversions, and potential FTE conversions where applicable. • Act as a trusted partner to executive sponsors and senior leaders, providing clear, concise updates on progress, risks, and decisions required. • Develop and execute communication strategies that balance urgency with accuracy. • Lead and influence cross-functional teams without direct authority in a highly matrixed environment. • Coach and support team-level project managers to ensure strong execution and consistent practices. Requirements: • 10+ years of experience leading complex, enterprise-scale programs or portfolios, ideally within IT, workforce transformation, or large operational change initiatives. • Proven success managing multi-workstream programs with significant scale, ambiguity, and executive visibility. • Strong matrix leadership skills with the ability to influence across IT, Procurement, Finance, HR, and business leaders. • Demonstrated expertise in program and project governance, risk management, dependency planning, and executive reporting. • Exceptional communication skills, including the ability to translate complexity into clear, actionable insights for senior leadership. • Experience supporting large vendor transitions, sourcing initiatives, or workforce/labor optimization programs. • Experience working alongside consulting partners and external vendors. • Work EST Benefits: • medical, dental and vision benefits • 401(k) retirement savings plan • time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave) • short-term and long-term disability • life insurance • many other opportunities
Define and drive the NBA platform strategy, develop product requirements, and collaborate with engineering and data science teams to deliver personalized, AI-driven solutions. | At least 8 years in product or program management, with 3+ years in data, AI/ML, or personalization platforms, strong understanding of APIs, microservices, and backend systems, and excellent communication skills. | **Become a part of our caring community and help us put health first** We are building an innovative Next Best Action (NBA) platform designed to power personalized engagement, gamified incentives, and advanced agentic AI decision-making across the enterprise. As Lead Technical Product Manager (PM-T), you will shape the product vision, define the roadmap, and oversee delivery of the NBA platform. Your responsibilities include integrating data, predictive models, and APIs to enable real-time decisioning, rewards, and AI-driven experiences throughout digital and service channels. You will work in close partnership with engineering, data science, AI, and business teams to develop solutions that drive improvements in Star Ratings, expedite HEDIS gap closure, and enhance CAHPS satisfaction scores. • *Key Responsibilities** • *Product Vision & Strategy** + Define and drive the NBA platform strategy to deliver data-driven personalization and intelligent engagement for all brands and channels. + Develop PRFAQs and technical narratives to align leadership and engineering on long-term goals. + Translate business priorities (such as Stars performance, gap closure, and engagement) into actionable technical roadmaps. + Prioritize scalability, observability, and interoperability as core product outcomes. • *Technical Product Ownership** + Develop and manage detailed product requirements, user stories, and technical specifications to guide engineering teams. + Collaborate with architects and engineers to balance scalability, latency, and accuracy of personalization. + Translate data science models into deployable, measurable features. + Define API contracts, data schemas, and integration patterns adhering to enterprise standards. + Ensure smooth integration of NBA decisioning with CDPs, ML scoring models, and omnichannel activation platforms (e.g., AJO, Salesforce). + Lead backlog prioritization, sprint planning, and iterative product development with engineering and data science partners. • *Data & Intelligence Integration** + Partner with Data Science and ML Engineering to operationalize propensity, recommendation, and optimization models. + Define how Customer 360 data, contextual events, and profiles generate Next Best Actions, offers, and rewards. + Lead the development of experimentation frameworks, validating product decisions through A/B testing and analytics. + Establish key success metrics (e.g., engagement uplift, gap closure, reward adoption, member satisfaction) and oversee analytics strategies to optimize NBA outcomes. • *Leadership & Stakeholder Management** + Collaborate with cross-functional teams (Clinical, Marketing, Stars, Compliance) to ensure the NBA platform supports business objectives and regulatory requirements. + Communicate complex technical concepts to senior executives clearly and succinctly. + Work with compliance and legal teams to maintain alignment with CMS, HIPAA, and internal policies. + Mentor junior product managers and uphold high standards for technical product management. • *Leadership Principles** + Customer Obsession: Make member outcomes central to every decision. + Dive Deep: Attain a thorough understanding of technical architecture and data models. + Invent and Simplify: Create scalable, intuitive solutions for complex personalization challenges. + Bias for Action: Deliver incremental value rapidly while progressing toward strategic goals. + Earn Trust: Build credibility across data science, engineering, and business teams. + Deliver Results: Ensure all product decisions yield measurable improvements in engagement, retention, and Star Ratings. • *Use your skills to make an impact** • *Required Qualifications** + At least 8 years of experience in product management or technical program management, including 3+ years as a Technical Product Manager in data, AI/ML, or personalization platforms. + Proven record in defining and launching complex technical products end-to-end. + Strong understanding of APIs, microservices, and event-driven architectures (Kafka, Pub/Sub). + Hands-on experience collaborating with engineers on scalable backend systems. + Excellent analytical skills, with expertise in querying, metric interpretation, and experimentation. + Superior written and verbal communication skills, with the ability to craft product narratives and influence senior stakeholders. • *Preferred Qualifications** + Experience with NBA/NBO systems, AI decisioning, or real-time recommendation platforms. + Knowledge of healthcare data models, privacy regulations, and CMS/HIPAA compliance. + Familiarity with GenAI and agentic frameworks (such as LangChain, OpenAI APIs, MCP). + Educational background in computer science, engineering, or a related technical field (BS/MS preferred). + MBA or equivalent experience in product strategy or enterprise platform management. • *Success in This Role** + The NBA platform becomes the authoritative system for real-time personalization at Humana and CenterWell. + Business teams can demonstrate tangible improvements in engagement, satisfaction, and Stars metrics. + Engineering teams deliver with greater velocity and improved decisioning quality, supported by clear product leadership. + The NBA ecosystem becomes the foundation for future GenAI-powered member experiences. • *Additional Information** _SSN Alert Statement_ Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website. _WAH Internet Statement_ To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. • *Scheduled Weekly Hours** 40 • *Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $126,300 - $173,700 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. • *Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 03-19-2026 • *About us** Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. • *Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website. • *Become a part of our caring community and help us put health first** We are building an innovative Next Best Action (NBA) platform designed to power personalized engagement, gamified incentives, and advanced agentic AI decision-making across the enterprise. As Lead Technical Product Manager (PM-T), you will shape the product vision, define the roadmap, and oversee delivery of the NBA platform. Your responsibilities include integrating data, predictive models, and APIs to enable real-time decisioning, rewards, and AI-driven experiences throughout digital and service channels. You will work in close partnership with engineering, data science, AI, and business teams to develop solutions that drive improvements in Star Ratings, expedite HEDIS gap closure, and enhance CAHPS satisfaction scores. • *Key Responsibilities** • *Product Vision & Strategy** + Define and drive the NBA platform strategy to deliver data-driven personalization and intelligent engagement for all brands and channels. + Develop PRFAQs and technical narratives to align leadership and engineering on long-term goals. + Translate business priorities (such as Stars performance, gap closure, and engagement) into actionable technical roadmaps. + Prioritize scalability, observability, and interoperability as core product outcomes. • *Technical Product Ownership** + Develop and manage detailed product requirements, user stories, and technical specifications to guide engineering teams. + Collaborate with architects and engineers to balance scalability, latency, and accuracy of personalization. + Translate data science models into deployable, measurable features. + Define API contracts, data schemas, and integration patterns adhering to enterprise standards. + Ensure smooth integration of NBA decisioning with CDPs, ML scoring models, and omnichannel activation platforms (e.g., AJO, Salesforce). + Lead backlog prioritization, sprint planning, and iterative product development with engineering and data science partners. • *Data & Intelligence Integration** + Partner with Data Science and ML Engineering to operationalize propensity, recommendation, and optimization models. + Define how Customer 360 data, contextual events, and profiles generate Next Best Actions, offers, and rewards. + Lead the development of experimentation frameworks, validating product decisions through A/B testing and analytics. + Establish key success metrics (e.g., engagement uplift, gap closure, reward adoption, member satisfaction) and oversee analytics strategies to optimize NBA outcomes. • *Leadership & Stakeholder Management** + Collaborate with cross-functional teams (Clinical, Marketing, Stars, Compliance) to ensure the NBA platform supports business objectives and regulatory requirements. + Communicate complex technical concepts to senior executives clearly and succinctly. + Work with compliance and legal teams to maintain alignment with CMS, HIPAA, and internal policies. + Mentor junior product managers and uphold high standards for technical product management. • *Leadership Principles** + Customer Obsession: Make member outcomes central to every decision. + Dive Deep: Attain a thorough understanding of technical architecture and data models. + Invent and Simplify: Create scalable, intuitive solutions for complex personalization challenges. + Bias for Action: Deliver incremental value rapidly while progressing toward strategic goals. + Earn Trust: Build credibility across data science, engineering, and business teams. + Deliver Results: Ensure all product decisions yield measurable improvements in engagement, retention, and Star Ratings. • *Use your skills to make an impact** • *Required Qualifications** + At least 8 years of experience in product management or technical program management, including 3+ years as a Technical Product Manager in data, AI/ML, or personalization platforms. + Proven record in defining and launching complex technical products end-to-end. + Strong understanding of APIs, microservices, and event-driven architectures (Kafka, Pub/Sub). + Hands-on experience collaborating with engineers on scalable backend systems. + Excellent analytical skills, with expertise in querying, metric interpretation, and experimentation. + Superior written and verbal communication skills, with the ability to craft product narratives and influence senior stakeholders. • *Preferred Qualifications** + Experience with NBA/NBO systems, AI decisioning, or real-time recommendation platforms. + Knowledge of healthcare data models, privacy regulations, and CMS/HIPAA compliance. + Familiarity with GenAI and agentic frameworks (such as LangChain, OpenAI APIs, MCP). + Educational background in computer science, engineering, or a related technical field (BS/MS preferred). + MBA or equivalent experience in product strategy or enterprise platform management. • *Success in This Role** + The NBA platform becomes the authoritative system for real-time personalization at Humana and CenterWell. + Business teams can demonstrate tangible improvements in engagement, satisfaction, and Stars metrics. + Engineering teams deliver with greater velocity and improved decisioning quality, supported by clear product leadership. + The NBA ecosystem becomes the foundation for future GenAI-powered member experiences. • *Additional Information** _SSN Alert Statement_ Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website. _WAH Internet Statement_ To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. • *Scheduled Weekly Hours** 40 • *Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $126,300 - $173,700 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. • *Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 03-19-2026 • *About us** Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. • *Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
Oversee the development and delivery of a complex NBA platform integrating data science, APIs, and personalization features, ensuring alignment with business goals. | Extensive experience in product or program management, strong technical understanding of APIs, microservices, and scalable backend systems, and experience in data, AI/ML, or personalization platforms. | **Become a part of our caring community and help us put health first** We are building an innovative Next Best Action (NBA) platform designed to power personalized engagement, gamified incentives, and advanced agentic AI decision-making across the enterprise. As Lead Technical Product Manager (PM-T), you will shape the product vision, define the roadmap, and oversee delivery of the NBA platform. Your responsibilities include integrating data, predictive models, and APIs to enable real-time decisioning, rewards, and AI-driven experiences throughout digital and service channels. You will work in close partnership with engineering, data science, AI, and business teams to develop solutions that drive improvements in Star Ratings, expedite HEDIS gap closure, and enhance CAHPS satisfaction scores. • *Key Responsibilities** • *Product Vision & Strategy** + Define and drive the NBA platform strategy to deliver data-driven personalization and intelligent engagement for all brands and channels. + Develop PRFAQs and technical narratives to align leadership and engineering on long-term goals. + Translate business priorities (such as Stars performance, gap closure, and engagement) into actionable technical roadmaps. + Prioritize scalability, observability, and interoperability as core product outcomes. • *Technical Product Ownership** + Develop and manage detailed product requirements, user stories, and technical specifications to guide engineering teams. + Collaborate with architects and engineers to balance scalability, latency, and accuracy of personalization. + Translate data science models into deployable, measurable features. + Define API contracts, data schemas, and integration patterns adhering to enterprise standards. + Ensure smooth integration of NBA decisioning with CDPs, ML scoring models, and omnichannel activation platforms (e.g., AJO, Salesforce). + Lead backlog prioritization, sprint planning, and iterative product development with engineering and data science partners. • *Data & Intelligence Integration** + Partner with Data Science and ML Engineering to operationalize propensity, recommendation, and optimization models. + Define how Customer 360 data, contextual events, and profiles generate Next Best Actions, offers, and rewards. + Lead the development of experimentation frameworks, validating product decisions through A/B testing and analytics. + Establish key success metrics (e.g., engagement uplift, gap closure, reward adoption, member satisfaction) and oversee analytics strategies to optimize NBA outcomes. • *Leadership & Stakeholder Management** + Collaborate with cross-functional teams (Clinical, Marketing, Stars, Compliance) to ensure the NBA platform supports business objectives and regulatory requirements. + Communicate complex technical concepts to senior executives clearly and succinctly. + Work with compliance and legal teams to maintain alignment with CMS, HIPAA, and internal policies. + Mentor junior product managers and uphold high standards for technical product management. • *Leadership Principles** + Customer Obsession: Make member outcomes central to every decision. + Dive Deep: Attain a thorough understanding of technical architecture and data models. + Invent and Simplify: Create scalable, intuitive solutions for complex personalization challenges. + Bias for Action: Deliver incremental value rapidly while progressing toward strategic goals. + Earn Trust: Build credibility across data science, engineering, and business teams. + Deliver Results: Ensure all product decisions yield measurable improvements in engagement, retention, and Star Ratings. • *Use your skills to make an impact** • *Required Qualifications** + At least 8 years of experience in product management or technical program management, including 3+ years as a Technical Product Manager in data, AI/ML, or personalization platforms. + Proven record in defining and launching complex technical products end-to-end. + Strong understanding of APIs, microservices, and event-driven architectures (Kafka, Pub/Sub). + Hands-on experience collaborating with engineers on scalable backend systems. + Excellent analytical skills, with expertise in querying, metric interpretation, and experimentation. + Superior written and verbal communication skills, with the ability to craft product narratives and influence senior stakeholders. • *Preferred Qualifications** + Experience with NBA/NBO systems, AI decisioning, or real-time recommendation platforms. + Knowledge of healthcare data models, privacy regulations, and CMS/HIPAA compliance. + Familiarity with GenAI and agentic frameworks (such as LangChain, OpenAI APIs, MCP). + Educational background in computer science, engineering, or a related technical field (BS/MS preferred). + MBA or equivalent experience in product strategy or enterprise platform management. • *Success in This Role** + The NBA platform becomes the authoritative system for real-time personalization at Humana and CenterWell. + Business teams can demonstrate tangible improvements in engagement, satisfaction, and Stars metrics. + Engineering teams deliver with greater velocity and improved decisioning quality, supported by clear product leadership. + The NBA ecosystem becomes the foundation for future GenAI-powered member experiences. • *Additional Information** _SSN Alert Statement_ Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website. _WAH Internet Statement_ To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. • *Scheduled Weekly Hours** 40 • *Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $126,300 - $173,700 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. • *Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 03-19-2026 • *About us** Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. • *Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website. • *Become a part of our caring community and help us put health first** We are building an innovative Next Best Action (NBA) platform designed to power personalized engagement, gamified incentives, and advanced agentic AI decision-making across the enterprise. As Lead Technical Product Manager (PM-T), you will shape the product vision, define the roadmap, and oversee delivery of the NBA platform. Your responsibilities include integrating data, predictive models, and APIs to enable real-time decisioning, rewards, and AI-driven experiences throughout digital and service channels. You will work in close partnership with engineering, data science, AI, and business teams to develop solutions that drive improvements in Star Ratings, expedite HEDIS gap closure, and enhance CAHPS satisfaction scores. • *Key Responsibilities** • *Product Vision & Strategy** + Define and drive the NBA platform strategy to deliver data-driven personalization and intelligent engagement for all brands and channels. + Develop PRFAQs and technical narratives to align leadership and engineering on long-term goals. + Translate business priorities (such as Stars performance, gap closure, and engagement) into actionable technical roadmaps. + Prioritize scalability, observability, and interoperability as core product outcomes. • *Technical Product Ownership** + Develop and manage detailed product requirements, user stories, and technical specifications to guide engineering teams. + Collaborate with architects and engineers to balance scalability, latency, and accuracy of personalization. + Translate data science models into deployable, measurable features. + Define API contracts, data schemas, and integration patterns adhering to enterprise standards. + Ensure smooth integration of NBA decisioning with CDPs, ML scoring models, and omnichannel activation platforms (e.g., AJO, Salesforce). + Lead backlog prioritization, sprint planning, and iterative product development with engineering and data science partners. • *Data & Intelligence Integration** + Partner with Data Science and ML Engineering to operationalize propensity, recommendation, and optimization models. + Define how Customer 360 data, contextual events, and profiles generate Next Best Actions, offers, and rewards. + Lead the development of experimentation frameworks, validating product decisions through A/B testing and analytics. + Establish key success metrics (e.g., engagement uplift, gap closure, reward adoption, member satisfaction) and oversee analytics strategies to optimize NBA outcomes. • *Leadership & Stakeholder Management** + Collaborate with cross-functional teams (Clinical, Marketing, Stars, Compliance) to ensure the NBA platform supports business objectives and regulatory requirements. + Communicate complex technical concepts to senior executives clearly and succinctly. + Work with compliance and legal teams to maintain alignment with CMS, HIPAA, and internal policies. + Mentor junior product managers and uphold high standards for technical product management. • *Leadership Principles** + Customer Obsession: Make member outcomes central to every decision. + Dive Deep: Attain a thorough understanding of technical architecture and data models. + Invent and Simplify: Create scalable, intuitive solutions for complex personalization challenges. + Bias for Action: Deliver incremental value rapidly while progressing toward strategic goals. + Earn Trust: Build credibility across data science, engineering, and business teams. + Deliver Results: Ensure all product decisions yield measurable improvements in engagement, retention, and Star Ratings. • *Use your skills to make an impact** • *Required Qualifications** + At least 8 years of experience in product management or technical program management, including 3+ years as a Technical Product Manager in data, AI/ML, or personalization platforms. + Proven record in defining and launching complex technical products end-to-end. + Strong understanding of APIs, microservices, and event-driven architectures (Kafka, Pub/Sub). + Hands-on experience collaborating with engineers on scalable backend systems. + Excellent analytical skills, with expertise in querying, metric interpretation, and experimentation. + Superior written and verbal communication skills, with the ability to craft product narratives and influence senior stakeholders. • *Preferred Qualifications** + Experience with NBA/NBO systems, AI decisioning, or real-time recommendation platforms. + Knowledge of healthcare data models, privacy regulations, and CMS/HIPAA compliance. + Familiarity with GenAI and agentic frameworks (such as LangChain, OpenAI APIs, MCP). + Educational background in computer science, engineering, or a related technical field (BS/MS preferred). + MBA or equivalent experience in product strategy or enterprise platform management. • *Success in This Role** + The NBA platform becomes the authoritative system for real-time personalization at Humana and CenterWell. + Business teams can demonstrate tangible improvements in engagement, satisfaction, and Stars metrics. + Engineering teams deliver with greater velocity and improved decisioning quality, supported by clear product leadership. + The NBA ecosystem becomes the foundation for future GenAI-powered member experiences. • *Additional Information** _SSN Alert Statement_ Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website. _WAH Internet Statement_ To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. • *Scheduled Weekly Hours** 40 • *Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $126,300 - $173,700 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. • *Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 03-19-2026 • *About us** Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. • *Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
Lead discovery, design, prototyping, and scaling of analytics products to improve Medicare Stars performance, partnering across teams and advising leadership. | 8+ years in product design, UX/UI, analytics visualization, with experience in dashboards, stakeholder facilitation, and translating needs into solutions. | Become a part of our caring community and help us put health first The Design & Innovation Lead conceives of, develops, delivers, and manages user-centered analytics products and experiences that enable Medicare Stars performance improvement. This role works on problems of diverse scope and complexity (moderate to substantial), translating business needs into intuitive dashboards, decision tools, and scalable solutions. The Design & Innovation Lead partners across Analytics, Quality, Operations, and Technology to ensure solutions meet customer needs, drive adoption, and achieve enterprise success. The Design & Innovation Lead leads all phases of the solution/product life cycle—from discovery and inception through delivery, launch, and iteration—by designing and developing analytics products to meet specific customer needs and achieve defined success outcomes (e.g., adoption, usability, decision impact, and measurable performance improvement). Once products are launched, monitors efficacy of products and uses customer and business partner feedback to ensure products are meeting customer needs across each customer segmentation, adjusting products over time to continue to achieve the desired outcomes. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action. Key responsibilities include: Product Discovery & Requirements: Lead discovery with stakeholders to define user needs, workflows, KPI hierarchy, and success measures; translate ambiguous needs into clear requirements, user stories, and acceptance criteria. Design & Prototyping: Create rapid prototypes (wireframes, clickable mockups, workflows) and partner with BI/Data Engineering to deliver production-ready dashboards, calculators, and reporting experiences. Innovation Pipeline: Establish and run an innovation pipeline (intake → triage → prototype → pilot → scale), prioritizing work based on impact, feasibility, and alignment to enterprise Stars strategy. Adoption & Enablement: Drive adoption through usability testing, training materials, playbooks, release notes, and stakeholder engagement; create feedback loops to reduce rework and improve user satisfaction. Cross-Functional Partnership: Partner with data governance and engineering to ensure consistent definitions, scalable designs, and alignment to enterprise data strategy (security/PHI compliance, single source of truth, standardized KPI logic). Executive Advising & Decision Support: Advise leaders on functional strategies (often segment-specific) related to analytics product design and innovation priorities; influence decisions with strong storytelling and structured recommendations. The Design & Innovation Lead exercises independent judgment and decision-making on complex issues, works under minimal supervision, and applies analytical thinking across variable factors to determine the best course of action. Use your skills to make an impact Required Qualifications Bachelor’s degree OR equivalent experience (degree not required if experience demonstrates capability). 8+ years of relevant experience in product design, UX/UI, analytics visualization, digital product delivery, or related experience and/or 2+ years of project/product leadership experience with demonstrated delivery ownership. Experience designing and improving dashboards/decision-support tools (e.g., Tableau, Power BI, Looker or similar). Proven stakeholder facilitation and ability to translate business needs into usable solutions with measurable outcomes. Preferred Qualifications Bachelor’s degree This role is not eligible for work visa sponsorship. To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $126,300 - $173,700 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 02-05-2026 About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Lead the development and management of data products related to CMS Stars and HEDIS, ensuring compliance and quality. | Over 8 years of experience in data analysis and software development, with healthcare data expertise and project leadership skills. | **Become a part of our caring community and help us put health first** The Lead, Technical Product Owner requires someone known for creative problem solving. This role solves complex business problems and issues using data and custom software from internal and external sources. The role works on problems of diverse scope and complexity ranging from moderate to substantial. It is responsible for leading, defining and delivering on the roadmap of multiple data and business application products. This role bridges product ownership, data and software engineering, and regulatory healthcare data requirements, ensuring that data ingestion, transformation, and delivery are optimized for quality measurement, reporting, and compliance with CMS standards. We are seeking an individual with a growth mindset, who is a highly experienced Technical Product Owner to drive the development of data products specifically related to CMS Stars and HEDIS quality measures. The ideal candidate has deep expertise in Stars/HEDIS data, regulatory requirements, and agile product development, and 3 tier software development and technical support for critical systems. In this role, you will teach and collaborate with business stakeholders, data engineers, and IT teams to translate complex requirements into actionable product features that support quality measurement, reporting, and compliance. • *Key responsibilities:** + **Technology strategy and roadmap of Business and Data Products:** Define and maintain the vision, strategy, and roadmap for data products that enable CMS Stars and HEDIS reporting. Ensure alignment with enterprise goals and departmental priorities. + **Backlog management:** Own, groom, and prioritize the product backlog for one or more agile teams, ensuring it reflects business needs, regulatory changes, and technical dependencies. + **Requirements translation:** Elicit detailed requirements from stakeholders (e.g., business, compliance, and analytics) and translate them into clear user stories with defined acceptance criteria for development teams. + **Cross-functional collaboration:** Act as the primary liaison between business stakeholders and technical teams. Facilitate communication and alignment across data engineering, analytics, compliance, and QA teams. + **Technical guidance:** Work closely with data architects and engineers to design and validate data flows, mappings, and transformations. Provide guidance to ensure technical solutions are feasible and aligned with the product vision. + **Data quality and compliance:** Collaborate with governance teams to establish data quality benchmarks and implement testing protocols. Ensure data products adhere to CMS mandates and NCQA standards. + **Technical debt management:** Advocate for the resolution of technical debt and architectural improvements, balancing short-term feature delivery with long-term product sustainability. + **Stay current:** Monitor evolving CMS, NCQA, and HEDIS requirements and coordinate necessary updates in response to specification changes. + **Travel for this role is quarterly** • *Use your skills to make an impact** • *Role Essentials** + Bachelor's degree + 8 or more years of experience in data flow & analysis and software application building & enhancements + 2 or more years of project leadership experience + Strong experience with healthcare data, particularly clinical and claims data used in **HEDIS measurement** + Familiarity with **CMS Stars programs** , NCQA standards, and quality performance metrics. + Advanced experience working with big and complex data sets within large organizations + Experience analyzing data to solve a wide variety of business problems and create data visualizations that drive strategic direction + Proven ability to work with cross-functional teams and translate requirements between business, project management and technical projects or programs + Proficiency in understanding Healthcare related data + Proficiency in verbal/written communication to senior and executive leadership • *Role Desirables** + Advanced Degree in a quantitative discipline, such as Mathematics, Economics, + Finance, Statistics, Computer Science, Engineering or related field + Knowledge of NCQA, CMS, and health plan quality measurement programs. + Deep understanding of healthcare interoperability standards (e.g., HL7, FHIR, X12). + Advanced in SQL, SAS and other data systems + Expertise in data mining, forecasting, simulation, and/or predictive modeling + Experience creating analytics solutions for various healthcare sectors • *Additional Information** To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for you. Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. • *Scheduled Weekly Hours** 40 • *Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $117,600 - $161,700 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. • *Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 02-26-2026 • *About us** Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. • *Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website. • *Become a part of our caring community and help us put health first** The Lead, Technical Product Owner requires someone known for creative problem solving. This role solves complex business problems and issues using data and custom software from internal and external sources. The role works on problems of diverse scope and complexity ranging from moderate to substantial. It is responsible for leading, defining and delivering on the roadmap of multiple data and business application products. This role bridges product ownership, data and software engineering, and regulatory healthcare data requirements, ensuring that data ingestion, transformation, and delivery are optimized for quality measurement, reporting, and compliance with CMS standards. We are seeking an individual with a growth mindset, who is a highly experienced Technical Product Owner to drive the development of data products specifically related to CMS Stars and HEDIS quality measures. The ideal candidate has deep expertise in Stars/HEDIS data, regulatory requirements, and agile product development, and 3 tier software development and technical support for critical systems. In this role, you will teach and collaborate with business stakeholders, data engineers, and IT teams to translate complex requirements into actionable product features that support quality measurement, reporting, and compliance. • *Key responsibilities:** + **Technology strategy and roadmap of Business and Data Products:** Define and maintain the vision, strategy, and roadmap for data products that enable CMS Stars and HEDIS reporting. Ensure alignment with enterprise goals and departmental priorities. + **Backlog management:** Own, groom, and prioritize the product backlog for one or more agile teams, ensuring it reflects business needs, regulatory changes, and technical dependencies. + **Requirements translation:** Elicit detailed requirements from stakeholders (e.g., business, compliance, and analytics) and translate them into clear user stories with defined acceptance criteria for development teams. + **Cross-functional collaboration:** Act as the primary liaison between business stakeholders and technical teams. Facilitate communication and alignment across data engineering, analytics, compliance, and QA teams. + **Technical guidance:** Work closely with data architects and engineers to design and validate data flows, mappings, and transformations. Provide guidance to ensure technical solutions are feasible and aligned with the product vision. + **Data quality and compliance:** Collaborate with governance teams to establish data quality benchmarks and implement testing protocols. Ensure data products adhere to CMS mandates and NCQA standards. + **Technical debt management:** Advocate for the resolution of technical debt and architectural improvements, balancing short-term feature delivery with long-term product sustainability. + **Stay current:** Monitor evolving CMS, NCQA, and HEDIS requirements and coordinate necessary updates in response to specification changes. + **Travel for this role is quarterly** • *Use your skills to make an impact** • *Role Essentials** + Bachelor's degree + 8 or more years of experience in data flow & analysis and software application building & enhancements + 2 or more years of project leadership experience + Strong experience with healthcare data, particularly clinical and claims data used in **HEDIS measurement** + Familiarity with **CMS Stars programs** , NCQA standards, and quality performance metrics. + Advanced experience working with big and complex data sets within large organizations + Experience analyzing data to solve a wide variety of business problems and create data visualizations that drive strategic direction + Proven ability to work with cross-functional teams and translate requirements between business, project management and technical projects or programs + Proficiency in understanding Healthcare related data + Proficiency in verbal/written communication to senior and executive leadership • *Role Desirables** + Advanced Degree in a quantitative discipline, such as Mathematics, Economics, + Finance, Statistics, Computer Science, Engineering or related field + Knowledge of NCQA, CMS, and health plan quality measurement programs. + Deep understanding of healthcare interoperability standards (e.g., HL7, FHIR, X12). + Advanced in SQL, SAS and other data systems + Expertise in data mining, forecasting, simulation, and/or predictive modeling + Experience creating analytics solutions for various healthcare sectors • *Additional Information** To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for you. Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. • *Scheduled Weekly Hours** 40 • *Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $117,600 - $161,700 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. • *Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 02-26-2026 • *About us** Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. • *Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
The job involves strategic leadership, cross-functional rotations, and influencing senior management in a healthcare organization. | Requires advanced professional degree, 3+ years of relevant experience, leadership skills, and ability to work in a complex healthcare environment. | Become a part of our caring community and help us put health first The Healthcare Leader provides strategic advice and guidance to functional team(s). Highly skilled with broad, advanced technical experience. Program Overview Humana’s Healthcare Leadership Rotational Program is an immersive, three-year, enterprise-wide development initiative crafted to cultivate the next generation of healthcare leaders. This selective program provides high-potential professionals with the opportunity to accelerate their growth through structured, cross-functional rotations spanning strategy, finance, analytics, and operations. By working side-by-side with Humana’s senior executives, participants will play an integral role in advancing key strategic initiatives that drive integrated care delivery and innovation across the organization. Key Program Features Strategic Rotational Assignments: Over the course of three years, participants will complete up to four distinct rotations, beginning in Corporate Development, Strategic Planning, Transformation Office or Strategy Management. Subsequent rotations may include Market Operations, Home Business, Primary Care Organization, Medicare Markets, Office of the CEO, Retail Strategy, Value Based Strategy Operations, Finance, or other high-impact business units, providing broad exposure to the complexities of the healthcare ecosystem. Executive Mentorship and Advisors: Each participant is paired with senior leaders and receives targeted mentorship, executive advice, and personalized career coaching to facilitate professional growth and accelerate readiness for future leadership roles. Leadership Development: Participants benefit from a tailored curriculum of leadership training, robust peer cohort networking, and opportunities to contribute to high-profile projects that shape Humana’s strategic direction. Enterprise Impact: The program is designed to develop future leaders who bring fresh, outside-in perspectives and innovative thinking to advance Humana’s mission of delivering consumer-centric, integrated healthcare for millions of members. Who We’re Seeking: We are searching for purpose-driven, agile learners who thrive in dynamic, ambiguous environments and are passionate about improving healthcare. Successful candidates will demonstrate a high level of emotional intelligence, strong leadership capabilities, and the ability to navigate complex business challenges with curiosity and resilience. Use Your Skills To Make An Impact Required Qualifications: • Currently enrolled in or will have completed an MBA or other advanced professional degree (e.g., MPH, MD, JD, PhD), with an expected graduation date by no later than Summer 2026 • Minimum of three years of relevant professional work experience • Demonstrated record of leadership and influence, ideally with experience partnering with senior management • Outstanding interpersonal, written, and verbal communication skills • Commitment to innovative thought, strategic thinking, and making a measurable impact • Ability to work both independently and collaboratively within diverse teams • Willingness and ability to relocate to either Louisville, KY or Washington, DC • Must not require sponsorship to work in the United States now or in the future Preferred Qualifications: • Experience translating business insights into improved customer outcomes, leveraging analytics or digital solutions • Demonstrated ability to challenge the status quo and drive change in complex environments • Strong business acumen and intellectual curiosity Additional Information: During the first rotation of the program, individuals will be required to be based in Louisville, KY, or Washington, DC. Humana will provide relocation assistance as needed. For subsequent rotations, locations will be determined based on a combination of business needs, personal interests, and location preferences. Potential office locations include Louisville, KY; Washington, DC; Nashville, TN; and New York, NY. Remote opportunities are not available at this time. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $138,900 - $191,100 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description Of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About Us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Provide administrative support including scheduling, correspondence, and managing office operations in a hybrid environment. | Requires 2+ years supporting senior executives, proficiency in MS Office, Teams, Zoom, and ability to handle multiple priorities with confidentiality. | Location: Frisco United States Job Description: Become a part of our caring community and help us put health first The Administrative Assistant follows established procedures and guidelines to provide timely and effective administrative support to an office, business unit, department, or other organization. Answers directed calls, takes messages so callers/visitors are attended to promptly, courteously, and accurately. The Senior Administrative Assistant performs advanced administrative/operational/customer support duties that require independent initiative and judgment. May utilize intermediate-level mathematical skills as part of daily responsibilities. The Administrative Assistant types, formats, and proofreads a variety of material (e.g., correspondence, invoices, contracts, meeting minutes, reports, speeches, and presentations) using the MS Office suite - Word, Excel, PowerPoint, OneNote - and responds in Outlook and Teams to interoffice communications. The role requires knowledge of Zoom when scheduling virtual meetings. Coordinates internal and external meetings which may involve scheduling meeting times, making travel arrangements for attendees, and ensuring that various meeting amenities are available. Manages the appointments and schedules of applicable staff. Uses office equipment such as photocopiers, faxes, and printers. Additional responsibilities may include distributing incoming mail, preparing outgoing mail, maintaining office supplies or other inventory. Manage timely execution of maintenance and service/janitorial requests for multiple offices, including equipment, conference rooms, common spaces, and amenities. Decisions are typically focused on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and works under limited guidance due to previous experience/breadth and depth of knowledge of administrative processes and organizational knowledge. Use your skills to make an impact Required Qualifications At least 2 years of experience supporting senior‑level or C‑suite executives in an administrative or executive assistant capacity Proficient in Microsoft Outlook, Word, Excel and PowerPoint Proficiency with Teams, Zoom, OneNote Ability to manage multiple or competing priorities Strong attention to detail Demonstrated ability to maintain strict confidentiality and handle sensitive information with discretion Strong organizational skills Ability to balance multiple initiatives and prioritize workload Preferred Qualifications Associate or bachelor's Degree Proficient in Microsoft Excel and Power BI Previous administrative or related experiences Experience with internet research and proof-reading/editing Additional Information This is a hybrid position with a flexible work arrangement of two days on-site and three days remote. Occasional local travel between offices is required (approximately twice per month). Mileage reimbursement is provided. Interview Format As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making. If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $58,400 - $79,800 per year Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About Us Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Oversee care management teams, develop strategic plans, and coordinate resources to improve member wellness. | Requires clinical licensure, extensive leadership experience, and specific government contract experience, which are not reflected in your background. | Become a part of our caring community and help us put health first The Director, Care Management leads teams of nurses and behavior health professionals responsible for care management. The Director, Care Management requires an in-depth understanding of how organization capabilities interrelate across the function or segment. The Director, Care Management oversees the assessment and evaluation of members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. Decisions are typically related to the implementation of new/updated programs or large-scale projects for the function and supporting technical/operational procedures and processes, and implements strategic plans, drives goals and objectives, and improves performance. Provides input into functions strategy. Use your skills to make an impact Required Qualifications • Our Department of Defense contract requires U.S. Citizenship • Successfully receive interim approval for government security clearance (NBIS - National Background Investigation Service) • HGB is not authorized to do work in Puerto Rico per our government contract. We are not able to hire candidates that are currently living in Puerto Rico. • Bachelor's degree • Ability to work 8 - 5 p.m. in the Eastern Time zone • Must have one of the following licenses - Active unrestricted RN license, LCSW, LMSW, Clinical Psychologist, Licensed Professional Counselor (LPC), Licensed Clinical Marriage and Family Therapist (LCMFT), and/or Licensed Mental Health Counselor (LMHC) • 5 years of clinical RN or social work experience • An active designation as a Certified Care Manager (CCM). If no active designation as a CCM at hire date, must have the experience and qualifications to obtain certification within the first year of hire. If your license if LPC, LCMFT or LMHC, you must already have your CCM certification. • 7 years of leadership experience in Government Contracts, Business Development, Management, Medical Management, and/or other relevant/related experience • 3 years of experience working with a government contract (TRICARE or VA) • Ability to integrate and coordinate content from various sources to establish deliverables for multiple stakeholders and hold others accountable for delivering • Ability to synthesize information from a variety of resources to present or address an issue or to answer a question • Ability to apply the principles of independent logical thinking to define problems, collect data, establish facts, draw valid conclusions, and make strategic recommendations Preferred Qualifications • Graduate degree Work at Home Requirements To ensure Hybrid Office/Home associates' ability to work effectively, the self-provided internet service of Hybrid Office/Home associates must meet the following criteria: • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested • Satellite, cellular and microwave connection can be used only if approved by leadership • Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. • Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $126,300 - $173,700 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Coordinate and evaluate member care needs, facilitate access to resources, and monitor care plans in a field-based environment. | Requires healthcare or case management experience, knowledge of Medicaid/Medicare, and ability to travel extensively in the region. | Become a part of our caring community and help us put health first Humana Gold Plus Integrated is seeking Long-Term Services and Support (LTSS) Care Coordinators (Care Coach 1) in the state of Illinois to assess and evaluate members’ needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families towards and facilitate interaction with resources appropriate for the care and wellbeing of members. The LTSS Care Coordinator (Care Coach 1) employs a variety of strategies, approaches, and techniques to manage a members health issues. The LTSS Care Coordinator (Care Coach 1) understands own work area professional concepts/standards, regulations, strategies, and operating standards, and makes decisions regarding own work approach/priorities and follows direction. Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation. Key Responsibilities • Visits Medicaid members in their homes, Assisted Living Facilities (ALFs), and/or Long-Term Care Facilities and other care settings – 75-90% local travel (see Additional Information section). • Ensure members are receiving services in the least restrictive setting to achieve and/or maintain optimal well-being by assessing their care needs. • Identifies and resolves barriers that hinder effective care. • Plans and implement interventions to meet care needs. • Coordinates services, monitors, and evaluates the case management plan against the members personal goals. • Ensures the member progresses towards desired outcomes by continuously monitoring patient care through use of assessment, data, conversations with member, and active care planning. • Guides members/families towards resources appropriate for their care. Services are driven by facilitating interactions with other payer sources, providers, interdisciplinary teams, and others involved in the member’s care as appropriate and required by our comprehensive contract. Use your skills to make an impact Required Qualifications The Care Coordinator (Care Coach 1) must meet one (1) of the following requirements: • Bachelor’s degree in social sciences, social work, human services, or a related field. • An active, unrestricted Licensed Practical Nurse (LPN) in the state of Illinois with one (1) year of experience in conducting comprehensive assessments and provision of formal services to elderly individuals. The Care Coordinator (Care Coach 1) must meet ALL of the following requirements: • Applicants must reside in Northwest Cook County or Northern DuPage County, Illinois, or within a 10-mile radius of cities in these areas, including bordering counties. • One (1) or more years of experience in health care and/or case management. • One (1) or more years of experience working with Medicare and Medicaid recipients, long-term care services, Home and Community-Based Services (HCBS), and/or managed care organizations. • Intermediate to advanced computer skills and experience with Microsoft Word, Excel, and Outlook. • Ability to use a variety of electronic information applications/software programs including electronic medical records. • Exceptional communication and interpersonal skills with the ability to build rapport with internal and external customers and stakeholders. • Ability to travel in the region to meet face to face with members and/or their families, community partners and care teams. • This role is considered patient facing and is part of Humana’s Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB. • This role is part of Humanas driver safety program and therefore requires an individual to have a valid state drivers license and are expected to maintain personal vehicle liability insurance. Individuals must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher. Preferred Qualifications • An active, unrestricted Licensed Professional Counselor (LPC) in Illinois. • An active, unrestricted Licensed Social Worker (LSW) in Illinois. • Bilingual or Multilingual: English/Spanish, Arabic, Vietnamese, Amharic, Urdu or other - Must be able to speak, read and write in both languages without limitations and assistance. See “Additional Information” section for language assessment information. Additional Information • Workstyle: This is a Field position - Employees perform their core duties at non-company locations, such as providing services at business partner facilities or prospects and members homes. • Travel: 75 - 90% field-based interactions with members and/or their families, community partners and care teams. May need to attend occasional onsite meetings in Humana’s Schaumburg, IL office. • Mileage Reimbursement for Travel: Mileage reimbursement is provided for work-related travel from your home to your first work location of the day, between client or assignment locations during the workday and final work location back to home. • Work Schedule: Monday - Friday; 8:00 AM - 5:00 PM Central Standard Time (CST), with flexibility available. Additional hours may be required based on business needs. • Language Assessment Statement: Any Humana associate who speaks with a member in a language other than English must take a language proficiency assessment, provided by an outside vendor, to ensure competency. Applicants will be required to take the Interagency Language Rating (ILR) test as provided by the Federal Government. WAH Internet Statement To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. • Satellite, cellular and microwave connection can be used only if approved by leadership. • Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. • Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Interview Format As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. Travel: While this is a remote position, occasional travel to Humanas offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $53,700 - $72,600 per year Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Oversee claims processing activities, ensure quality and compliance, and optimize operational efficiency in a managed care environment. | Requires 5+ years in claims or financial transactions in a managed care setting, experience with VA/TRICARE, and data analysis skills. | Job Description: • Provide direction and management to the claims processing vendor for claims reimbursements and operational activities • Coordinate with the Director, VA CCN Claims Oversight for alignment of accurate claims processing • Ensure a high level of quality in all areas while meeting or exceeding performance goals • Oversee claims processing activities performed by external vendors • Monitor and review claims payment processes, identifying opportunities for process improvement and risk mitigation • Direct the reconciliation of claims payments, maintaining detailed records and ensuring resolution of discrepancies • Manage accounts receivable and recoupment processes • Lead banking coordination and reporting activities • Serve as a key liaison between internal stakeholders and claims vendors to optimize operational efficiency and compliance with regulatory standards Requirements: • U.S. Citizenship required for this role • Must successfully receive interim approval for government security clearance (NBIS- National Background Investigation Services) • Bachelor's degree in Accounting, Finance, Business, Health Care Administration, Government Contract Management, or Operations Management or if non-degree, must have at least 5 years of experience with TRICARE and/or VA CCN in claims or financial transaction area • 5 years of experience in a managed care environment and financial transactions and claims area • Experience with VA, TRICARE contracts and/or the military health care delivery system, and/or Medicare reimbursement • Experience with data analysis and making decisions using data. Benefits: • Medical, dental and vision benefits • 401(k) retirement savings plan • Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave) • Short-term and long-term disability • Life insurance and many other opportunities
Support financial and operational decision-making through data analysis, trend forecasting, and stakeholder collaboration. | Bachelor's Degree, successful completion of at least 3 actuarial exams, strong analytical and communication skills, experience with large datasets and technical tools. | **Become a part of our caring community and help us put health first** The Actuarial Analyst 2, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. Establishes metrics, provides data analyses, and works directly to support business intelligence. Evaluates industry, economic, financial, and market trends to forecast the organization's short, medium and long-term financial and competitive position. The Actuarial Analyst 2, Analytics/Forecasting work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Actuarial Analyst 2, Analytics/Forecasting ensures data integrity by developing and executing necessary processes and controls around the flow of data. Collaborates with stakeholders to understand business needs/issues, troubleshoots problems, conducts root cause analysis, and develops cost effective resolutions for data anomalies. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. This role will specifically support trend bender value-based initiatives, collaborating with several key business partners to provide the necessary analytical support for contract development, valuation of savings, financial accruals, and bid deliverables. • *Use your skills to make an impact** • *Required Qualifications** + Bachelor's Degree + Successful completion of at least 3 actuarial exams + Strong analytical skills + Strong communication, collaboration and presentation skills + Must be passionate about contributing to an organization focused on continuously improving consumer experiences • *Preferred Qualifications** + Technical expertise in Excel, SAS, VBA, and Databricks and ability to work with large datasets Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. • *Scheduled Weekly Hours** 40 • *Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $80,900 - $110,300 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. • *Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 01-30-2026 • *About us** Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. • *Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website. • *Become a part of our caring community and help us put health first** The Actuarial Analyst 2, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. Establishes metrics, provides data analyses, and works directly to support business intelligence. Evaluates industry, economic, financial, and market trends to forecast the organization's short, medium and long-term financial and competitive position. The Actuarial Analyst 2, Analytics/Forecasting work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Actuarial Analyst 2, Analytics/Forecasting ensures data integrity by developing and executing necessary processes and controls around the flow of data. Collaborates with stakeholders to understand business needs/issues, troubleshoots problems, conducts root cause analysis, and develops cost effective resolutions for data anomalies. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. This role will specifically support trend bender value-based initiatives, collaborating with several key business partners to provide the necessary analytical support for contract development, valuation of savings, financial accruals, and bid deliverables. • *Use your skills to make an impact** • *Required Qualifications** + Bachelor's Degree + Successful completion of at least 3 actuarial exams + Strong analytical skills + Strong communication, collaboration and presentation skills + Must be passionate about contributing to an organization focused on continuously improving consumer experiences • *Preferred Qualifications** + Technical expertise in Excel, SAS, VBA, and Databricks and ability to work with large datasets Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. • *Scheduled Weekly Hours** 40 • *Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $80,900 - $110,300 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. • *Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 01-30-2026 • *About us** Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. • *Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
Support and maintain marketing analytics tools, collaborate with stakeholders, and contribute to analytics governance and improvement. | Bachelor’s in a related field, 1+ years in marketing analytics or BI, familiarity with marketing measurement tools, and experience with third-party vendor coordination. | Become a part of our caring community and help us put health first Become a part of our caring community Join Humana’s Integrated Marketing Analytics team as an Analyst, Marketing Analytics Capabilities, where you’ll support the development and maintenance of tools that power our marketing analytics ecosystem. Role Responsibilities As a member of the Marketing Analytics Capabilities team, you’ll assist in enhancing and maintaining marketing analytics platforms that support performance measurement and strategic decision-making. You’ll contribute to tool governance, documentation, and adoption efforts, helping ensure stakeholders have access to reliable, user-friendly solutions that drive insight and impact. Key responsibilities include: • Support the implementation and maintenance of marketing analytics tools, including Media Mix Modeling (MMM) platforms and other solutions that enable performance measurement, attribution, and strategic insight generation (e.g. multi-touch attribution). • Assist in coordinating with third-party partners for solutions such as identity resolution and audience data enrichment. • Collaborate with internal data scientists and marketing analytics peers to enable development of advanced methodologies like multi-touch attribution. • Contribute to documentation and governance efforts to ensure tools are well-managed, accessible, and aligned with business needs. • Help monitor platform usage and gather stakeholder feedback to support continuous improvement and adoption of analytics solutions. • Participate in cross-functional initiatives to enhance the marketing analytics ecosystem and promote data-driven decision-making. Use your skills to make an impact Sponsorship is not available for this position (e.g. H-1B, E-3, TN, 0-1, STEM OPT, or any immigration work authorization requiring a written submission from the company to a government agency). Only candidates with Citizenship or Lawful Permanent Residency in the U.S. will be considered. Use your skills to make an impact Required Qualifications • Bachelor’s degree in Marketing, Information Systems, or a related field. • 1+ years of experience in marketing analytics, business intelligence, or data platform support roles. • Familiarity with marketing analytics tools and methodologies, including exposure to Media Mix Modeling (MMM) or similar performance measurement frameworks. • Experience assisting with third-party vendor coordination for solutions such as identity resolution, audience segmentation, or data enrichment. • Basic understanding of marketing attribution concepts, such as multi-touch attribution or customer journey analysis. Preferred Qualifications • Exposure to identity resolution platforms such as LiveRamp, Neustar, or similar vendors. • Familiarity with the Adobe Experience Cloud stack, including Adobe Analytics or Adobe Audience Manager. • Experience supporting marketing analytics initiatives in cloud environments (e.g., Snowflake, Azure, AWS). • Knowledge of HIPAA and data privacy standards • Interest in developing expertise in marketing measurement tools and contributing to the evolution of analytics capabilities • Experience with automation or data integration processes Work at Home Information To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: • At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested • Satellite, cellular and microwave connection can be used only if approved by leadership • Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. • Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. • Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Virtual Pre-Screen • As part of our hiring process for this opportunity, we are using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. • If you are selected to move forward in the process, you will receive a text message inviting you to participate in a HireVue prescreen. In this prescreen, you will receive a set of questions via text and given the opportunity to respond to each question. You should anticipate this prescreen taking about 15 minutes. Your responses will be reviewed and if selected to move forward, you will be contacted with additional details involving the next step in the process. • Alert: Humana values personal identity protection. Please be aware that applicants selected for leader review may be asked to provide their social security number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $97,900 - $133,500 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 01-25-2026 About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Lead and define the roadmap for healthcare data products related to CMS Stars and HEDIS, ensuring compliance and quality. | Extensive experience in healthcare data, project leadership, and familiarity with CMS and NCQA standards, with strong communication skills. | Become a part of our caring community and help us put health first The Lead, Technical Product Owner requires someone known for creative problem solving. This role solves complex business problems and issues using data and custom software from internal and external sources. The role works on problems of diverse scope and complexity ranging from moderate to substantial. It is responsible for leading, defining and delivering on the roadmap of multiple data and business application products. This role bridges product ownership, data and software engineering, and regulatory healthcare data requirements, ensuring that data ingestion, transformation, and delivery are optimized for quality measurement, reporting, and compliance with CMS standards. We are seeking an individual with a growth mindset, who is a highly experienced Technical Product Owner to drive the development of data products specifically related to CMS Stars and HEDIS quality measures. The ideal candidate has deep expertise in Stars/HEDIS data, regulatory requirements, and agile product development, and 3 tier software development and technical support for critical systems. In this role, you will teach and collaborate with business stakeholders, data engineers, and IT teams to translate complex requirements into actionable product features that support quality measurement, reporting, and compliance. Key responsibilities: • Technology strategy and roadmap of Business and Data Products: Define and maintain the vision, strategy, and roadmap for data products that enable CMS Stars and HEDIS reporting. Ensure alignment with enterprise goals and departmental priorities. • Backlog management: Own, groom, and prioritize the product backlog for one or more agile teams, ensuring it reflects business needs, regulatory changes, and technical dependencies. • Requirements translation: Elicit detailed requirements from stakeholders (e.g., business, compliance, and analytics) and translate them into clear user stories with defined acceptance criteria for development teams. • Cross-functional collaboration: Act as the primary liaison between business stakeholders and technical teams. Facilitate communication and alignment across data engineering, analytics, compliance, and QA teams. • Technical guidance: Work closely with data architects and engineers to design and validate data flows, mappings, and transformations. Provide guidance to ensure technical solutions are feasible and aligned with the product vision. • Data quality and compliance: Collaborate with governance teams to establish data quality benchmarks and implement testing protocols. Ensure data products adhere to CMS mandates and NCQA standards. • Technical debt management: Advocate for the resolution of technical debt and architectural improvements, balancing short-term feature delivery with long-term product sustainability. • Stay current: Monitor evolving CMS, NCQA, and HEDIS requirements and coordinate necessary updates in response to specification changes. • Travel for this role is quarterly Use your skills to make an impact Role Essentials • Bachelor's degree • 8 or more years of experience in data flow & analysis and software application building & enhancements • 2 or more years of project leadership experience • Strong experience with healthcare data, particularly clinical and claims data used in HEDIS measurement • Familiarity with CMS Stars programs, NCQA standards, and quality performance metrics. • Advanced experience working with big and complex data sets within large organizations • Experience analyzing data to solve a wide variety of business problems and create data visualizations that drive strategic direction • Proven ability to work with cross-functional teams and translate requirements between business, project management and technical projects or programs • Proficiency in understanding Healthcare related data • Proficiency in verbal/written communication to senior and executive leadership Role Desirables • Advanced Degree in a quantitative discipline, such as Mathematics, Economics, • Finance, Statistics, Computer Science, Engineering or related field • Knowledge of NCQA, CMS, and health plan quality measurement programs. • Deep understanding of healthcare interoperability standards (e.g., HL7, FHIR, X12). • Advanced in SQL, SAS and other data systems • Expertise in data mining, forecasting, simulation, and/or predictive modeling • Experience creating analytics solutions for various healthcare sectors Additional Information To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for you. Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $117,600 - $161,700 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 02-26-2026 About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Lead the strategy, development, and optimization of Adobe Experience Platform to enable personalized customer experiences. | Requires 5+ years in product management, experience with Adobe Experience Platform, and strong cross-functional leadership skills. | Become a part of our caring community and help us put health first Become a part of our caring community and help us put health first Humana’s Product organization is seeking a Lead Product Manager to drive the strategy, development, and optimization of the Adobe Experience Platform (AEP). In this role, you will serve as a key product leader responsible for translating business needs into platform capabilities that enable personalized, data-driven customer experiences. You’ll work closely with cross-functional teams to deliver scalable solutions across Real-Time CDP, Journey Optimizer, and Customer Journey Analytics. This role is focused on growing adoption and usage of Adobe Experience Platform as an enterprise platform. Success in this role means partnering with key lines of business to translate requirements into detailed product features for engineering teams to enable. Your ability to collaborate with engineering and other platform teams to solve challenges will be key to your success. Your work will scale AEP as an enterprise platform and provide stakeholders with clear visibility into AEP’s performance and value. Key Responsibilities Cross-Functional Collaboration • Partner with marketing, engineering, data, and customer experience teams to ensure seamless implementation and adoption of AEP features • Translate business requirements into detailed product features and user stories, prioritizing based on impact and feasibility • Collaborate with Adobe account teams and solution architects to optimize platform usage and stay ahead of product innovations Product Strategy & Execution • Assist in maintaining the product roadmap for AEP capabilities, aligned with enterprise goals and customer experience strategies • Lead agile product development cycles, ensuring timely delivery and high-quality outcomes Customer-Centric Design • Advocate for customer needs by leveraging data, feedback, and research to inform product decisions • Ensure AEP capabilities support personalized, omnichannel experiences that drive engagement and satisfaction Governance & Compliance • Engage legal, privacy, and data governance teams to ensure platform features comply with HIPAA, GDPR, TCPA, and other relevant regulations when applicable • Embed consent and preference management into AEP workflows and data models Measurement & Optimization • Define success metrics and KPIs for AEP initiatives, tracking performance and identifying areas for improvement • Conduct platform audits and usage reviews to ensure data quality, scalability, and business value Use your skills to make an impact Required Qualifications • Bachelor’s Degree in Business, Marketing, Computer Science, or related field • 5+ years of product management experience, with at least 2 years focused on enterprise Martech platforms • Hands-on experience with Adobe Experience Platform, including Real-Time CDP, Journey Optimizer, and Adobe Analytics • Strong understanding of customer data architecture, identity resolution, and personalization strategies • Proven ability to lead cross-functional teams and manage complex product initiatives • Excellent communication, analytical, and stakeholder management skills Preferred Qualifications • Experience in healthcare, insurance, or other regulated industries • Familiarity with agile methodologies and tools (e.g., Jira, Confluence) • Knowledge of data governance frameworks and consent management best practices Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $126,300 - $173,700 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 01-29-2026 About us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Developing and supporting cloud-based IVR and omnichannel APIs, collaborating with enterprise teams, and providing Tier 3 support. | At least 8 years of cloud-based coding experience, contact center or IVR system expertise, API development skills, and AI knowledge. | **Become a part of our caring community and help us put health first** Humana is seeking a self-driven and collaborative Lead Software Engineer to join our Interactive Voice Response (IVR) team. In this role, you will deliver innovative IVR solutions and develop robust omnichannel APIs for our enterprise platforms. You will have the opportunity to drive the success of a high-impact, customer-facing application within a Fortune 50 company, working closely with multiple teams throughout the software development lifecycle (SDLC). • *Lead Software Engineer – IVR & Omnichannel APIs** Humana is seeking a self-driven and collaborative Lead Software Engineer to join our Interactive Voice Response (IVR) team. In this role, you will deliver innovative IVR solutions and develop robust omnichannel APIs for our enterprise platforms. You will have the opportunity to drive the success of a high-impact, customer-facing application within a Fortune 50 company, working closely with multiple teams throughout the software development lifecycle (SDLC). • *Key Responsibilities:** + Collaborate with team members to track and plan agile work supporting core cloud infrastructure. + Partner with internal architecture and other enterprise teams to ensure a resilient, state-of-the-art cloud environment for a high-profile enterprise application. + Develop and deliver proofs-of-concept (POCs) and sample implementations for widespread adoption within agile teams. + Work with senior leadership to influence project timelines, deliverables, and strategic direction. + Provide Tier 3 support during critical, high-impact incidents to ensure rapid resolution and minimal disruption. Humana is committed to fostering a collaborative and innovative work environment that supports personal and professional growth. Join us to help build solutions that directly impact millions of customers. • *Use your skills to make an impact** • *Required Qualifications:** + At least 8 years of experience in coding and development on cloud-based platforms + Demonstrated experience with IVR systems or similar contact center technologies. + Proven hands-on development expertise with large-scale cloud solutions. + Strong background in designing and implementing API/Web Services. + Excellent analytical, communication, organizational, and problem-solving abilities. + In-depth knowledge of artificial intelligence (AI) implementation, testing, and monitoring processes. • *Preferred Qualifications:** + Bachelor’s degree or higher in computer science or a related field. + Google Cloud (GCP) Contact Center. + Experience with SQL and MongoDB databases. + Previous experience supporting applications at a Fortune 100 company. + Experience in creating MCP Servers • *Additional Information** To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested + Satellite, cellular and microwave connection can be used only if approved by leadership + Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. + Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information \#LI-Remote Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. • *Scheduled Weekly Hours** 40 • *Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $129,300 - $177,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. • *Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 01-29-2026 • *About us** Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. • *Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website. • *Become a part of our caring community and help us put health first** Humana is seeking a self-driven and collaborative Lead Software Engineer to join our Interactive Voice Response (IVR) team. In this role, you will deliver innovative IVR solutions and develop robust omnichannel APIs for our enterprise platforms. You will have the opportunity to drive the success of a high-impact, customer-facing application within a Fortune 50 company, working closely with multiple teams throughout the software development lifecycle (SDLC). • *Lead Software Engineer – IVR & Omnichannel APIs** Humana is seeking a self-driven and collaborative Lead Software Engineer to join our Interactive Voice Response (IVR) team. In this role, you will deliver innovative IVR solutions and develop robust omnichannel APIs for our enterprise platforms. You will have the opportunity to drive the success of a high-impact, customer-facing application within a Fortune 50 company, working closely with multiple teams throughout the software development lifecycle (SDLC). • *Key Responsibilities:** + Collaborate with team members to track and plan agile work supporting core cloud infrastructure. + Partner with internal architecture and other enterprise teams to ensure a resilient, state-of-the-art cloud environment for a high-profile enterprise application. + Develop and deliver proofs-of-concept (POCs) and sample implementations for widespread adoption within agile teams. + Work with senior leadership to influence project timelines, deliverables, and strategic direction. + Provide Tier 3 support during critical, high-impact incidents to ensure rapid resolution and minimal disruption. Humana is committed to fostering a collaborative and innovative work environment that supports personal and professional growth. Join us to help build solutions that directly impact millions of customers. • *Use your skills to make an impact** • *Required Qualifications:** + At least 8 years of experience in coding and development on cloud-based platforms + Demonstrated experience with IVR systems or similar contact center technologies. + Proven hands-on development expertise with large-scale cloud solutions. + Strong background in designing and implementing API/Web Services. + Excellent analytical, communication, organizational, and problem-solving abilities. + In-depth knowledge of artificial intelligence (AI) implementation, testing, and monitoring processes. • *Preferred Qualifications:** + Bachelor’s degree or higher in computer science or a related field. + Google Cloud (GCP) Contact Center. + Experience with SQL and MongoDB databases. + Previous experience supporting applications at a Fortune 100 company. + Experience in creating MCP Servers • *Additional Information** To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: + At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested + Satellite, cellular and microwave connection can be used only if approved by leadership + Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. + Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. + Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information \#LI-Remote Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. • *Scheduled Weekly Hours** 40 • *Pay Range** The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $129,300 - $177,800 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. • *Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 01-29-2026 • *About us** Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. • *Equal Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.
Utilize data to identify process improvements, perform root cause analysis, and create insightful visualizations to support strategic decision-making. | Requires extensive experience with large datasets, SQL, Power BI, and cross-functional project leadership, which are not evidenced in your background. | Become a part of our caring community and help us put health first The Senior Business Intelligence Engineer solves complex business problems and issues using data from internal and external sources to provide insight to decision-makers. The Senior Business Intelligence Engineer work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Senior Business Intelligence Engineer describes the tools, technologies, applications and practices used to collect, integrate, analyze, and present an organization's raw data to create insightful and actionable business information. This position will utilize data to identify process improvements by doing root cause analysis. This role will drive a better understanding of the data and what the data is showing. Additionally, this role will help in determining and maintaining our quality and controls methodology around data analytics. Use your skills to make an impact Required Qualifications Bachelor's degree Minimum 5 years of experience working with large datasets, Data Analysis, and reporting within large organizations Minimum 3 years of SQL experience Minimum 3 years of experience with Power BI or similar visualization tool Minimum 2 years of experience leading and guiding cross-functional projects with other business teams to solve complex company initiatives Experience creating analytics solutions for various healthcare sectors Experience analyzing data to solve a wide variety of business problems and create data visualizations that drive strategic direction Proficiency in verbal and written communication to senior and executive leadership Work-At-Home Requirements At minimum, a download speed of 25 mbps and an upload speed of 10 mbps is recommended; wireless, wired cable or DSL connection is suggested Satellite, cellular and microwave connection can be used only if approved by leadership Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Preferred Qualifications Advanced Degree in a quantitative discipline, such as Mathematics, Economics, Finance, Statistics, Computer Science, Engineering or related field Minimum 2 years of SSIS experience or similar ETL tools Minimum 2 years of Python experience Minimum 1 year of experience developing automations for business processes using scripting languages Additional Information As part of our hiring process for this opportunity, we may contact you via text message and email to gather more information using a software platform called HireVue. HireVue Text, Scheduling and Video technologies allow you to interact with us at the time and location most convenient for you. If you are selected to move forward from your application prescreen, you may receive correspondence inviting you to participate in a pre-recorded Voice, Text Messaging and/or Video interview. Your recorded interview will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $97,900 - $133,500 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. About Us Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
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