Humana

Human Resources

• Lead the people management agenda aligned to Medicaid RFP/RFI/RFA responses
• Stand up markets and support current markets in collaboration with the aligned HR Business Partner Lead
• Act as a facilitator for the company’s management team
• Serve as a single point of contact for business and HR partners across the Retail segment
• Support Medicaid RFA/RFI/RFP responses and the subsequent stand-up or change of markets
• Collaborate across Medicaid, HR, and shared services to support successful bids and market operations
• Lead strategy supporting the growth and operation of the Medicaid line of business and superior member care delivery
• Identify, document, and implement HR best practices across Medicaid
• Identify gaps, propose and implement changes to cover risks
• Drive performance improvement and positive changes in people management
• Lead change management projects
• Facilitate HR-related internal and external communication
• Influence department strategy and make decisions regarding technical approaches for project components
• Work independently and determine objectives and approaches to assignments

Senior HR Business Partner

Security Engineer

• Design security architecture elements to mitigate current and emerging threats
• Identify gaps in existing enterprise/EIP reference architecture and design updates
• Perform and oversee vulnerability testing, risk analysis, and security assessments
• Ensure stakeholder security requirements are addressed in enterprise architecture
• Align security architecture and infrastructure with business and technology priorities
• Perform application security assessments and threat modeling
• Enforce security design patterns within a modern SDLC
• Determine security architecture requirements by evaluating business strategies and requirements
• Propose solutions addressing business segment security risks and gaps
• Serve as a point of contact for business segment stakeholders
• Communicate secure design and development principles
• Improve security designs to reduce post-development vulnerabilities
• Influence stakeholders to correct security deficiencies in designs and code
• Provide solutions that address security deficiencies while preserving business and technical functionality
• Automate and standardize applicable processes

Lead Security Architect

Full-stack Engineer

• Code software applications based on business requirements
• Standardize software quality assurance procedures
• Oversee testing and debugging and develop fixes
• Research complaints and make adjustments or recommendations to resolve complex software issues
• Influence department strategy
• Make decisions regarding technical approaches for project components
• Determine objectives and approaches to assignments independently
• Collaborate with business partners, solution architects, and application architects in designing software solutions
• Occasionally travel to Humana offices for training or meetings

Senior Software Engineer – Workday

Advisor

• Lead strategic projects and workstreams addressing workforce, talent, organizational, and HR transformation opportunities
• Partner with HR and business leaders to diagnose complex challenges and define objectives, decision points, and success measures
• Conduct and synthesize quantitative and qualitative analysis using internal data, external research, leading practices, and stakeholder perspectives
• Develop enterprise-level strategies, roadmaps, business cases, and implementation considerations
• Facilitate interviews, working sessions, and cross-functional discussions
• Create executive-level presentations, written narratives, and decision materials
• Coordinate across HR centers of excellence, HR business partners, technology, finance, and business teams
• Establish governance, milestones, and performance measures; monitor progress and risks and recommend adjustments
• Evaluate and prioritize new requests based on strategic alignment, enterprise impact, feasibility, and expected value
• Contribute to a collaborative, fact-based team culture
• Report to an Associate Director
• Travel based on business need

Strategy Advancement Advisor

Financial Planning and Analysis

• Manage data to support and influence decisions on day-to-day operations, strategic planning, and business performance issues
• Collate, model, interpret, and analyze clinical and financial data
• Identify, explain, and influence variances and trends
• Enhance modeling techniques to improve forecast accuracy
• Explain variances and trends in clinical and financial data
• Make decisions regarding work methods with minimal direction
• Follow established guidelines and procedures

Financial Analytics Professional

Nurse

• Review prior authorization requests for appropriate care and setting
• Follow guidelines and policies to approve services or forward requests to the appropriate stakeholder
• Complete medical necessity and level of care reviews using clinical judgment
• Refer cases to team members for review based on findings
• Educate providers on utilization and medical management processes
• Enter and maintain clinical information in medical management systems
• Interpret department, segment and organizational strategy and operating objectives
• Make independent decisions regarding work methods and follow established procedures
• Occasionally travel to Humana offices for training or meetings

Pre-Authorization Nurse

Community Manager

• Represent Humana Military in administering TRICARE services within a defined East Region territory
• Provide guidance to nationally contracted healthcare providers and support facilities with footprints across East and West Regions
• Develop and sustain relationships with National Health System providers and large health systems
• Explain the TRICARE health plan, policies, regulations, and Military Health System navigation
• Manage time, set priorities, address inquiries, and resolve straightforward and complex provider problems
• Support customer service, conduct outreach, maintain network adequacy and access to care
• Manage provider relations and education within the assigned area
• Review, investigate, and resolve TRICARE inquiries, complaints, and concerns from beneficiaries, providers, and government personnel
• Support implementation of Alternative Payment Methodologies and Demonstration Pilots advancing value-based care
• Maintain clear communication and accountability with stakeholders
• Assess provider capacity and address network gaps
• Deliver guidance to TRICARE beneficiaries, Medical Treatment Facility staff, government officials, and civilian healthcare providers
• Complete documentation, transaction processing, and reporting accurately and timely
• Perform other duties requested by the supervisor consistent with company objectives

Regional Senior TRICARE Community Liaison

Pharmacist

• Develop, implement, and manage clinical program strategies to improve Medicare members' medication adherence and appropriate medication use
• Support Humana's Stars patient safety measure performance
• Exercise independent judgment and decision-making on complex issues
• Analyze variable factors and determine the best course of action
• Work autonomously under minimal supervision
• Collaborate with the Pharmacy Stars team
• Facilitate and consult across teams
• Manage projects
• Occasionally travel to Humana offices for training or meetings

Clinical Pharmacist Lead – Pharmacy Stars

• Identify, define, and develop security architecture requirements and secure designs for AI technology solutions across business, information technology, and security domains
• Lead development of technical architectures and designs
• Develop security requirements and perform threat modeling
• Align security and risk imperatives with business priorities
• Design high-level security program infrastructure and security architecture patterns
• Plan, design, and propose security enhancements for information security and technology infrastructures
• Reconcile business priorities with security requirements
• Identify current and emerging security threats and design architecture elements to mitigate them
• Identify gaps in existing reference architecture and update impacted security architecture elements
• Oversee threat modeling, risk analyses, and security assessments of enterprise and EIP infrastructure
• Develop and manage security requirements for GenAI, models, MCP, Agentic AI solutions, and software integrations with Humana systems
• Ensure security requirements are addressed across enterprise architecture, including reference models, segment architectures, and solution architectures
• Establish AI security standards, templates, safeguards, and controls for Humana's AI application architecture
• Identify opportunities for process and tooling automation within existing security architecture patterns
• Participate in research, evaluation, and implementation of AI testing tools, frameworks, and utilities
• Collaborate with EIP Department leaders, Humana enterprise stakeholders, and relevant EIP stakeholders

Senior AI Security Architect

QA Automation Engineer

• Identify and implement hardware and software solutions to improve high-quality automation infrastructure
• Design, program, simulate, and test automated processes
• Produce detailed design specifications and related documentation
• Design, develop, and maintain UI and API test automation frameworks
• Integrate automated tests into CI/CD pipelines
• Partner with software engineers, product owners, and QA teams to improve release quality in a SAFe Agile environment
• Use AI-assisted development tools, including Claude Code, to enhance automation productivity
• Analyze test results and drive defect resolution
• Create reusable automation patterns and best practices

Automation Engineer

Product Manager

• Guide in-flight products that improve the customer journey and create meaningful healthcare experiences
• Partner with business, technology, and design stakeholders to align priorities and solve complex problems
• Help teams deliver high-quality outcomes and practical, human-centered solutions
• Use data and customer insights to guide product decisions
• Build trust across organizations and navigate ambiguity
• Break down complex business and technical problems into product roadmaps, epics, and user stories
• Write complete user stories with acceptance criteria
• Support story acceptance and take responsibility for acceptance testing
• Work across Technology and business organizations to strengthen collaboration and deliver healthcare solutions

Senior Product Manager

General

• Own all aspects of software or hardware product delivery and performance
• Work with design engineering and test teams to drive products from design completion to volume production release
• Perform engineering tests to verify and validate product designs
• Support product evaluation and qualification on leading-edge technology components
• Ensure production schedules are followed and products meet specifications and quality requirements
• Interact with product engineering, quality, manufacturing and marketing teams
• Analyze and provide technical support to resolve customers' product-related problems and issues
• Advise executives on functional strategies, often segment-specific, on significant matters
• Exercise independent judgment and decision-making on complex issues
• Work under minimal supervision
• Travel occasionally to Humana offices for training or meetings

Lead Technology Leadership

Operations

• Research best business practices internally and externally to establish benchmark data
• Define and lead business improvement projects aligned with business strategies and operational priorities
• Collect and analyze process data to recommend practices focused on member experience, productivity, efficiency, and cost reduction
• Determine how information technologies can support business process re-engineering
• Design, implement, and improve business processes across designated areas
• Own and deliver a portfolio of process improvement projects achieving quantifiable annual cost savings
• Analyze process effectiveness using industry benchmarks and business strategy
• Partner with operations leadership to quantify initiatives improving cost, quality, and outcomes
• Influence leadership and cross-functional partners through data-driven insights and storytelling
• Develop projects using DMAIC, PDCA, Kaizen, or other appropriate process improvement methodologies
• Identify project risks and escalate issues
• Monitor project performance metrics for cost, efficiency, and quality objectives
• Validate and report financial impact, including hard and soft savings
• Indirectly lead cross-functional teams to achieve and sustain project objectives

Senior Process Improvement Professional

Business Intelligence Developer

• Design and maintain BI dashboards and analytic solutions from end-to-end
• Partner with leaders to define KPIs and reporting that support business operations and strategy
• Ensure data accuracy, auditability, and traceability for regulatory reporting
• Optimize SQL queries and BI models for large-scale datasets
• Implement data governance standards including metric definitions and documentation
• Improve delivery processes, tools, and metrics to increase efficiency
• Serve as a trusted advisor to leaders through clear, data-driven communication and reporting
• Develop complex, cross-functional reporting from conception through delivery in partnership with stakeholders
• Occasionally travel to Humana offices for training or meetings

Senior Business Intelligence Engineer

Project Manager

• Manage all aspects of cross-functional programs and projects to deliver sustainable business outcomes on time and within budget
• Support the Insurance organization in a Shared Services capacity
• Work with business owners and project sponsors to define project scope
• Create project charters with defined milestones and develop implementation approaches and project plans
• Identify impacted stakeholders, secure resources, facilitate meetings, and coordinate activities to achieve business objectives
• Manage all phases of the project lifecycle, including feasibility, design, build, test, deploy, and close
• Apply internal processes and enforce project standards, including Charters, RACI Matrices, Status Reports, Project Plans, and Risk/Issues Tracking
• Prepare and understand business case information
• Write project deliverables with business owners
• Build plans covering scope, time, costs, quality, human resources, communications, risks, procurement, and stakeholders
• Coordinate project plans toward deliverables
• Oversee execution of planned work by team members
• Communicate with stakeholders through executive leadership levels to manage engagement
• Review expectations and deliverables prepared by senior leadership and business owners
• Develop meeting agendas, project documentation, and action items
• Facilitate regular status meetings with business owners, project teams, and steering committees
• Report progress on project deliverables and milestones
• Identify risks and formulate mitigation plans
• Resolve or escalate issues in a timely manner
• Conduct procurements and close contracts
• Ensure quality reviews for work products
• Obtain customer acceptance of project deliverables
• Prepare transition activities to sustain results, realize benefits, and complete organizational change management
• Document and archive project knowledge
• Redisperse team members upon project close
• Identify the need for Change Management and advocate for insertion points
• Interpret ADKAR model results and barrier points
• Use Microsoft Outlook, Teams, PowerPoint, Word, Excel, and Visio or comparable process mapping tools