Humana

Full-stack Engineer

• Lead full stack engineering strategy and execution across UI, APIs, and data platforms
• Define architectural direction and standards for code quality, scalability, and maintainability
• Select frameworks, languages, and platforms across engineering layers
• Approve architectural patterns, cloud strategy, and integrations
• Identify opportunities to refactor, modernize, or retire legacy systems
• Drive delivery across multiple engineering teams through sprint planning, dependency management, risk mitigation, and blocker removal
• Prioritize feature development, platform investments, and technical debt
• Make trade-offs on scope, timelines, and resource allocation
• Ensure predictable, high-quality delivery
• Define and enforce testing, code review, and performance standards
• Establish release-readiness criteria and approve production deployments
• Guide security, compliance, and data protection strategies
• Serve as senior escalation point for critical system issues
• Diagnose and resolve complex cross-stack production incidents
• Lead incident decisions including rollback, hotfix, and root-cause remediation
• Direct engineering resources during high-severity events
• Drive solutions that improve system resilience and reduce incident frequency
• Partner with Product, UX, QA, Platform, Architecture, and executive teams on roadmaps and priorities
• Translate business requirements into technical execution plans
• Coordinate cross-team dependencies and communicate risks, trade-offs, and system impacts
• Drive investment decisions in automation, tooling, observability, and platform improvements
• Lead initiatives to reduce operational toil and improve developer experience
• Mentor and develop tech leads and senior engineers
• Provide coaching, feedback, and performance guidance
• Influence hiring strategies and succession planning
• Lead application rationalization, API onboarding, vendor-product elimination, and Cloud 3.0 migration initiatives
• Support modernization toward cloud-native architectures

Lead Full Stack Engineer

Financial Planning and Analysis

• Manage a team reviewing value-based providers’ financial performance, membership, cost and utilization trends, contractual results, and improvement opportunities
• Lead financial preparation for provider engagement sessions before joint operating committee meetings
• Advise the Network Performance team on contract performance and improvement opportunities
• Lead analysis and reporting on value-based provider and contract performance
• Analyze financial results, utilization, claims experience, membership, operational trends, risk adjustment impacts, medical cost drivers, and provider contract performance
• Drive optimization of Medicare Advantage performance through data analytics and cross-functional collaboration
• Support regional bid strategy, product positioning, and competitive analytics
• Align with Corporate Finance on monthly value-based provider accruals and financial close
• Establish cross-functional relationships to deliver recurring and ad hoc initiatives accurately and effectively
• Serve as a strategic finance partner to regional leadership
• Use independent judgment to address complex financial and operational issues with minimal supervision
• Build relationships with internal stakeholders and external provider partners
• Monitor company initiatives and assess financial and operational impacts across the market
• Travel occasionally to Humana offices for training or meetings

Market Finance Lead

Assistant

• Contribute to administration of care management
• Provide non-clinical support for assessing and evaluating members' needs
• Guide members and families toward appropriate care and well-being resources
• Facilitate interaction with resources supporting member care and well-being
• Perform varied, moderately complex administrative, operational, and customer support assignments
• Perform computations
• Interpret department policies and methods for completing assignments
• Identify work expectations and quality standards within defined parameters
• Prioritize and schedule assignments with some latitude
• Work onsite 1 to 2 days per week at the Schaumburg or downtown Chicago office
• Attend occasional Humana office travel for training or meetings

Care Management Support Assistant

Operations

• Analyze and measure the effectiveness of existing business processes
• Develop sustainable, repeatable, and quantifiable business process improvements
• Research best business practices within and outside the organization to establish benchmark data
• Collect and analyze process data
• Initiate, develop, and recommend business practices and procedures focused on enhanced safety, increased productivity, and reduced cost
• Determine how new information technologies can support business re-engineering
• Specialize in benchmarking, business process analysis and re-engineering, change management and measurement, and/or process-driven systems requirements
• Influence department strategy
• Make decisions regarding technical approaches for project components
• Determine objectives and approaches to assignments with considerable latitude
• Travel less than 5% as business needs require

Senior Process Improvement Professional

Human Resources

• Lead the people agenda for Humana Healthy Horizons by aligning talent strategy with business strategy
• Translate business priorities into organizational, leadership, workforce, talent, and culture outcomes
• Enable performance across run-the-business and grow-the-business agendas
• Serve as a trusted accountability partner to senior leaders
• Shape business decisions through workforce and organizational insight
• Own HR workstreams and people-related content for Medicaid bid responses and procurement activity
• Lead HR readiness and execution for awarded business, major program implementations, and market expansion
• Own strategic workforce planning, capability planning, workforce readiness, succession planning, and talent risk assessment
• Lead organizational assessment, diagnosis, design, and role-definition work
• Assess leadership capability and effectiveness and own talent strategy
• Provide executive coaching and counsel
• Assess organizational health and lead culture, change, engagement, retention, and accountability initiatives
• Integrate enterprise HR capabilities and coordinate HR Centers of Excellence
• Define ownership, sequence work, resolve gaps, and maintain accountability for outcomes
• Monitor workforce and organizational risks through resolution

Director, HR Business Partner – Medicaid

• Perform software engineering activities across all layers of the stack, from database setup through back-end programming and front-end presentation
• Participate in all stages of software development, including front-end, back-end, database integration, network and hosting management, UI/UX, and back-end server management
• Work with cloud-based services and end-to-end development
• Contribute to technical architecture reviews and design, and present technical vision
• Evaluate problems strategically and tactically
• Mentor and coach a small team of engineers
• Drive technical change and develop innovative solutions
• Partner with business stakeholders to define technical direction and work cross-functionally
• Deliver business-critical systems and components with high quality
• Perform hands-on platform, backend, and frontend development
• Review pull requests and provide constructive feedback
• Investigate and propose new ideas, frameworks, technologies, and processes
• Communicate updates and resolutions to customers and other partners
• Report to the Associate Director of Software Engineering
• Travel occasionally to Humana offices for training or meetings

Senior Full Stack Software Engineer

Sales

• Lead field execution of strategic sales initiatives
• Support channel initiatives, product launches, and training deployments
• Guide field teams through workflows and escalate issues when necessary
• Support career field channel initiatives to drive regional performance
• Lead sales operations activities including territory alignment, resource allocation, and performance reporting
• Prepare reports and presentations for sales leadership, including performance dashboards and forecasts
• Use in-market data to identify trends, opportunities, and risks and translate insights into action
• Standardize processes for consistent and efficient field execution
• Collaborate with Marketing, Compliance, Sales Training, Product, Reporting & Analytics, and HR
• Align and communicate between corporate functions and field sales teams
• Liaise with internal channel leadership and external vendors or agencies when needed
• Recruit, hire, and onboard Sales Support Professionals
• Coach direct reports and provide performance management and career development
• Establish team goals, track performance metrics, and drive accountability
• Build a culture of engagement, continuous improvement, and high performance

Sales Support Manager

Coach

• Manage members' health issues using telephonic strategies, approaches and techniques
• Identify and resolve barriers that hinder effective care
• Monitor patient care through assessments, data, conversations with members and active care planning
• Ensure patients progress toward desired outcomes
• Guide members and families to essential health and social service resources
• Make decisions regarding work approach and priorities while following established guidelines, procedures, regulations and professional standards
• Participate in HireVue interviewing as part of the hiring process
• Occasionally travel to Humana offices for training or meetings

Care Coach

Product Manager

• Define and own a unified cross-segment product roadmap across Pharmacy, Primary Care Organization, Home Solutions, and Humana Military
• Establish and maintain reference architectures, design patterns, and integration standards across CenterWell segments
• Conduct cross-segment discovery sessions, design workshops, and architecture reviews
• Own and prioritize top-level product backlogs for shared platforms
• Partner with segment product owners to decompose initiatives into delivery-ready user stories with acceptance criteria and non-functional requirements
• Define integration contracts, API standards, and domain boundaries for cross-segment data flows
• Lead architecture checkpoints and risk reviews
• Represent the combined product and architecture perspective in governance forums including ARB, TRB, and MOR
• Translate product vision into architectural runways and delivery-ready specifications
• Identify and steward opportunities for component and pattern reuse
• Build business cases for platform consolidation
• Serve as primary liaison among segment business leaders, engineering leads, EA Activation, security, data, and enterprise CIO teams
• Ensure designs conform to security, privacy, HIPAA/PHI, ONC interoperability, and DoD/TRICARE data requirements
• Ensure observability, data lineage, and end-to-end data protection for shared data assets
• Evangelize shared capabilities over duplicated builds and reduce long-term technical debt
• Translate complex architectural and product decisions for delivery teams and executives

Principal Product Owner – Architect

General

• Assess and evaluate members' needs and requirements
• Meet members in their locations and assess needs and barriers
• Connect members and families with appropriate care, wellbeing, and community resources
• Administer ongoing long-term services and support (LTSS) assessments using person-centered approaches
• Contact members telephonically and/or in person to establish goals and priorities
• Evaluate resources and develop plans of care
• Identify LTSS providers and community partnerships
• Develop and modify service plans with applicable care team members
• Support members with LTSS, environmental, social, housing, educational, and other service navigation
• Use available member information to avoid duplicative assessments
• Assist members in maintaining Medicaid eligibility
• Collaborate with Medical Director, Geriatrician, and Care Coordinator to ensure cohesive service delivery and positive outcomes

Field Service Coordinator

• Define and execute product strategy, vision, and roadmap for Medication Experience and Pharmacy Solutions
• Identify member, business, and operational opportunities through research, analytics, VOC, and stakeholder insights
• Lead product discovery to validate problems, opportunities, and solutions before development
• Develop business cases and recommendations aligned with customer and business outcomes
• Own end-to-end product delivery, including epics, features, user stories, acceptance criteria, prioritization, and release planning
• Partner with Engineering, Design, Analytics, Pharmacy, Clinical, Compliance, and Operations teams
• Define and manage KPIs, OKRs, success metrics, and experimentation strategies
• Monitor performance, identify optimization opportunities, and drive continuous product improvement
• Influence decisions across teams and stakeholders without direct authority
• Mentor and elevate product management practices across the organization
• Improve member understanding and utilization of prescription benefits
• Drive measurable improvements in member experience, digital engagement, affordability, and business outcomes
• Establish trusted cross-functional partnerships and use customer evidence, operational insights, and measurable outcomes to guide decisions
• Occasional travel to Humana offices for training or meetings may be required

Lead Product Manager – Medication Management Experience

• Contribute to meaningful, enterprise-level work across business functions
• Translate priorities in primary care and clinical innovation into action
• Support strategic planning and business case development
• Coordinate cross-functional initiatives
• Improve processes and support portfolio execution and transformation
• Contribute to initiatives strengthening clinical performance
• Advance technology-enabled care
• Improve operational efficiency and deliver greater value for patients and the enterprise
• Support sound governance and continuous improvement
• Complete meaningful project work connected to business goals, customer needs, and organizational priorities
• Contribute to projects involving data-informed decision-making, innovation, and process improvement
• Engage with executive leaders through presentations, networking activities, and program experiences
• Participate in onboarding, orientation, leadership development, and career-readiness activities

MBA Internship – Primary Care & Clinical Innovation

• Develop and maintain solutions supporting secure and reliable file transfers between external partners and internal systems
• Design, configure, and support integrations between Hyland OnBase, the organization's Record Management System, and web applications
• Enable efficient file upload and download capabilities, document management, and business process automation
• Administer, configure, and integrate Hyland OnBase
• Troubleshoot complex issues
• Gather and translate requirements
• Document technical solutions
• Collaborate across teams to ensure secure, compliant, and reliable system performance
• Report to the Associate Director, HGB IT Platform and Foundational Services for Humana Military

OnBase Software Engineer

Medical Director

• Determine authorization for requested services, level of care, and site of service
• Perform medical necessity and coverage reviews in compliance with regulatory standards, CMS requirements, Medicare and Medicare Advantage guidelines, clinical criteria, Humana policies, and contractual obligations
• Conduct computer-based reviews of moderately complex to complex clinical cases, primarily involving inpatient and post-acute care
• Evaluate services against national guidelines, clinical standards, CMS requirements, and internal policies
• Prioritize and manage daily case review workload to meet compliance-driven turnaround times
• Communicate utilization review decisions and clinical determinations to internal associates and stakeholders
• Collaborate with external physicians to obtain clinical information, discuss determinations, support peer-to-peer reviews, and resolve conflicts during adverse determination discussions
• Participate in care management activities supporting quality outcomes, care coordination, and resource utilization
• Provide oversight or input on coding, clinical documentation, grievance and appeals processes, and outpatient services and equipment reviews
• Collaborate with internal teams, cross-functional partners, Humana colleagues, and regional health services leadership
• Engage with contracted physicians, physician groups, facilities, and community organizations
• Contribute to value-based care, population health, disease management, and care management initiatives
• Work independently after mentored training while meeting quality, consistency, productivity, documentation, and compliance expectations
• Conduct utilization management reviews for members within an assigned market, member population, or clinical condition
• Participate in grievance and appeals reviews, project teams, and organizational committees as applicable

Medical Director – OP Medicare

• Initiate, negotiate, and execute dental provider contracts and agreements
• Recontract Humana contracted dentists to the new agreement
• Communicate contract terms, payment structures, and reimbursement rates to providers
• Maintain contracts and documentation within a tracking system
• Assist with identifying and recruiting providers based on network composition and needs
• Make decisions regarding work methods and determine appropriate courses of action
• Follow established guidelines and procedures
• Work on special projects as needed