Jobs at Humana

Lead the design, development, and deployment of scalable digital platforms and AI-enabled solutions. Mentor engineers and collaborate with cross-functional teams on technical architecture and engineering vision.

Provide non-clinical administrative support for care management and utilization management: create authorizations, assist assessment/evaluation of member needs, handle billing/claims/authorization tasks, and provide customer and operational support. Hybrid role with occasional schedule flexibility reporting to UM Administration Supervisor.

Lead technology strategy and delivery for healthcare products, managing engineering teams and Scrum Masters. Drive cloud-native application development, operational excellence, observability, incident prevention, and AI-first automation. Own project planning, budgets, staffing, documentation, code reviews, and stakeholder alignment from design through deployment and maintenance.

Support Humana's Corporate Strategy team by conducting market and competitive research, building quantitative and financial models, synthesizing findings into executive-level recommendations and presentations, and converting strategy into prioritized roadmaps and business cases while collaborating cross-functionally.

Lead the design, structuring, and governance of Humana's cyber threat intelligence. Own Anomali ThreatStream administration, integrations, data quality, and collection management. Build pipelines and APIs to make CTI usable by analysts and AI/automation, and partner with stakeholder teams to optimize CTI for detection, SOC, and vulnerability workflows.

Lead and deliver high-priority strategic projects across the enterprise: analyze growth opportunities, build business cases, develop market and competitive strategies, translate recommendations into implementation plans, mentor analysts, and collaborate with senior leaders including the CEO and Executive Leadership Team.

Support enterprise strategic initiatives by conducting quantitative and qualitative analyses (financial modeling, market research, competitive assessments), developing executive-level presentations, evaluating growth and M&A/partnership opportunities, advising business leaders, and collaborating across functions to set long-term strategy and operational improvements.

Design and develop enterprise application architectures aligned with enterprise standards. Lead technical planning, create architecture artifacts, evaluate integrations, define specifications, and guide teams on APIs, microservices, containers, cloud, event-driven and secure design practices. Influence strategy and make technical decisions for complex projects.

Lead design and delivery of scalable, secure AI/GenAI applications: gather requirements, architect LLM-driven solutions (RAG, vector DBs, prompt engineering), build resilient microservices and pipelines, ensure Responsible AI and healthcare compliance, coordinate testing and production readiness, and lead cross-functional teams and vendors to achieve business value.

Lead Solutions Architect provides architecture leadership for CenterWell Home Health, owning reference architectures, integrations, governance, and delivery enablement across cloud, data platforms, AI/agentic systems, and interoperability with Humana.

Configure, tune, and operate Microsoft Purview and Proofpoint ITM to detect and investigate insider threats. Triage alerts, reduce false positives, support eDiscovery, correlate telemetry with SIEM/EDR, automate policy deployment with KQL/PowerShell/Graph API, track KPIs, and ensure controls meet HIPAA/HITRUST/PCI-DSS/SOC2 requirements while partnering with Security Operations, HR, Legal, and compliance stakeholders.

The Senior Business Information Architect leads the enterprise's information landscape through strategic architecture, metadata management, and collaborative governance while ensuring alignment with business requirements and regulatory standards.

Lead enterprise Anaplan architecture and integrations for Finance and HR. Design models, governance, security, and integrations with systems (Workday, SAP, Oracle, Snowflake). Mentor architects, manage ALM, build reporting (Power BI/Tableau), drive platform strategy, ensure data governance and compliance, and support adoption across stakeholders.

Lead architecture for CenterWell programs, define reference architectures, govern solution designs, enable AI/ML (agentic) integrations across cloud/data platforms, ensure compliance and delivery readiness, and collaborate with product, engineering, security, and executive stakeholders.

Lead technical product vision and hands-on prototyping for enterprise AI solutions (LLMs, GenAI). Collaborate with engineers, data scientists, and business leaders to discover, validate, pilot, and scale governed AI products, author reusable frameworks, benchmark models, and guide solutions through enterprise AI governance.

Lead a team of provider relations associates to manage and grow relationships with LTSS and Medicaid providers. Oversee training, performance management, triage provider inquiries (claims, prior auth, referrals), ensure compliance with state managed care requirements, coordinate cross-departmentally, and support provider enrollment, reimbursement, and dispute resolution to deliver a high-quality provider experience.

Manage end-to-end delivery of cross-functional Medicaid clinical operations projects: define scope, timelines, and metrics; mitigate risks; coordinate governance and stakeholder communications; ensure operational readiness, compliance, and adoption; apply PM methodologies and continuous improvement.

Lead evaluation, contracting, and implementation of HIT vendors for Humana's PBM. Coordinate cross-functional teams, manage vendor relationships, oversee operational transitions, and advise executives on functional strategy to deliver technology and process improvements that enhance member outcomes.

Lead acquisition, cleaning, validation, storage and protection of datasets to support reporting and analysis. Design and execute data architectures, policies and ETL pipelines (SSIS, ADF) using cloud platforms (Azure Synapse, Snowflake, Databricks). Deliver dimensional models, visualizations, and lifecycle governance to make complex data accessible and drive business insights.

Analyze and forecast financial, economic, and market data to support Medicare Advantage underwriting margin forecasts. Own assumption inputs and reasonableness checks, collaborate with data suppliers to troubleshoot and perform root cause analysis, present monthly results to stakeholders, and enhance forecasting methodology with plans to expand models to other lines of business.