Jobs at Humana

Lead state advocacy and government engagement across CO, NM, and TX. Develop and execute political engagement plans; cultivate relationships with state officials and agencies; advance legislative, regulatory, and public sector priorities; manage consultants and trade associations; align advocacy with market growth; monitor state policy risks and opportunities; support procurement and provide timely policy insights to internal stakeholders.

Design and advance Humanas mobile-first member experiences across apps, web, SMS, notifications and emerging channels. Lead end-to-end journey design, apply user-centered research, create accessible interaction and visual designs, and collaborate with product, engineering, research, and stakeholders to drive engagement, adoption, retention, and measurable business outcomes.

Design, build, and deploy LLM-based applications and multi-step AI workflows (retrieval, orchestration, agents) using large-scale structured and unstructured data. Partner with engineering to productionize solutions, implement evaluation and safety measures, ensure compliance and data governance, and communicate results to technical and non-technical stakeholders.

Partner with channel leadership to own performance reporting, dashboards, and scorecards; analyze KPIs, identify risks and opportunities, deliver data-driven insights, support forecasting, target-setting, and compensation measurement, and drive continuous improvement and reporting automation across the assigned sales channel.

Lead product strategy for member engagement, retention, loyalty, and lifecycle across digital and assisted channels. Own retention, NPS, engagement, and lifetime value outcomes; build roadmaps, business cases, and AI-enabled experiences. Partner cross-functionally, run large-scale initiatives, and develop a team of Product Managers to improve customer experience and drive growth.

Design and optimize user-centered content for Humana's digital products. Own content for features and user journeys, simplify complex healthcare information, support information architecture and design systems, collaborate with cross-functional teams, and use research and analytics to iterate and improve accessibility, findability, and content performance.

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.

Maintain and build data products, pipelines, and automation to support care management and clinical programs. Integrate multiple data sources into single sources of truth, perform root cause analysis, and serve as a subject-matter expert for partner teams to drive clinical, operational, and financial insights.

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 product strategy and roadmap for Adobe Experience Platform to enable Next Best Action. Translate business and regulatory needs into product requirements, drive platform integrations, ensure data/consent governance, support cross-functional adoption, and measure KPIs to optimize personalization and activation across omnichannel touchpoints.

Supervise a team (14–25) supporting utilization management administration. Oversee daily operations, ensure policy compliance, provide training, resolve escalated issues, manage personnel performance and discipline, drive process improvements, communicate with staff, and remove obstacles to meet team goals.

Lead Medicare Part C compliance oversight: develop policies, research regulations, perform audits and monitoring, advise business and legal partners, manage regulator interactions and audit responses, track metrics and remediation, and support enterprise compliance initiatives.

Performs medical necessity and comprehensive medication reviews for pre-authorizations, analyzes medication care plans and utilization patterns, advises patients/providers to promote cost-effective, quality outcomes, and follows established utilization management guidelines.

Develop strategic, concept-driven creative across social (organic and paid), digital, video, print, OOH and internal channels. Lead end-to-end social content production, use research and performance data to iterate, present work to stakeholders, maintain brand standards, mentor peers, and leverage emerging tools including GenAI.

Lead content and creative strategy for a diverse brand portfolio, managing integrated acquisition and engagement campaigns. Partner cross-functionally and with external agencies to ensure campaign alignment with brand and business objectives, deliver measurable results using performance marketing and research insights, and oversee timelines, budgets, and enterprise brand launches while presenting to senior leadership.

Serve as a marketing data steward: define metadata, monitor and enforce data quality, validate campaign tracking, support audience logic and testing, and collaborate with marketing pods, data engineering, and analytics to enable measurable, reliable campaign insights.

Provide bilingual (English/Spanish) inbound customer support via phone, digital, and written channels. Resolve benefits and member inquiries, document interactions accurately, escalate when needed, follow policies and procedures, and manage semi-routine administrative and operational tasks to ensure quality service and customer satisfaction.

Builds and manages ETL processes and data pipelines in Azure Databricks using PySpark. Integrates data from multiple sources, tunes Spark and SQL for performance, troubleshoots pipeline failures, automates manual processes, and supports reporting and analytics to inform business decisions.

Senior BI Engineer develops scalable data pipelines and visualizations to support market and corporate leaders. Responsibilities include analyzing complex datasets, building Databricks pipelines, creating Power BI reports, mentoring teammates in low-code (Power Apps), and delivering data-driven insights to senior leadership to improve provider contract performance and related processes.

Design, validate, and deploy predictive models using claims, clinical, pharmacy, and lab data to improve population health, utilization management, and care quality. Partner with clinical and business teams, evaluate model performance, scale analytical approaches, and communicate insights to technical and non-technical stakeholders.