Jobs at Humana

Leads enterprise solution architecture for healthcare technology initiatives, including target-state architectures, reference patterns, governance, integrations, cloud and data platforms, and generative or agentic AI capabilities. Partners with product, engineering, security, compliance, and executive stakeholders to deliver scalable, secure, resilient solutions across healthcare ecosystems. Defines integration strategies, architecture roadmaps, non-functional requirements, and governance processes while guiding multi-team delivery in regulated HIPAA environments.

Develops business intelligence solutions by collecting, integrating, analyzing, and presenting data from internal and external sources. Designs data models, taxonomies, schemas, and governance rules; builds Power BI and Power Apps solutions; develops front-end interfaces; and provides actionable insights to decision-makers. The role requires independent technical judgment, performance tuning, and collaboration across healthcare-related systems. It is fully remote with Central or Eastern Time Zone hours and occasional office travel.

Leads enterprise architecture strategy by aligning business objectives, technology strategy, and IT portfolio execution. Guides modernization initiatives, cloud adoption, architecture standards, portfolio rationalization, and capability modeling. Collaborates with business, technical, and leadership teams to define current and future-state architectures, evaluate emerging technologies, reduce complexity and risk, and improve operational value. Provides mentorship to enterprise, solution, technology, and system architects while supporting agile delivery and enterprise architecture practice adoption.

Leads actuarial pricing activities, including setting assumptions, submitting bids, filing and certifying premium rates, and supporting new product and benefit implementation. Develops pricing tools, analyzes market-level financial results and projections, recommends pricing actions, and advises product development and executives. Ensures compliance with state and federal rating regulations while exercising independent judgment on complex pricing and strategic matters.

Owns digital communications product vision, roadmap, user stories, and backlog prioritization for Humana Military. Partners with stakeholders, customer-facing teams, and IT to enhance system functionality and leads Agile Scrum ceremonies, including sprint planning, standups, retrospectives, grooming, and demos. The remote role requires occasional travel, U.S. citizenship, interim government clearance approval, and experience with Azure DevOps and Agile methodologies.

Provides operational support, maintenance, monitoring, troubleshooting, and continuous improvement for Genesys Cloud, contact center, WFM, VoIP, SIP, and telecommunications platforms. Handles incidents, system administration, upgrades, change management, root cause analysis, documentation, disaster recovery, and 24x7 on-call support. Collaborates with carriers, vendors, internal teams, and stakeholders while improving service delivery through automation, scripting, AI, and workflow optimization.

Leads enterprise Data and AI strategy, use-case prioritization, governance, risk assessment, solution delivery, performance monitoring, and adoption. Partners with Finance, IT, Legal, Compliance, Privacy, Security, and business stakeholders to develop responsible AI and analytics solutions. Provides technical guidance on machine learning, generative AI, data requirements, prompt design, model selection, testing, and implementation. Creates training, communications, and reusable assets to improve AI literacy and adoption.

Leads Site Reliability Engineering and Application Reliability Operations Engineering teams supporting enterprise applications and platforms. Drives reliability, availability, resiliency, observability, automation, incident response, operational excellence, and proactive risk reduction across digital, enrollment, health, data, contact center, cloud, and vendor-supported services. Manages technical teams, strengthens operational accountability, oversees service health and systemic issue resolution, and partners across business and technology organizations to improve production reliability.

Leads large, complex, enterprise-wide programs across multiple workstreams and stakeholders. Responsibilities include program planning, governance, risk and dependency management, executive communication, cross-functional alignment, portfolio prioritization, and operational readiness. The role influences without direct authority, drives measurable business outcomes, establishes PMO standards, and mentors project managers to improve delivery capabilities and organizational maturity.

Leads complex commercial contract negotiations and manages high-value supplier agreements throughout their lifecycle. Advises stakeholders on contractual, commercial, operational, financial, compliance, and risk considerations. Partners with Legal, Procurement, Sourcing, Cybersecurity, Privacy, Finance, and business teams. Drives contract governance, process improvement, technology adoption, operational metrics, vendor oversight, and mentoring while supporting enterprise transformation initiatives.

Develops scalable analytics, dashboards, reporting, datasets, and decision-support solutions for Hub leadership. Translates ambiguous business questions into analytical approaches, KPIs, and actionable recommendations using SQL, Power BI, and Databricks. Supports data governance, stewardship, quality, definitions, documentation, and trusted data assets while partnering with Technology and business stakeholders to build future analytics capabilities.

Senior Product Owner supporting a Clinical Operations Agile team by defining and prioritizing requirements, writing user stories, managing the product backlog, facilitating iteration planning, accepting completed work, coordinating user testing, and communicating roadmap, progress, risks, and decisions to operational and technology stakeholders. The role serves as the primary connection between business teams and the scrum team while ensuring delivery within budget and deadlines.

Leads Humana’s enterprise capture and consent strategy, roadmap, governance, and cross-functional execution. Translates legal, privacy, and compliance requirements into business and technology priorities while coordinating Marketing, Technology, Data, Operations, and other partners. Establishes operating models, requirements, scorecards, and accountability mechanisms; prepares executive decision materials; and drives adoption and optimization of customer contact, consent, and preference capabilities across channels and vendors.

Leads enterprise Workday Compensation strategy, design, configuration, testing, implementation, optimization, and support. Serves as the subject matter expert for compensation planning, incentives, eligibility, salary structures, market adjustments, payments, and statements. Partners with HR, Compensation, Finance, Payroll, and Technology stakeholders, translates business requirements into scalable solutions, leads governance and release activities, troubleshoots production issues, advises senior leaders, and mentors configuration professionals.

Leads the strategy, development, launch, and optimization of clinical pharmacy products across CenterWell Pharmacy and Specialty Pharmacy. Owns product requirements, metrics, prioritization, stage-gate decisions, launch planning, vendor coordination, and continuous improvement. Partners with clinical, legal, IT, operations, sales, and executive stakeholders to deliver compliant, scalable pharmacy solutions supporting care delivery, medication adherence, therapy management, and patient engagement.

Leads strategic and operational cyber threat intelligence analysis, prioritizing threat actors, assessing current and emerging risks, and translating findings into actionable countermeasures. Produces intelligence assessments and executive briefings, partners with detection, SOC, vulnerability management, and other security teams, and improves CTI tradecraft and workflows. Applies AI, automation, structured analytic techniques, and data analysis to enhance intelligence production, anticipate threats, and support security strategy.

Analyzes complex internal and external data using data mining, predictive modeling, forecasting, and optimization to guide business decisions, improve patient experiences, and drive revenue growth. Presents insights to senior leadership and collaborates with analytics, technology, product, finance, and patient experience teams. The role is remote with occasional travel for training or meetings.

Analyzes and forecasts financial, economic, market, and healthcare data, with a focus on Lifetime Value and Net Present Value modeling. Builds and maintains models using SAS, Snowflake, SQL, and Databricks; establishes metrics; ensures data integrity; investigates anomalies; and supports strategic and operational decisions. Partners with actuarial, finance, marketing, sales, and strategy teams while advising executives on complex analytical issues.

Owns day-to-day operations, onboarding, production support, performance, and continuous improvement for Humana’s FHIR APIs and healthcare interoperability products. Coordinates with product, IT, security, architecture, compliance, and external partners to manage incidents, escalations, support models, operational metrics, documentation, and backlog enhancements. The role leads cross-functional initiatives, supports regulatory reporting, improves partner connectivity and onboarding, and mentors product teams.

Build, deploy, and operate production machine learning and decisioning pipelines for Humana’s Decision Intelligence Platform. Responsibilities include MLOps, feature engineering, scoring workflows, monitoring, optimization-aware decisioning, reinforcement learning, simulation, constrained optimization, and large-scale data processing. The role partners with engineering and product teams to deliver reliable, scalable, auditable systems while addressing clinical eligibility, operational constraints, policy failure modes, and regulated-domain requirements.