Jobs at Humana

Leads strategic sourcing, procurement, category management, and outsourcing initiatives from opportunity assessment through negotiation, contracting, and value realization. Develops multi-year sourcing strategies, conducts RFIs/RFPs/RFQs, builds financial business cases, negotiates complex contracts, and manages strategic supplier performance. Partners with executives and cross-functional teams to optimize spend, mitigate risk, improve supplier outcomes, and advance responsible sourcing.

Own regional Medicare Advantage product portfolios across strategy, CMS bid filings, benefit configuration, member materials, provider directory oversight, implementation, and enrollment readiness. Lead cross-functional partners, maintain filing and product accuracy, identify risks and dependencies, develop recommendations, and ensure compliant, timely execution. The role requires strong product judgment, analytical ability, detailed documentation, and influence without formal authority.

Leads a team of Insurance Product Managers supporting Medicare Advantage portfolios. Oversees resource allocation, product validation, testing, filings, implementation, regulatory readiness, quality controls, and delivery across shared-service workflows. Partners with Senior Product Managers, Compliance, Operations, Marketing, Claims, and regional teams to manage risks, improve processes, standardize operations, and ensure accurate, compliant deliverables. Coaches employees, monitors performance metrics, and drives accountability during deadline-driven Medicare Advantage and CMS regulatory cycles.

Leads enterprise readiness strategies for healthcare implementations, modernization, decommissioning, operational transformation, and service response initiatives. Partners with business, technology, clinical, and operational stakeholders to assess impacts, mitigate risks, establish governance, manage transitions, and drive adoption. Oversees implementation through stabilization and continuous improvement while supporting operational recovery and executive decision-making.

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.

Analyzes and forecasts financial, economic, market, and utilization data to support strategic and operational decisions. Develops financial projections for Utilization Management programs, establishes metrics, maintains data integrity, troubleshoots anomalies, conducts root cause analysis, and advises executives on complex issues. The role requires actuarial credentials, experience across multiple actuarial functions, strong communication skills, and independent judgment. This is a fully remote position with occasional travel for training or meetings.

Leads enterprise platform modernization and transformation initiatives from planning through delivery. Establishes governance, integrated roadmaps, dependency and risk management, resource planning, organizational readiness, and executive reporting. Partners with senior leaders and cross-functional teams across business, technology, operations, vendors, and external stakeholders. Drives decision-making, change management, adoption, strategic alignment, and value realization while improving delivery methods and organizational effectiveness.

Develop and maintain data pipelines, datasets, dashboards, paginated reports, PowerApps solutions, Power Automate workflows, and Databricks data engineering processes. Translate ambiguous business needs into scalable analytics solutions, write complex SQL, support reporting and data modernization, and contribute to AI/ML initiatives. Collaborate with technical and non-technical stakeholders while delivering actionable insights and automated workflows.

Leads Humana’s enterprise digital platform portfolio, defining product vision, investment priorities, adoption strategies, governance, and value-realization metrics. Oversees platforms including Adobe Experience Platform, digital health services, consent management, content capabilities, and the enterprise design system. Partners with business, design, technology, and engineering leaders to align roadmaps, drive reuse and accessibility, manage dependencies, and improve customer and business outcomes. Develops senior product leaders and cross-functional teams while guiding executive investment decisions in a regulated environment.

Leads the lifecycle of Humana’s enterprise consent and preference management platform, including backlog ownership, requirements, integrations, delivery coordination, compliance, adoption, and performance optimization. Partners with engineering, marketing, digital, CRM, legal, privacy, compliance, data, and business teams to deliver omnichannel consent capabilities. Tracks KPIs, improves data quality and activation, reduces operational friction, and ensures transparent customer experiences aligned with regulatory requirements.

Leads complex cybersecurity initiatives from planning through operational transition. Coordinates cybersecurity, technology, business, vendor, and executive stakeholders; manages scope, schedules, risks, dependencies, budgets, resources, governance, and reporting. Translates technical concepts into executive communications, drives accountability and issue resolution, supports vendor and procurement activities, and ensures cybersecurity outcomes such as risk reduction, compliance, remediation, resilience, and capability maturity. Mentors junior project managers and adapts delivery methods across Agile, Waterfall, and Hybrid environments.

Leads end-to-end delivery of strategic cybersecurity initiatives across areas such as identity security, security operations, cloud security, application security, and governance. Manages project plans, budgets, risks, dependencies, vendors, reporting, stakeholder communications, and governance activities. Partners with technical and business teams to align execution with cybersecurity strategy and deliver measurable risk reduction, compliance, resilience, and capability outcomes using Agile, Waterfall, or Hybrid methods.

Leads enterprise-wide corporate strategy, growth, transformation, M&A, and partnership initiatives. Owns consulting-style projects from problem definition through execution, directs teams conducting market, competitive, financial, and qualitative analysis, and presents recommendations to senior leaders and the Board. Builds strategic roadmaps, business cases, and investment priorities while developing high-performing teams and stakeholder alignment across healthcare businesses.

Leads strategic initiatives and IT projects involving financial impact analysis, vendor management, stakeholder collaboration, roadmap reporting, requirements gathering, testing, production support, training, and executive communications. Oversees a team of Product Owners and Project Managers, manages multiple high-priority projects, and drives cross-functional process improvements in payment integrity.

Leads product vision, strategy, roadmaps, and execution for clinical programs. Partners with design, engineering, clinical, operations, analytics, and external organizations to develop scalable healthcare solutions. Prioritizes backlogs, defines requirements and success metrics, conducts research and business-case analysis, manages risk, and drives agile iteration. Mentors junior product managers and leads cross-functional alignment to deliver measurable member, provider, adoption, satisfaction, utilization, and financial outcomes.

Leads development of production-scale machine learning and reinforcement learning systems for Humana’s Next Best Action platform. Designs decision policies, simulations, offline evaluations, and monitoring strategies; builds scalable pipelines using Python, PyTorch, Databricks, PySpark, Ray RLlib, and MLflow. Owns models throughout their lifecycle and provides technical direction on architecture, experimentation, deployment, and constraint-aware decision-making.

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.

Design end-to-end mobile and digital experiences for Humana’s Part D pharmacy benefits products. Create user flows, prototypes, wireframes, and high-fidelity designs while applying research, analytics, accessibility, and inclusive design principles. Partner with product, engineering, research, marketing, and business stakeholders to simplify complex healthcare information, support informed decisions, improve member engagement, and contribute to scalable design systems. Provide design leadership, influence strategy, and mentor less-experienced designers.

Lead the design, development, reliability, scalability, and operational excellence of Humana’s Next Best Action platform. Build platform services, automated testing, observability, resilience, and production-readiness capabilities across distributed systems. Write production code, manage and mentor engineers and contractors, establish quality standards, and coordinate with platform, data, decisioning, orchestration, and activation teams. Ensure high performance, traceability, fault tolerance, and compliance in a regulated healthcare environment.

Leads retention and lifecycle strategies for mail order pharmacy members, improving refill rates, auto-refill enrollment, adherence, utilization, and long-term engagement. Partners with Operations, Marketing, Contact Center, Product, Analytics, and Clinical teams to reduce refill leakage and optimize member touchpoints. Uses performance data to identify growth opportunities, develop business cases, manage cross-functional initiatives, and advise senior leaders on sales and retention strategy.