Delivering on Humana’s purpose of helping people achieve their best health requires a trusted and connected understanding of the people we serve and the ability to turn data and insight into action at scale.

The Data & Analytics organization will achieve this vision by creating trusted enterprise data assets, contextualizing them for consumption, modernizing the platforms that power them, establishing clear accountability for their governance, and activating them through analytics, AI, and decision intelligence.

This is an opportunity to support the leadership of one of Humana's largest technology organizations and contribute to initiatives that are modernizing healthcare technology, advancing AI-driven capabilities, and improving experiences for millions of members and providers.

Responsibilities

• Complex calendar management across four senior leaders and stakeholders
• Executive travel planning, meeting logistics, and event coordination
• Leadership team meetings, offsites, town halls, and organizational events
• Executive presentations, communications, and meeting materials
• Expense management and administrative processes
• Day-to-day support for a technology organization leading major modernization, AI, clinical, provider, and operational transformation initiatives

Requirements

• 3+ years supporting senior leaders in a large, complex organization or Associate's or Bachelor's degree
• Experience managing complex calendars, travel, executive meetings, and administrative priorities
• Strong Microsoft 365 skills, including Outlook, Teams, PowerPoint, Word, and Excel
• Excellent organizational, written, and verbal communication skills
• Ability to manage multiple priorities in a fast-paced environment
• Ability to work independently, exercise sound judgment, and maintain confidentiality
• Strong attention to detail and commitment to high-quality work
• Ability to build effective relationships across all levels of the organization
• Located in the Boston area and able to work in-office regularly 8-5

Preferred Qualifications

• Experience supporting Vice President, Senior Vice President, or executive-level leaders
• Experience in technology, healthcare, insurance, or large corporate environments
• Experience preparing executive presentations and communications
• Experience coordinating leadership meetings, offsites, and large events

Benefits

Humana, Inc. and its affiliated subsidiaries offer competitive benefits that support whole-person well-being, including medical, dental and vision benefits, 401(k) retirement savings plan, time off, short-term and long-term disability, life insurance, and many other opportunities.

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The Value-Based Programs Lead will lead the end-to-end operational support of specialty Medicaid value-based payment (VBP) models, aligning with segment strategy and goals. This role requires advanced technical knowledge and experience in VBP.

Key responsibilities:

• Develop innovative VBP models for various provider types, such as behavioral health, maternity, specialists, and social determinants of health.
• Align scope of work with roadmap for new VBP model development to ensure compliance with Medicaid contractual requirements and RFP commitments.
• Analyze financial, utilization, and performance data to identify opportunities for improvement.
• Create VBP payment strategies and model design, including payment model logic, performance metrics, and benchmarks.
• Design and contribute to development of provider reporting packages.
• Partner with finance team to conduct impact analysis and modeling for new VBP models.
• Collaborate with team members and matrixed teams to operationalize and rollout new VBP models.
• Monitor VBP model performance KPIs to identify opportunities for enhancement.

Requirements:

• Bachelor's degree.
• Minimum 5 years of experience in managed care operations, provider reimbursement and analytics, and value-based care.
• Expertise in VBP model design and strategy with specialty providers.
• Expertise in Medicare and/or Medicaid managed care.
• Ability to understand and analyze financial, utilization, and performance data.
• Excellent interpersonal, organizational, written, and oral communication skills.

Preferred qualifications:

• Master's degree.
• Expertise in VBP financial modeling and impact analysis.

Additional information:

• Remote position.
• Up to 10% travel for onsite meetings.
• Typical workdays and hours: Monday – Friday; 8:00am – 5:00pm Eastern Standard Time (EST).

Benefits:

• Competitive benefits supporting whole-person well-being, including medical, dental, and vision benefits, 401(k) retirement savings plan, time off, and more.

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Acting as a trusted advisor to senior executives, the role translates transformation strategy into scalable execution by diagnosing portfolio delivery challenges, guiding organizational design, and improving alignment, flow, and value delivery.

Key responsibilities:

• Partner with portfolio and organization leadership to develop and enable portfolio, aligned to enterprise portfolio operations to achieve portfolio initiatives and outcomes.
• Perform quantitative and qualitative assessments, including stakeholder analysis and change impact assessments, to develop data-driven change strategies for key stakeholder groups.
• Build and manage portfolio transformation roadmaps to drive executive buy-in and sponsor engagement across technology and business/product leadership.
• Develop Release Train Engineers to our Humana Ways of Working and enterprise tooling subject matter experts for Agile Release Trains and Scrum Teams.
• Measure effectiveness of change interventions through defined metrics and continuously evolve plans to optimize adoption outcomes.
• Regularly report activity status to organizational, portfolio, and transformation leadership.

The successful candidate would possess these skills:

• Enthusiastic about continuous improvement with the ability to inspire and motivate others.
• A positive and forceful character, able to get and develop the best out of people through motivation and coaching.
• Very resilient, able to facilitate and support opposing views to provide a win-win for all parties.
• Well organized and self-motivated, practical, numerate, and literate.
• Capable of handling a diverse range of initiatives and work with a diverse workforce.
• Effective written and verbal communication skills.
• Meticulous attention to detail and quality of work product.
• Ability to build and sustain professional relationships.
• Strong interpersonal skills and professional demeanor.
• Proven role-based career experience in SAFe environments as a Scrum Master, RTE, Enterprise Agile Coach, or Enterprise Transformation Coach.

Preferred qualifications:

• Bachelor's degree in business, Information Technology, or related field.
• SAFe Program Consultant (ASPC) 6.0.
• Prosci Change Management certification.
• Experience with Agile lifecycle management tools.
• Experience in healthcare or health solutions industry.
• Experience in Software Development Lifecycle (SDLC).

Required qualifications:

• Active SAFe certification: SPC 6.0.
• 8+ years of related experience enabling business and technology portfolios.
• Strong understanding of Lean Portfolio Management and Agile methodologies at scale.
• Demonstrated change management expertise.
• Excellent communication, facilitation, and coaching skills.

This role participates in virtual meetings where active engagement is expected, and on-camera participation will be encouraged when appropriate.

Scheduled Weekly Hours: 40

Pay Range: $115,200 - $158,400 per year

Benefits:

• Medical, dental, and vision benefits.
• 401(k) retirement savings plan.
• Time off, including paid time off, company and personal holidays, paid parental and caregiver leave.
• Short-term and long-term disability.
• Life insurance.

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This role involves collecting and analyzing data daily, weekly, monthly, or as needed to assess outcome and operational metrics for the team and individuals. You will make decisions regarding your own work methods, occasionally in ambiguous situations, and require minimal direction.

Your responsibilities include:

• Reviewing utilization management activities and documentation
• Collecting and analyzing data to assess outcome and operational metrics
• Making decisions regarding own work methods
• Following established guidelines, regulatory turnaround times, and procedures for processing QIO fast track appeals and expedited authorization requests

Requirements:

• 1-3 years of technical experience
• Proficient in Microsoft Word & Excel
• Strong attention to detail and accuracy
• Excellent verbal and written communication skills
• Clerical support background in a healthcare environment
• Ability to work independently in an agile environment under general instructions and within a team

Preferred qualifications:

• UM experience with auditing or compliance
• UM experience with processing expedited requests or QIO appeals
• Associates' or Bachelor's degree in Healthcare, Business, Finance, or related field
• Familiarity with medical terminology and/or ICD-10 codes

Additional information:

• This position is remote nationwide
• The role follows a four-day, 10-hour shift schedule within a Wednesday through Sunday work week
• The assigned schedule will be either Wednesday through Saturday or Thursday through Sunday, with work hours scheduled between 8:00 a.m. and 8:00 p.m. Eastern Time
• Occasional travel to Humana's offices for training or meetings may be required

Benefits:

• Medical, dental, and vision benefits
• 401(k) retirement savings plan
• Time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
• Short-term and long-term disability
• Life insurance

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Responsibilities:

• Make outbound and take inbound calls communicating with Humana members.
• Collect medication history information.
• Prepare members for a comprehensive medication review.
• Help guide prescription drug optimization in cases where patients are taking multiple medications.
• Help create health awareness with patients through Rx Education and targeted quarterly campaigns.
• Assist Pharmacists by placing and retrieving calls to confirm patients are taking drugs and provide counseling.

Earn a $1,500 hiring sign on bonus, paid 50% at hire and 50% at 180 days, provided you remain employed until that date.

Required Qualifications:

• Resident State Pharmacy Technician License OR National Pharmacy Technician Certification
• Applied knowledge of insurance processing, customer service, or call center processes
• Must have a designated work area with a door that locks

Schedule: Must work any hours Monday-Friday between 8:00am-7:00pm EST, including holidays, weekends, and overtime when applicable.

You must be on time, with your camera ON during 2+ weeks of training and for other meetings required by leadership. You must be willing to remain in this position and campaign for a minimum period of twelve (12) months.

New Hire Appraisal Period – Attendance / Time Off: This appraisal period of your employment is critical to your success as an employee. It is essential that you don't miss any time in the first 90 days, unless approved by leaders.

What will help you stand out amongst the rest:

• Associate's degree or equivalent work experience
• Mail order or retail pharmacy experience
• Speak both English and Spanish fluently
• Previous call center experience or in a pharmacy setting
• Capability in problem resolution and supporting team-based resolutions

Benefits: Humana offers competitive benefits that support whole-person well-being, including medical, dental, and vision benefits, 401(k) retirement savings plan, time off, short-term and long-term disability, life insurance, and many other opportunities.

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The Senior RX Clinical Programs Pharmacist work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

The Senior RX Clinical Programs Pharmacist oversees medication therapy, strategy on comprehensive medication reviews, and prescription drug optimization in cases where patients are taking multiple medications.

Drives health awareness with patients through Rx Education and targeted quarterly campaigns.

Places outbound calls to confirm patients are taking drugs and provides counseling.

Begins to influence department’s strategy.

Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is performed without direction.

Exercises considerable latitude in determining objectives and approaches to assignments.

Required Qualifications

• Bachelor of Science in Pharmacy or PharmD Degree
• Active pharmacist license in the state(s) in which you are required to practice
• Strong organisational skills and ability to stay on schedule
• Proven problem-solving and troubleshooting skills
• Ability to work independently and within a team setting to achieve goals and meet deadlines
• Excellent verbal and written presentation skills with ability to communicate effectively across all levels of the organisation
• Ability to take initiative, ability to manage multiple or competing priorities, and work in a fast-paced environment
• Comprehensive knowledge of Microsoft Office applications, including Word, PowerPoint & Excel
• Must be passionate about contributing to an organisation focused on continuously improving consumer experiences

Preferred Qualifications

• Previous experience with pharmacy benefits management
• Previous Commercial, Medicare and/or Medicaid experience
• 3 or more years clinical experience in managed care
• Ability to manage end-to-end-processes
• Understand Humana's business processes, systems, tools, regulations and structure and how they interrelate to provide products and services that create value for Humana members
• Previous management experience and ability to lead teams
• Previous program or project management experience
• Proven success in leading teams (both direct and indirect) with multiple accountabilities
• Excellent data analysis and experience working with Access, SQL and Excel
• Lean, 6 sigma experience and/or certification

Additional Information

• WAH requirements:
• Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.
• A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.
• Satellite and Wireless Internet service is NOT allowed for this role.
• A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Scheduled Weekly Hours 40

Pay Range $115,200 - $158,400 per year

Description of Benefits Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

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Responsibilities:

• Own the architecture, design, and evolution of full-stack AI applications, including LLM pipelines, retrieval systems, agentic workflows, human-in-the-loop processes, and supporting platform services.
• Design and implement scalable AI solutions that prioritize reliability, accuracy, auditability, performance, and cost efficiency.
• Build and maintain the most complex and high-risk system components where architecture and implementation decisions have significant business impact.
• Define and enforce engineering standards for AI systems, including evaluation methodologies, structured outputs, observability, testing, fallback strategies, latency optimization, and cost controls.
• Lead technical design reviews and guide architecture decisions related to platform capabilities, AI systems, integrations, infrastructure, and software patterns.
• Evaluate and recommend technologies, frameworks, AI models, and third-party solutions based on technical and business requirements.
• Translate ambiguous business goals into clear technical strategies, roadmaps, and executable workstreams.
• Provide technical leadership across multiple projects, ensuring alignment with architectural standards and long-term platform objectives.
• Mentor and coach engineers through design reviews, code reviews, pair programming, and technical guidance.
• Partner with product, engineering, clinical, and operational stakeholders to deliver solutions that meet business and regulatory requirements.
• Own operational excellence, including deployment strategies, monitoring, incident management, and production reliability.
• Ensure all solutions comply with privacy, security, governance, and audit requirements within a regulated healthcare environment.

Requirements:

• Bachelor's degree in Computer Science, Engineering, or a related technical field, or equivalent practical experience.
• 8+ years of software engineering experience, including experience designing and operating production systems at scale.
• Proven track record of delivering AI-enabled products or platforms into production environments.
• Deep hands-on experience integrating and operating LLMs within business-critical workflows.
• Experience designing systems that leverage structured outputs, tool calls, retrieval-augmented generation (RAG), agentic workflows, orchestration frameworks, and evaluation pipelines.
• Experience making architectural decisions for systems where AI is a core component of the product experience.
• Demonstrated success leading technical initiatives across engineering teams, including architecture reviews, technical planning, mentoring, and delivery execution.
• Strong programming skills in Python and/or TypeScript/JavaScript.
• Experience designing and operating distributed systems, APIs, data platforms, and cloud-native applications.
• Strong understanding of reliability engineering, system performance, scalability, and operational excellence.
• Ability to balance technical tradeoffs involving quality, latency, cost, security, and maintainability.

Preferred Qualifications:

• Experience taking AI products from concept through production deployment and long-term operational ownership.
• Experience developing AI systems where LLMs are part of critical decision-support or operational workflows.
• Expertise in evaluation frameworks, benchmark datasets, regression testing, model quality measurement, and human review processes.
• Experience with agentic systems, Model Context Protocol (MCP), workflow orchestration, multi-step reasoning frameworks, and AI observability platforms.
• Experience with React, Next.js, modern frontend technologies, and full-stack application development.
• Experience deploying and managing workloads using Kubernetes, Docker, modern CI/CD platforms, and cloud-native technologies.
• Experience with Google Cloud Platform, Azure, AWS, Vertex AI, or comparable AI and cloud infrastructure platforms.
• Experience working in highly regulated industries such as healthcare, financial services, or government.
• Knowledge of privacy, compliance, security, and governance frameworks impacting AI and data-driven applications.
• Experience implementing AI-assisted development practices that improve engineering productivity and delivery speed.
• Excellent communication, collaboration, problem-solving, and leadership skills.

Benefits:

• Medical, dental, and vision benefits
• 401(k) retirement savings plan
• Time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
• Short-term and long-term disability
• Life insurance

Work Schedule: Hybrid (3 days in office, 2 days remote) Scheduled Weekly Hours: 40 Pay Range: $170,800 - $234,800 per year

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Responsibilities:

• Define and drive the long-term technical strategy, reference architecture, and technology roadmap for AI-enabled products and platforms.
• Establish architectural patterns and best practices for retrieval systems, LLM orchestration, agentic workflows, human-in-the-loop processes, evaluation frameworks, and AI governance.
• Lead organization-wide technical decision-making regarding model strategy, vendor selection, platform investments, build-versus-buy decisions, and shared infrastructure capabilities.
• Design and champion scalable architectures that balance reliability, performance, security, compliance, maintainability, and cost efficiency.
• Establish engineering standards for evaluation, observability, model lifecycle management, responsible AI practices, and operational excellence.
• Build prototypes, proofs of concept, and reference implementations that de-risk emerging technologies and strategic platform investments.
• Lead cross-functional architecture reviews and provide technical guidance across multiple engineering teams.
• Mentor Lead Engineers, Senior Engineers, and emerging technical leaders through architecture reviews, design feedback, coaching, and technical sponsorship.
• Develop and communicate technical roadmaps aligned with business strategy and organizational objectives.
• Partner with executive leadership to translate business priorities into technical strategies and communicate technical opportunities, risks, and tradeoffs.
• Represent engineering in strategic vendor evaluations, compliance discussions, governance reviews, and enterprise planning initiatives.
• Drive adoption of common platforms, standards, and engineering practices across teams.
• Ensure AI systems are designed and operated in accordance with privacy, security, compliance, governance, and auditability requirements.

Requirements:

• Bachelor's degree in Computer Science, Engineering, or a related technical field, or equivalent practical experience.
• 12+ years of software engineering experience, including extensive experience designing and operating large-scale distributed systems.
• Proven track record of designing, delivering, and operating production AI-enabled platforms or products at enterprise scale.
• Deep expertise in large language model technologies, AI platform design, retrieval-augmented generation (RAG), agentic systems, orchestration frameworks, evaluation methodologies, and AI operations.
• Extensive experience designing cloud-native architectures and highly scalable, resilient systems.
• Demonstrated ability to define technical direction that influenced teams, organizations, or product portfolios beyond direct reporting relationships.
• Experience establishing engineering standards, architectural frameworks, or technical platforms that have been successfully adopted across multiple teams.
• Strong understanding of AI operational challenges, including model reliability, latency, cost optimization, governance, observability, and risk management.
• Demonstrated success influencing executive stakeholders and driving organizational decisions through technical leadership and evidence-based recommendations.
• Expert-level proficiency in Python and/or TypeScript/JavaScript.
• Ability to prototype, debug, review, and contribute code across multiple layers of the technology stack.

Preferred Qualifications:

• Experience leading AI platform strategy across multiple business units or product organizations.
• Experience developing enterprise standards for AI evaluation, testing, observability, governance, and responsible AI practices.
• Expertise evaluating and managing AI vendor ecosystems across multiple model providers and platform technologies.
• Experience building shared AI infrastructure and platform capabilities consumed by multiple engineering teams.
• Experience with agentic architectures, Model Context Protocol (MCP), workflow orchestration, autonomous systems, and emerging AI frameworks.
• Experience operating AI systems at significant scale while managing performance, reliability, and cost tradeoffs.
• Experience working in regulated industries such as healthcare, financial services, life sciences, or government.
• Deep understanding of privacy, security, compliance, governance, and risk management requirements in highly regulated environments.
• Experience driving adoption of AI-assisted software development practices across engineering organizations.
• Experience advising executive leadership on emerging technologies, platform strategy, and enterprise architecture decisions.
• Exceptional communication, leadership, collaboration, and strategic problem-solving skills.

Benefits:

• Medical, dental, and vision benefits
• 401(k) retirement savings plan
• Time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
• Short-term and long-term disability
• Life insurance

Work Schedule:

• Hybrid work schedule, requiring employees to work three days per week in the office and the remaining days remotely.

Salary Range:

• $206,600 - $284,300 per year

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The Regional VP, Operations and Finance in the South Central (TX, OK, and AR) region acts as a Chief Financial Officer with operational elements. The role requires an in-depth understanding of health plan financials and how health plan operations impact financial performance.

Key Responsibilities:

• Lead regional market level strategy development with operational leaders.
• Direct accountability for regional P&L and achieving margin and administrative budget targets.
• Design and implement policies and procedures to increase performance and comply with regulatory requirements.
• Establish and maintain management and performance controls to track, measure, and analyse data.
• Lead the annual CMS bid process.
• Provide fiscal and operational oversight of the regional annual budget, financial planning, and projections.

Requirements:

• Knowledge of Medicare, Medicare Advantage, and Part D coverage.
• Bachelor’s degree in Business, Finance, Accounting, or a related field.
• 8+ years of finance experience in the health solutions industry, preferably with 3+ years as a CFO or COO with finance experience.
• Demonstrated leadership skills and experience building a high-performing team.
• Excellent communication and presentation skills.
• Ability to collaborate with all levels of the organisation.
• Willingness to travel a minimum of 20% within the region.
• Must reside in or be willing to relocate to Texas, Arkansas, or Oklahoma.

Preferred Qualifications:

• Certified Public Accountant.
• Master’s Degree in Business, Finance, Accounting, or a related field.
• Knowledge of the South Central Region market dynamics and Value-Based Care.
• Experience working with physician groups, provider contracting, market operations, and Medicare Risk Adjustment and Stars/Quality functions.

Benefits:

• Medical, dental, and vision benefits.
• 401(k) retirement savings plan.
• Time off, including paid time off, company and personal holidays, paid parental and caregiver leave.
• Short-term and long-term disability.
• Life insurance.

Salary Range: $223,700 - $307,800 per year

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