Florida Health Care Plans jobs - 3,559 jobs

A national healthcare organization is seeking a Risk Management Lead to oversee risk adjustment operations and compliance. This role requires a minimum of three years of project leadership experience and expertise in audit and compliance. The ideal candidate will have strong relationship-building skills and the ability to manage multiple projects effectively. This remote position offers a salary range of $104,000 to $143,000 annually, along with competitive benefits including health insurance and a 401(k) plan. #J-18808-Ljbffr

A healthcare organization is seeking a Director to lead AI strategy within its IT Strategy team. This role involves harmonizing AI initiatives with business goals, leading cross-functional teams, and leveraging technological opportunities to enhance healthcare delivery. Candidates should have significant experience in strategy, leadership, and AI/ML applications. This position may require travel to offices and is based in the DC Metro area, with a salary range of $184,800 - $254,100 per year. #J-18808-Ljbffr

The Allegheny Health Network (AHN) Psychiatry & Behavioral Health Institute is seeking a motivated psychiatrist eager to work at the forefront of behavioral health care as we continue growing our presence in the Erie region. AHN will support the continued expansion of your skillset as you build a patient panel with myriad diagnoses or craft a sub-specialty niche. Join a vertically integrated fiscal and clinical delivery system that is revolutionizing behavioral health service models, providing evidence-based treatments, and measurement-based care. Highlights: Flexible, hybrid options for in-person and virtual work Bi-monthly, multidisciplinary treatment team meetings which include peer case consultation Onsite opportunity for interventional psychiatry with transcranial magnetic stimulation (TMS) Continuing Medical Education (CME) allowance: $3500 and five paid CME days annually Emphasis on collaboration between behavioral health disciplines, including psychiatry and psychology, within the Institute Weekly Grand Rounds with free CME offerings Opportunities to train and supervise advanced practice providers (APPs), psychiatry residents, medical students, and APP students Qualifications: Completion of ACGME approved Psychiatry residency program Board eligible/board certified in Psychiatry Doctor of Medicine (MD) or Doctor of Osteopathy (DO) Licensed in the state of Pennsylvania prior to employment AHN Proudly Offers Competitive salary and comprehensive medical benefits Sign-on bonus CME allowance EY Financial Planning Services - student loan, PSLF assistance Retirement plans; vested immediately in 401K, 457B. Malpractice insurance with tail coverage A diverse & inclusive workforce with respective loan repayment for qualified candidates Why Erie? Located directly on one of our Great Lakes, Erie is home to Presque Isle State Park offering 7 miles of beaches, 14 miles of trails, and endless water activities. Enjoy our local wineries and breweries, diverse eateries and ski resorts. The city has become home to a variety of educational institutions including top ranked school system. Benefit from the area's low cost of living and international airport. Erie's cultural scene and diverse job market make it an ideal place for healthcare professionals to grow. Why Saint Vincent Hospital? Nationally recognized for innovative practices and quality care, Allegheny Health Network is one of the largest healthcare systems serving Western PA. AHN's Saint Vincent Hospital is a 350- bed tertiary care hospital currently serving the tristate area. Our facilities are equipped with state-of-the-art technology and robotic capabilities . Saint Vincent Hospital has been proud to open a brand new 39-bed Emergency Department, on-site Cancer Institute facility, four state-of-the art 700 sq. ft. Operating Rooms and more! Recently voted Erie's Choice as the ‘Best Hospital' and ‘Best Place to Work', AHN Saint Vincent continues to shine in its commitment to its employees and the Erie community. Email your CV and direct inquiries to: Carissa Johnston | Physician Recruiter ************************

Become a part of our caring community and help us put health first The Senior Data Scientist uses mathematics, statistics, modeling, business analysis, and technology to transform high volumes of complex data into advanced analytic solutions. The Senior Data Scientist work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana's Healthcare Quality & Reporting Improvement (HQRI) department is seeking a Senior Data Scientist to join a high-performing team dedicated to advancing predictive modeling and analytics in support of our Medicare and Medicaid business. The HQRI team plays a pivotal role within Humana, delivering insights that drive the effectiveness of risk adjustment initiatives. The Senior Data Scientist in this role will empower risk adjustment decision makers through predictive analytics. They will provide actionable, accurate, and reliable solutions to support our operations and finance partners' business needs. They will put the customer first, delivering timely and clearly communicated results. Objectives Within six months, take ownership of at least 2 of our major models Within one year, improve our models by increasing efficiency, building a new model/process, and/or improving the accuracy of an existing model Responsibilities Utilize mathematics, statistics, and programming to generate predictions that drive risk adjustment operations and strategy Partner with peers and supervisors to establish an overall collaborative working relationship Deliver complex information in the manner most useful to the customer, utilizing tables, charts, graphs, filters, etc. to make clear the most important aspects of the information presented Seek always to understand customers' needs and work in partnership with customers to develop solutions that satisfy those needs Use your skills to make an impact Required Qualifications Bachelor\'s Degree and 5 years of applicable experience OR Master\'s Degree and 3 or more years of experience Proficiency with one of the following: SQL, SAS, R or Python Experience using mathematics, statistics, modeling, business analysis, and technology to transform high volumes of complex data into advanced analytic solutions Ability to use independent judgment requiring analysis of variable factors and determining the best course of action. Preferred Qualifications Master's degree or higher education Experience in health care, insurance, or risk adjustment This position is remote and work can be performed anywhere in the US; however, preference is for candidates to be located within reasonable commutable distance to Louisville, Kentucky. Additional Information To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $117,600 - $161,700 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. 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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 09-10-2025 About us Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our *************************************************************************** #J-18808-Ljbffr

A leading healthcare company in the United States seeks a Market Vice President of Pharmacy Professional Practice to oversee compliance across pharmacies. This role involves ensuring adherence to regulations while leading a team of professionals. The ideal candidate will possess a Bachelor's degree in Pharmacy, an active pharmacist license, and have substantial experience in pharmacy compliance. Competitive compensation includes a salary range of $223,800 - $313,100 per year with bonus eligibility and comprehensive benefits. #J-18808-Ljbffr

A leading healthcare company is seeking an experienced Infrastructure Operations leader to drive innovation in AI and cloud technologies. The ideal candidate will have over 10 years in infrastructure, with a strong background in AI/ML, leading cloud operations for Azure and AWS. Key responsibilities include overseeing cloud strategy and governance, enhancing operational performance, and fostering partnerships across teams. This role offers a competitive salary and benefits focused on well-being. #J-18808-Ljbffr

A healthcare organization is seeking a Director of Finance Portfolio Management to shape its finance function through strategic planning and oversight. This key leadership role requires 10+ years of experience and proven ability to manage large-scale projects. The ideal candidate will collaborate with senior leaders to drive transformational initiatives and lead a team, while possessing strong communication and stakeholder management skills. This position involves occasional travel to the company's headquarters in Louisville. #J-18808-Ljbffr

Become a part of our caring community and help us put health first The Principal Solutions Architect works with user groups to solve business problems with available technology including hardware, software, databases, and peripherals. The Principal Solutions Architect provides strategic advice and guidance to functional team(s). Highly skilled with broad, advanced technical experience. Discover how your passion can make a difference at Humana. Apply today and embark on your career journey with a company recognized as one of the Best Places to Work and named among Forbes America's Best Employers for Tech Workers. Role Overview We are seeking a Principal Solutions Architect to serve as the chief architect for our enterprise Next Best Action (NBA) platform. This position is responsible for defining and/or overseeing the end-to-end architecture, from domain modeling and data ingestion to decisioning, orchestration, and omnichannel activation. The role provides technical leadership across multiple engineering teams, ensuring the NBA platform remains scalable, secure, explainable, and compliant, while supporting highly personalized, real-time engagement across both digital and assisted channels. The Principal Solutions Architect will be accountable for the NBA reference architecture, technical standards, and key design decisions throughout the platform. This individual will collaborate closely with product, engineering, data, machine learning, security, and compliance stakeholders to deliver a unified and future-ready ecosystem. Key Responsibilities Architecture & Technical Leadership Define and maintain the end-to-end NBA platform architecture, encompassing data ingestion, state management, decisioning, business rules, machine learning, and channel activation. Serve as the technical authority across NBA domains, including State Machine, Action Library, Decision Engine, Data and ML Platforms, and Channel & Integration Services. Establish and uphold architectural standards for API-first, event-driven, cloud-native solutions, ensuring consistency across teams and external partners. Review and approve solution designs, major technical decisions, and non-functional requirements related to scalability, resiliency, performance, and security. Decisioning, Rules, and AI/ML Architect decision frameworks that combine business rules, eligibility logic, and machine learning-driven insights. Ensure explainability, auditability, and governance are embedded in decisioning workflows, with a focus on regulated use cases. Partner with data science and ML teams to incorporate feature stores, model serving, and MLOps into low-latency decision services. Data & Event Architecture Define best practices for batch and real-time data ingestion, including event streaming, state transitions, and lifecycle analytics. Drive strong data governance, quality, lineage, and observability across the NBA platform. Align data models and contracts across domains to facilitate reliable orchestration and activation. Activation & Integration Oversee integration approaches for activating NBA decisions across all digital and assisted channels (web, mobile, email, SMS, push, call center, and third-party platforms). Define reusable integration patterns, APIs, and event contracts for consistent and scalable activation. Governance & Compliance Ensure the NBA architecture adheres to security, privacy, and regulatory standards, including robust audit and access controls. Work with security and compliance teams to embed necessary controls into the platform design. Collaboration & Enablement Collaborate with engineering leads, product managers, and vendors to translate business objectives into effective technical solutions. Mentor senior engineers and architects to advance the organization's architectural maturity. Support strategic planning, platform evolution, and build-versus-buy assessments. Use your skills to make an impact Required Qualifications 12+ years of experience in software and platform architecture, including as a principal or lead architect. Demonstrated expertise designing large-scale, cloud-native, distributed systems. Strong hands-on experience with Node.js and/or Python, API design (REST/GraphQL), and event-driven architectures (Kafka or similar). In-depth knowledge of decisioning platforms, rules engines, and ML integration patterns. Experience in regulated enterprise settings (such as healthcare, financial services, or insurance). Excellent communication skills with the ability to influence technical and non-technical stakeholders. Preferred Qualifications Experience building or scaling Next Best Action, personalization, or real-time decisioning platforms. Familiarity with modern data platforms (e.g., Spark/Databricks, Delta Lake, feature stores). Knowledge of MLOps practices and model governance. Experience leading architectural efforts across multi-vendor and distributed teams. Success Criteria A well-defined and widely adopted NBA reference architecture consistently used across teams. Scalable, explainable, and reliable decisioning and activation systems in production. Strong alignment across domain teams with minimal architectural drift. Accelerated delivery of new actions, rules, and models with reduced operational risk. Additional Information Location/Work Style: Remote US Why Humana? At Humana, we know your well-being is important to you, and it's important to us too. That's why we're committed to making resources available to you that will enable you to become happier, healthier, and more productive in all areas of your life. Just to name a few: Work-Life Balance Generous PTO package Health benefits effective day 1 Annual Incentive Plan 401K - Excellent company match Well-being program Paid Volunteer Time Off If you share our passion for helping people, we likely have the right place for you at Humana. Work at Home Guidance To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested Satellite, cellular and microwave connection can be used only if approved by leadership Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information SSN Alert Statement Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $172,200 - $236,900 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. 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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 01-23-2026 About us Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our *************************************************************************** #J-18808-Ljbffr

A leading health service provider in Boston is seeking an Actuarial Analytics/Forecasting Principal. This role involves analyzing financial and economic data for strategic decisions. Candidates should possess substantial technical experience, a strong educational background, and project leadership skills. The ideal candidate will thrive in a collaborative environment where they can challenge assumptions and propose innovative solutions. This position offers a competitive salary and numerous benefits, aiming to enhance health outcomes for the community. #J-18808-Ljbffr

Become a part of our caring community and help us put health first The Associate Director, IT PMO is accountable for the overall effectiveness, maturity, and delivery outcomes of the Cybersecurity segment in the IT Project Management Office. This role provides strategic leadership for program and project delivery, leads PMO managers and senior practitioners, and supports establishing the operating model, standards, and rhythms that enable predictable, high‑quality execution of complex initiatives. The Associate Director partners closely with Portfolio Management, Finance, Cybersecurity, and Business Leadership to ensure approved initiatives are delivered successfully, interdependencies are actively managed, and delivery performance is transparent and aligned with enterprise objectives. The person in this role will have experience in security frameworks and regulatory compliance. This role does not own portfolio governance or demand decision‑making but is responsible for execution excellence once initiatives are approved. Key Competencies Enterprise program & project management leadership PMO strategy, operating model, and maturity development Executive communication & stakeholder influence People leadership and leadership‑of‑leaders Cross‑organizational dependency and risk management Financial and delivery performance management (in partnership) Change leadership and organizational enablement Key Responsibilities PMO Strategy & Operating Model Contribute to the PMO vision, strategy, and operating model to support enterprise delivery needs. Implement standardized program and project delivery practices, tools, and operating rhythms across assigned segments. Drive continuous improvement in delivery predictability, transparency, and value realization. Ensure PMO practices scale appropriately across diverse technologies and delivery models (Agile, Hybrid, Waterfall). Leadership & Talent Development Lead and develop PMO managers, program managers, project managers, and related delivery roles. Establish clear accountability, performance expectations, and career pathways across the assigned PMO segments. Build leadership capability within the PMO through mentoring, coaching, and succession planning. Foster a culture of accountability, transparency, collaboration, and continuous learning. Program & Project Delivery Oversight Provide executive oversight of complex programs and critical initiatives spanning multiple workstreams and teams. Ensure effective management of interdependencies, risks, issues, milestones, and delivery outcomes. Hold PMO leadership accountable for delivery performance, recovery actions, and risk mitigation. Serve as the escalation point for enterprise level delivery challenges and cross organizational conflicts. Ensure consistent application of program and project management methodologies, standards, and templates. Act as the escalation point for delivery risks, blockers, and complex interdependencies. Resource & Capacity Management Lead PMO resource planning and capacity management for assigned segments. Partner with portfolio leaders, and functional managers to align resources with approved initiatives. Assign practitioners based on capability, workload, and development needs. Portfolio Management Partner with finance and portfolio managers to support management of portfolio budgets and forecasts. Deliver executive‑level reporting on portfolio health, status, KPIs, and strategic alignment. Facilitate portfolio delivery meetings, steering committees, and executive reviews. Stakeholder & Executive Partnership Act as a trusted advisor to executives on portfolio delivery health, enterprise risks, and execution readiness. Partner with Portfolio Management, Finance, and Business Leadership to support execution of approved initiatives. Navigate complex stakeholder environments and resolve competing priorities affecting delivery. Reporting, Metrics & Transparency Define and oversee KPIs that measure delivery performance, program health, and PMO effectiveness. Ensure consistent, high‑quality executive reporting across programs and projects. Identify systemic risks, delivery trends, and opportunities for improvement across the enterprise. Use your skills to make an impact Required Qualifications 10 + years of progressive program and project management experience leading large-scale complex technical initiatives. 5+ years of people leadership experience, including managing managers and senior practitioners. 5+ years of managing large-scale cybersecurity initiatives, with familiarity in security frameworks (e.g., NIST, CIS) and regulatory compliance (HIPAA, PCI, SOC2) Bachelor's degree in information technology, computer science, or related field Demonstrated success leading large‑scale, multi‑year programs with significant cross‑organizational dependencies. Strong understanding of project and program management methodologies (Agile, Hybrid, Waterfall). Exceptional executive communication, leadership presence, and stakeholder management skills. Preferred Qualifications Master's degree in Business Administration or related field. PMP, PgMP, PMI-ACP, SAFe, Six Sigma, cybersecurity certifications. Experience with financial oversight and strategic initiative planning Experience leading PMOs within large enterprise or highly regulated environments. Knowledge of project management tools (ServiceNow, Jira, ADO, Office Suite of Products, etc…) Experience in highly regulated industries (healthcare, finance, government). Familiarity with cybersecurity tools and platforms (e.g., identity management, endpoint security, data protection) Additional Information Location Preference - IT hub locations: Louisville, KY; Tampa, FL; Dallas, TX; Boston, MA; New York City; or Washington, D.C. As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision‑making ability. HireVue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule. To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self‑provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Satellite, cellular and microwave connection can be used only if approved by leadership. Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi‑weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $138,900 - $191,000 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. 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, volunteer time off, paid parental and caregiver leave), short‑term and long‑term disability, life insurance and many other opportunities. Application Deadline: 01-25-2026 About us Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our *************************************************************************** #J-18808-Ljbffr

A leading health services company is looking for a Lead Technical Product Manager to shape the vision and oversee the delivery of a revolutionary NBA platform. The ideal candidate will have 8+ years in product management, particularly in AI/ML, and be skilled in translating business objectives into actionable roadmaps. This remote role demands collaboration with cross-functional teams to drive data-driven personalization and intelligent engagement. Competitive salary and robust benefits included. #J-18808-Ljbffr

Become a part of our caring community and help us put health first Humana is seeking a Senior Responsible AI Data Scientist to champion the ethical development of artificial intelligence across our organization. This is a highly cross‑functional position requiring deep technical expertise in AI and machine learning and a passion for advancing Responsible AI initiatives through collaboration with diverse stakeholders across the enterprise, including legal, compliance, education, and IT. In this role, you will contribute to both research and development (R&D) and software development efforts while supporting the implementation of scalable frameworks for ethical, transparent, fair, and organizationally‑aligned AI solutions. You will help ensure that our AI systems are innovative, high‑impact, and always guided by Humana's core values and regulatory standards. Key Responsibilities Support initiatives to ensure responsible use of AI across the enterprise, including model risk assessments, fairness evaluations, and compliance with ethical and regulatory standards. Champion transparency, accountability, and trust in all AI and data science practices. Drive and contribute to R&D efforts to advance innovative, high‑impact, and ethically‑grounded AI solutions in healthcare. Design and implement processes, tools, and frameworks for the evaluation, monitoring, and documentation of AI systems to ensure ongoing compliance with ethical and regulatory standards. Stay current with emerging research, regulations, and industry best practices in Responsible AI, translating learnings into actionable recommendations for Humana's AI ecosystem. Partner cross‑functionally with legal, compliance, IT, education, and other teams to operationalize Responsible AI principles throughout the organization. Support and help evolve Humana's Responsible AI governance initiatives, policies, and standards. Serve as an internal consultant and subject matter expert on Responsible AI topics such as fairness, transparency, privacy, safety, and risk mitigation. Facilitate Responsible AI education and awareness initiatives, including the development of training materials and guidance for technical and non‑technical stakeholders. Use your skills to make an impact Required Qualifications Bachelor's degree with 5+ years of experience, Master's degree with 3+ years of experience, or PhD in a quantitative field. Proficiency in development of Python software tools and applications for data scientists. Demonstrated proficiency in applying software development best practices, including code versioning, testing, documentation, and secure coding standards Extensive hands‑on experience developing and deploying Generative AI and traditional machine learning applications at scale Experience with analysis of structured and unstructured data, and building end‑to‑end analytical workflows. Demonstrated experience developing tools, frameworks, or processes that operationalize Responsible AI principles (e.g., fairness, transparency, privacy, safety, accountability) in real‑world projects. Proven ability to collaborate with cross‑functional teams to address complex governance challenges. Excellent communication skills, with the ability to convey technical and ethical considerations to non‑technical stakeholders. Preferred Qualifications Prior experience working in healthcare, health tech, or highly regulated industries. Record of publication or thought leadership in Responsible AI or related fields. Additional Information Location/Work Style: Remote US Why Humana? At Humana, we know your well‑being is important to you, and it's important to us too. That's why we're committed to making resources available to you that will enable you to become happier, healthier, and more productive in all areas of your life. Just to name a few: Work‑Life Balance Generous PTO package Health benefits effective day 1 Annual Incentive Plan 401K - Excellent company match Well‑being program Paid Volunteer Time Off If you share our passion for helping people, we likely have the right place for you at Humana. Work at Home Guidance To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self‑provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested Satellite, cellular and microwave connection can be used only if approved by leadership Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi‑weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information SSN Alert Statement Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $117,600 - $161,700 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. 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, volunteer time off, paid parental and caregiver leave), short‑term and long‑term disability, life insurance and many other opportunities. Application Deadline: 12-01-2025 About us Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our link. #J-18808-Ljbffr

The BJC Group, Inc. is a comprehensive construction management and contracting company specializing in commercial and residential construction, pre-construction services, and maintenance. The company provides end-to-end solutions, encompassing design, permitting, construction, and building occupancy. Backed by a highly experienced team, The BJC Group is dedicated to delivering superior quality projects at competitive prices, catering to a diverse range of project sizes and requirements. Role Description This is a full-time hybrid role for a Business Development Manager, located in Nashville, TN, with flexibility for some remote work. The Business Development Manager will be tasked with identifying and securing new business opportunities, building and maintaining client relationships, and collaborating with internal teams to ensure client satisfaction. Daily responsibilities include market research, preparing sales presentations, negotiating contracts, and contributing to strategic business planning efforts to support company growth. Qualifications Strong business development, client relationship management, and negotiation skills Experience in sales strategy, market research, and lead generation Ability to analyze market trends and develop actionable insights for business growth Excellent verbal and written communication skills for preparing proposals, presentations, and reports Organizational and project management skills to oversee multiple deals and client accounts Proficiency with CRM software and other digital tools for tracking sales processes and customer interactions Self-motivated with a proactive approach to achieving business goals Bachelor's degree in Business Administration, Marketing, Sales, Construction, or a related field is a plus Industry experience in construction management or contracting is a plus

Become a part of our caring community and help us put health first The Principal Solutions Architect works with user groups to solve business problems with available technology including hardware, software, databases, and peripherals. The Principal Solutions Architect provides strategic advice and guidance to functional team(s). Highly skilled with broad, advanced technical experience. Discover how your passion can make a difference at Humana. Apply today and embark on your career journey with a company recognized as one of the Best Places to Work and named among Forbes America's Best Employers for Tech Workers. Role Overview We are seeking a Principal Solutions Architect to serve as the chief architect for our enterprise Next Best Action (NBA) platform. This position is responsible for defining and/or overseeing the end-to-end architecture, from domain modeling and data ingestion to decisioning, orchestration, and omnichannel activation. The role provides technical leadership across multiple engineering teams, ensuring the NBA platform remains scalable, secure, explainable, and compliant, while supporting highly personalized, real-time engagement across both digital and assisted channels. The Principal Solutions Architect will be accountable for the NBA reference architecture, technical standards, and key design decisions throughout the platform. This individual will collaborate closely with product, engineering, data, machine learning, security, and compliance stakeholders to deliver a unified and future-ready ecosystem. Key Responsibilities Architecture & Technical Leadership Define and maintain the end-to-end NBA platform architecture, encompassing data ingestion, state management, decisioning, business rules, machine learning, and channel activation. Serve as the technical authority across NBA domains, including State Machine, Action Library, Decision Engine, Data and ML Platforms, and Channel & Integration Services. Establish and uphold architectural standards for API-first, event-driven, cloud-native solutions, ensuring consistency across teams and external partners. Review and approve solution designs, major technical decisions, and non-functional requirements related to scalability, resiliency, performance, and security. Decisioning, Rules, and AI/ML Architect decision frameworks that combine business rules, eligibility logic, and machine learning-driven insights. Ensure explainability, auditability, and governance are embedded in decisioning workflows, with a focus on regulated use cases. Partner with data science and ML teams to incorporate feature stores, model serving, and MLOps into low-latency decision services. Data & Event Architecture Define best practices for batch and real-time data ingestion, including event streaming, state transitions, and lifecycle analytics. Drive strong data governance, quality, lineage, and observability across the NBA platform. Align data models and contracts across domains to facilitate reliable orchestration and activation. Activation & Integration Oversee integration approaches for activating NBA decisions across all digital and assisted channels (web, mobile, email, SMS, push, call center, and third-party platforms). Define reusable integration patterns, APIs, and event contracts for consistent and scalable activation. Governance & Compliance Ensure the NBA architecture adheres to security, privacy, and regulatory standards, including robust audit and access controls. Work with security and compliance teams to embed necessary controls into the platform design. Collaboration & Enablement Collaborate with engineering leads, product managers, and vendors to translate business objectives into effective technical solutions. Mentor senior engineers and architects to advance the organization's architectural maturity. Support strategic planning, platform evolution, and build-versus-buy assessments. Use your skills to make an impact Required Qualifications 12+ years of experience in software and platform architecture, including as a principal or lead architect. Demonstrated expertise designing large-scale, cloud-native, distributed systems. Strong hands-on experience with Node.js and/or Python, API design (REST/GraphQL), and event-driven architectures (Kafka or similar). In-depth knowledge of decisioning platforms, rules engines, and ML integration patterns. Experience in regulated enterprise settings (such as healthcare, financial services, or insurance). Excellent communication skills with the ability to influence technical and non-technical stakeholders. Preferred Qualifications Experience building or scaling Next Best Action, personalization, or real-time decisioning platforms. Familiarity with modern data platforms (e.g., Spark/Databricks, Delta Lake, feature stores). Knowledge of MLOps practices and model governance. Experience leading architectural efforts across multi-vendor and distributed teams. Success Criteria A well-defined and widely adopted NBA reference architecture consistently used across teams. Scalable, explainable, and reliable decisioning and activation systems in production. Strong alignment across domain teams with minimal architectural drift. Accelerated delivery of new actions, rules, and models with reduced operational risk. Additional Information Location/Work Style: Remote US Why Humana? At Humana, we know your well-being is important to you, and it's important to us too. That's why we're committed to making resources available to you that will enable you to become happier, healthier, and more productive in all areas of your life. Just to name a few: Work-Life Balance Generous PTO package Health benefits effective day 1 Annual Incentive Plan 401K - Excellent company match Well-being program Paid Volunteer Time Off If you share our passion for helping people, we likely have the right place for you at Humana. Work at Home Guidance To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested Satellite, cellular and microwave connection can be used only if approved by leadership Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense. Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information SSN Alert Statement Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from ******************** with instructions on how to add the information into your official application on Humana's secure website. Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay Range The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc. $172,200 - $236,900 per year This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. 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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 01-23-2026 About us Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our *************************************************************************** #J-18808-Ljbffr

A healthcare services organization seeks a Director of Product Management for CenterWell Pharmacy Digital, focusing on developing digital solutions for patient needs and driving growth. Responsibilities include leading a team, developing product strategy, and collaborating with cross-functional teams. Ideal candidates have extensive product management experience, particularly in healthcare, and a strong ability to enhance user engagement. This remote position offers competitive pay ranging from $168,000 to $231,000 per year, alongside comprehensive benefits. #J-18808-Ljbffr

A leading healthcare organization is seeking a Market Vice President of Pharmacy Professional Practice to oversee pharmacy compliance across various settings. This role requires a Bachelor's degree in Pharmacy and at least 5 years of relevant experience. The candidate will ensure regulatory compliance and lead a high-performing team. Candidates should possess extensive pharmacy knowledge and significant management experience. This position offers competitive compensation and requires occasional travel for meetings and training. #J-18808-Ljbffr

A leading healthcare provider in Alaska is seeking an Actuarial Analytics/Forecasting Principal to join their Financial Planning & Analysis team. This role involves analyzing and forecasting financial data and providing strategic guidance to business leaders. Candidates should have a Bachelor's degree, strong communication skills, and 10+ years of technical experience. The position offers significant exposure to leadership and opportunities for advancement. Competitive salary and benefits included. #J-18808-Ljbffr

A healthcare insurance company is looking for a Senior Responsible AI Data Scientist to champion the ethical development of AI solutions. Key responsibilities include supporting ethical standards in AI initiatives, collaborating with various teams, and driving R&D for innovative solutions. Candidates should have a background in quantitative fields and be proficient in Python and AI application development. This position is fully remote and offers competitive benefits. #J-18808-Ljbffr

A leading health services company is seeking an Associate Director, IT PMO to oversee cybersecurity initiatives and drive program delivery. The ideal candidate will lead a team while managing interdependencies and risks across multiple projects. Applicants should have over 10 years of project management experience, with a focus on cybersecurity frameworks and strong leadership capabilities. This position offers a competitive salary and a robust benefits package in Boston, MA with an opportunity for remote work. #J-18808-Ljbffr