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SVS Vision Remote jobs - 46 jobs

  • Consumer Service Operations Representative

    Humana 4.8company rating

    Columbus, OH jobs

    **Become a part of our caring community and help us put health first** The Consumer Service Operations Representative represents the Dual Eligible Outreach Department by taking inbound calls to members or providers regarding a variety of issues. The Consumer Service Operations Representative performs advanced administrative/operational/customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. The Consumer Service Operations Representative performs varied activities and moderately complex administrative/operational/customer support assignments. Typically works on semi-routine assignments. **Become a part of our caring community and help us put health first** We are seeking bilingual (English/Spanish) virtual associates who bring empathy, strong service orientation, and a passion for helping others. As a Consumer Service Operations Representative 2, you will guide members through important benefit decisions with care, accuracy, and professionalism. This role requires associates who can think critically, build trusting relationships, high accuracy in quality and attention to detail and thrive in a fast-paced service environment. What You'll Do + Engage with members on inbound calls to assess eligibility for programs like the Medicare Savings Program. + Help members understand state and federal benefits that can improve their quality of life. + Listen with empathy and demonstrate care in all interactions. + Utilize critical thinking to evaluate member needs, identify appropriate resources, and resolve issues. + Build strong relationships with members by showing respect, patience, and clarity in every conversation. + Accurately enter information into multiple systems while multitasking. + Collaborate with a supportive team and contribute to a culture of compassion, service, and excellence. + Thrive in a fast-paced, member‑focused environment with shifting priorities. What Success Looks Like + You communicate clearly and calmly, even in challenging or emotional conversations. + You use critical thinking to solve member issues without relying on scripted responses. + You build rapport quickly and maintain positive member relationships. + You adapt easily to change and manage high call volumes effectively. + You find purpose in service and pride in helping others. Why Join Us? At Humana, we aim to inspire health and connect people with the care and resources they need. We value diverse voices, compassionate service, and a commitment to excellence. Join a team that truly makes a difference. **Use your skills to make an impact** **Required Qualifications** + 2+ years of customer service experience, including data entry. + Strong verbal, written, and listening skills. + Comfortable navigating multiple systems and learning new technology. + Proficient in Microsoft Outlook and Word. + Adaptable and open to change in a dynamic environment. **Preferred Qualifications** + Bilingual English/Spanish. + Experience in healthcare or social services. + Previous inbound/outbound call center experience. Schedule & Virtual Work Expectations + Hours: Monday-Friday, 10:40 AM - 7:10 PM + Location: Virtual + Attendance Requirements: + Attendance is vital to success in this role. + No time off is allowed during training or within the first 90 days. + Time off during the 180‑day appraisal period is extremely limited and must be pre-approved. 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. $40,000 - $52,300 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, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities. Application Deadline: 01-30-2026 **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 ***************************************************************************
    $40k-52.3k yearly 8d ago
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  • Client Manager

    Humana 4.8company rating

    Columbus, OH jobs

    **Become a part of our caring community and help us put health first** The Client Manager is responsible for growing membership within existing accounts and for directly managing business relationships with client accounts. The Client Manager work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. **Job Responsibilities:** + Meets retention and growth objectives for assigned Professional Employer Organizations (PEOs) and Insurtech broker partners. + Acts as a strategic business partner to PEOs/ Insurtech partners for positioning Humana's ancillary solutions to their members, while meeting membership objectives. + Seeks opportunities to execute cross sell strategies by adding new Humana lines of business. + Conducts strategic planning alongside key stakeholders. Work collaboratively with various departments for recommendations to support the client's strategic goals. + Coordinates the renewal process, including the formal Request for Proposal process with internal partners: Underwriting, Corporate Proposal Team, Account Installation, Service, Humana Leadership team. This includes reviewing the proposal; leading the internal strategy call with the proposal team; developing proposal strategy; reviewing proposal responses; developing Executive Summary and timely submission. + Maintains the contractual obligations and reporting requirements, including Performance Guarantees and works with the Humana functional areas to provide the required data. Will also work with the regulatory, compliance and legal departments to complete and execute agreements. + In-depth analysis of reporting to consult clients with benefit and service solutions. + Main group contact for account installation, benefit plan changes, audits and special service requests, working alongside the service and customer service teams to meet client's expectations. + Works closely with dedicated internal teams for assigned clients- On Site representatives, Open Enrollment Hotline, Billing & Enrollment Single Point of Contact, or others to set and meet client expectations. + Represents Humana at community events, associations and industry organizations related to our organizational goals. + Liaison between assigned clients and Humana internal areas for escalated issues requiring special handling. + Leads the Open Enrollment discussion and strategy for assigned clients. Coordinates resources for client Open Enrollment, on site events and activities. + Co-creates custom communications alongside Marketing and the client for materials such as Open Enrollment materials, educational flyers, marketing events and onsite programs + Strong understanding of market dynamics, including competition, trends, influencers and history. **Use your skills to make an impact** **Job Requirements** + Bachelor's degree or equivalent experience + 5+ years' experience managing clients or selling within the Ancillary or Healthcare continuum + Understands the business model and regulatory and procurement requirements of PEOs. + Experience working with Insurtech partners or broker partners. + Consultative selling background and experience + Experience influencing C-suite Executives either directly or through a broker medium + Executive presence + Business and Financial Acumen + Strong communicator- written, verbal and presentation skills + Develops positive, collaborative client relationships + Active life and health license **Additional Information** **WAH Information** To ensure Hybrid Office/Home associates' ability to work effectively, the self-provided internet service of Hybrid Office/Home 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 and computer 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 \# LI-KR1 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. $93,400 - $127,300 per year This job is eligible for a commission 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: 02-03-2026 **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 ***************************************************************************
    $93.4k-127.3k yearly 8d ago
  • Inpatient Medical Coding Auditor

    Humana 4.8company rating

    Columbus, OH jobs

    **Become a part of our caring community and help us put health first** The Inpatient Medical Coding Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Inpatient Medical Coding Auditor work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Humana is looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are looking to work from home, for a Fortune 100 company that focuses on the well-being of their consumers and staff, and rewards performance, then you should strongly consider the Inpatient Coding Auditor (MSDRG). The Inpatient Medical Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims payment and appropriate diagnosis related group (DRG) assignments. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures. **Use your skills to make an impact** + Additional Job Description **WORK STYLE:** Remote/work at home. While this is a remote position, occasional travel to Humana's offices for training or meetings may be required. **WORK HOURS:** Typical business hours are Monday-Friday, 8 hours/day, 5 days/week, scheduled between 6AM-6PM. Some flexibility might be possible, depending on business needs. **Required Qualifications | What it takes to Succeed** - RHIA, RHIT or CCS Certification (should have held at least one of these qualifications for 4 years) - MS-DRG coding/auditing experience - Experience reading and interpreting claims - Experience in performing inpatient coding reviews/ audits in health insurance and/or hospital settings - Working knowledge of Microsoft Office Programs Word, PowerPoint, and Excel - Strong attention to detail - Can work independently and determine appropriate course of action - Ability to handle multiple priorities - Capacity to maintain confidentiality - Excellent communication skills both written and verbal **Preferred Qualifications** - Experience in APR DRG coding/auditing - Experience in Financial Recovery - Experience in a fast paced, metric driven operational setting **Additional Information** **Work at Home Requirements** - 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 **Interview Format** As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Hire Vue (formerly Modern Hire) to enhance our hiring and decision-making ability. Hire Vue (formerly Modern Hire 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. If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes. If participating in a SMS Text interview, you will be asked a series of questions to which you will be using your cell phone or computer to answer the questions provided. Expect this type of interview to last anywhere from 5-10 minutes. Your recorded interview(s) via text and/or pre-recorded voice will be reviewed and you will subsequently be informed if you will be moving forward to next round of interviews. 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. $71,100 - $97,800 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: 12-25-2040 **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 ***************************************************************************
    $71.1k-97.8k yearly 38d ago
  • Special Needs Plan- Support Social Services

    Humana 4.8company rating

    Columbus, OH jobs

    **Become a part of our caring community and help us put health first** The Care Manager, Telephonic Behavioral Health 2 , in a telephonic environment, assesses and evaluates members' needs and requirements to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with resources appropriate for the care and wellbeing of members. The Care Manager, Telephonic Behavioral Health 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Care Manager, Telephonic Behavioral Health 2 is a **Licensed, Masters level, Social Worker** who functions as a Support Social Services associate (Support SS) in our Special Needs Plan (SNP) program and serves as part of an interdisciplinary care team member working with other disciplines, such as nurse care managers, dieticians, behavioral health, and pharmacists to help promote and support member health and well-being. This role requires the use of structured assessments along with critical thinking skills to determine appropriate interventions such as care coordination, health education, connection to community resources, full utilization of benefits and advocacy. This role requires effective and professional communication with providers, community resources, and other members of the interdisciplinary team to address member needs. The Support SSs daily job duties include making outbound call attempts to members with social determinants of health (SDOH) needs to assess and assist with coordinating care with available plan benefits and/or appropriate community resources in a telephonic, call center, work from home environment. This role does not carry a caseload but may require additional member follow-up to ensure that all needs have been assessed and addressed. The Support SS may also receive inbound calls from members needing additional assistance. This role is also responsible for assessing the member to determine if a referral to any other discipline is needed depending on member's individualized needs. Creating and updating member care plans may be required. Documentation in the member's record is required to ensure CMS compliance, and accurately reflect work with members, providers, and other members of the interdisciplinary care team. **Use your skills to make an impact** **Required Qualifications** + Master's degree in social work from an accredited university + Current, unincumbered, social work license; **LMSW, LCSW, LICSW** + Must have passed ASWB Exam (Master, Advance Generalist, or Clinical level) + Minimum 3 years of experience working as a social worker in a medical healthcare setting + Proficient in Microsoft applications including Word, Outlook, Excel + Capacity to manage multiple or competing priorities including use of multiple computer applications simultaneously + Must be willing to obtain/maintain social work licensure in multiple states, based on business need **Preferred Qualifications** + Experience working with geriatric, vulnerable, and/or low-income populations + Licensure in LA, MD, MI, MS, NV, NM, OK, VA + Bilingual English/Spanish + Bilingual English/Creole + Experience working with Medicare and Medicaid **Additional Information** **Work-At-Home Requirements:** 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. **Social Security Notification:** 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. **HireVue Interview Process:** 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. **Benefits Day 1:** Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security-both today and in the future, including: Health benefits effective day 1 Paid time off, holidays, volunteer time and jury duty pay Recognition pay 401(k) retirement savings plan with employer match Tuition assistance Scholarships for eligible dependents Parental and caregiver leave Employee charity matching program Network Resource Groups (NRGs) Career development opportunities **START DATE after completion of background/onboarding-** *Projected start dates for these positions will be throughout Feb 2026 with all interviews being conducted Dec/Jan **Schedule:** + Hours for this position are Monday - Friday 9:30am - 6pm EST. + Hours for the first 2 weeks of training are M-F 8:30am-5pm EST 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. $59,300 - $80,900 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: 02-05-2026 **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 ***************************************************************************
    $59.3k-80.9k yearly Easy Apply 60d+ ago
  • Senior Sales Compensation Professional - IFG

    Humana 4.8company rating

    Columbus, OH jobs

    **Become a part of our caring community and help us put health first** You will report to Jordan McMurtrey and be a part of Innovative Financial Group (IFG) team. The Senior Sales Compensation Professional performs ongoing administration of calculating and paying sales commissions. The Senior Sales Compensation Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. **Use your skills to make an impact** + Develop and maintain sales compensation plans, policies, and procedures to drive sales performance and align with business objectives. + Design and implement sales quota and territory management processes to ensure fair and equitable distribution of sales opportunities. + Analyze sales performance data to identify trends, opportunities, and challenges, and recommend adjustments to sales compensation plans. + Collaborate with cross-functional teams, including Sales, Finance, and HR, to ensure alignment and effective communication of sales compensation plans. + Ensure compliance with internal policies and external regulations related to sales compensation and incentives. **Use your skills to make an impact** **Required Qualifications** + 2+ years of experience in sales compensation design, administration, and analysis. + 2+ years' experience working with TSQL/SQL database + Strong understanding of sales compensation plan design principles, including quota management, territory alignment, and performance metrics. + Proficiency in sales performance analytics and data visualization tools, such as Tableau or Power BI. + Experience with sales compensation software, such as Varicent. **Preferred Qualifications** + Bachelors Degree + Certification in sales compensation, such as Certified Sales Compensation Professional (CSCP). **Social Security Task:** Alert: Humana values personal identity protection. Please be aware that applicants being considered for an interview will be asked to provide a social security number, if it is not already on file. When required, an email will be sent from ******************** with instructions to add the information into the application at Humana's secure website. **Virtual Pre-Screen:** As part of our hiring process for this opportunity, we will be using exciting virtual pre-screen technology called HireVue to enhance our hiring and decision-making ability. HireVue allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected for a virtual pre-screen, you will receive an email and text correspondence inviting you to participate in a HireVue interview. In this virtual pre-screen, you will receive a set of questions to answer. You should anticipate this virtual pre-screen to take about 10-15 minutes. This is a remote position. 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. $78,400 - $107,800 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: 02-12-2026 **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 ***************************************************************************
    $78.4k-107.8k yearly Easy Apply 6d ago
  • Senior Technology Leadership Professional

    Humana 4.8company rating

    Columbus, OH jobs

    **Become a part of our caring community and help us put health first** Are you ready to make a tangible impact at the intersection of technology and business operations? In this pivotal role, you'll work with talented teams and serve as the technical liaison for BPO operations, influencing Major Incident, Problem, and Change Management functions across the organization. Your expertise will be valued as you collaborate with technical and non-technical stakeholders, drive resolution of moderately complex issues, and help minimize business disruption. This is your opportunity to showcase advanced skills in networking, telecom, and application support while building lasting partnerships across internal and external teams. Join us and shape the future of operational excellence through your leadership and technical acumen. The Senior Technology Leadership Professional works with internal and external technical stakeholders to expedite restoration of major incidents, conduct problem reviews, and oversee change reviews. Works with a team to ensure timely and efficient operational activities. Provides technical guidance and makes decisions to resolve moderately complex issues. Advises leaders on technical trends and operational improvements to reduce IUMs. Exercises independent judgment requiring analysis of variable factors and determining best courses of action under minimal supervision. + **Required Qualifications** + 5 or more years of technical experience + Experience managing major incident outage bridges + Strong technical knowledge across networking, telecom, and application support + Ability to manage multiple priorities and deadlines with attention to detail + Proven ability to communicate effectively + Experience producing metrics, measurements, and trend reports + Passion for driving continuous improvement in consumer experience + **Preferred Qualifications** + Bachelor's degree or higher + Demonstrated ability in large-scale, highly visible programs + Solid understanding of operations, technology, and processes + ITIL certification + Six Sigma certification **Use your skills to make an impact** **Why Humana?** **You'll experience the following perks as a full-time Humana employee:** Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial security-both today and in the future, including: + Health benefits effective day 1 + Paid time off, holidays, volunteer time and jury duty pay + Recognition pay + 401(k) retirement savings plan with employer match + Tuition assistance + Scholarships for eligible dependents + Parental and caregiver leave + Employee charity matching program + Network Resource Groups (NRGs) + Career development opportunities **Interview Format:** 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. **Work-At-Home Requirements** 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. \#LI-Remote **Social Security Task** 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. $106,900 - $147,000 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: 01-29-2026 **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 ***************************************************************************
    $106.9k-147k yearly Easy Apply 6d ago
  • Senior Financial Planning and Analysis Professional

    Humana 4.8company rating

    Columbus, OH jobs

    **Become a part of our caring community and help us put health first** TThe Senior Financial Planning and Analysis Professional collects, compiles and is responsible for analyzing multiple sources of data to identify emerging trends or gaps in expectations of the financial performance for the WI Medicaid segment. Analyses will help define efforts to mitigate claims costs or optimize top line revenue, working in partnership with key functional areas such as clinical, provider development, and operations. The Senior Financial Planning and Analysis Professional work assignments involve moderately complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. This work may involve financial modeling and reporting and may support inputs used in the financial budget and forecasting models. Begins to influence department's strategy. Makes decisions on moderately complex issues regarding technical approach for project components, and work is performed with minimal direction. Exercises considerable latitude in determining objectives and approaches to assignments. **Use your skills to make an impact** **Required Qualifications** + Bachelor's Degree in Finance, Accounting or a related field + 5 or more years experience in finance/accounting or related field + Comprehensive knowledge of all Microsoft Office applications, and Access, SQL, and multi-dimensional databases + Ability to manage multiple priorities + Experience with financial analysis + Strong analytic skills with attention to details + Excellent oral and written communication skills + Must be passionate about contributing to an organization focused on continuously improving consumer experiences and growth in the market **Preferred Qualifications** + Master's Degree in Business Administration or a related field + Previous health insurance industry experience + Experience with SAS or other relational databases + Experience working with large data sets + Medicaid or Medicare experience **Additional Information** Interview Format 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. WAH Internet Statement 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. $86,300 - $118,700 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: 01-30-2026 **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 ***************************************************************************
    $37k-58k yearly est. 14d ago
  • Director, Next Best Action (NBA) Platform

    Humana 4.8company rating

    Columbus, OH jobs

    **Become a part of our caring community and help us put health first** The Director, Next Best Action (NBA) Platform, is accountable for architecting and expanding an enterprise-level, real-time decisioning platform that enables personalized, compliant, and measurable interactions across digital, call-center, and marketing channels. This position provides both technical and delivery leadership in the areas of decisioning, state management, business rules, machine learning integration, and channel activation, ensuring that all decisions are rapid, transparent, governed, and continuously optimized. **Primary Responsibilities** **Platform & Architecture Leadership** + Oversee the comprehensive architecture of real-time decisioning, including: + Decision orchestration services + State management and lifecycle tracking + Eligibility and policy evaluation + Action and offer metadata management + Integration of ML scoring and ranking + Define clear boundaries between decisioning, state management, rules, models, data platforms, and channel systems. + Ensure the platform operates with low latency, is highly scalable, fault-tolerant, and fully auditable. **Engineering & Delivery Leadership** + Guide multiple cross-functional engineering teams responsible for: + Decision APIs and orchestration services + State machines and transactional outbox implementations + Action/offer catalog services + Rules and policy evaluation services + Integration of machine learning inference + Establish engineering best practices related to: + API contracts + Idempotency and exactly-once processing + Observability, logging, and tracing + Reliability and performance SLAs + Drive predictable, agile delivery while maintaining architectural integrity. **Decision Intelligence & Machine Learning Integration** + Collaborate with Data Science and ML teams to: + Deploy propensity, uplift, and engagement models into production + Maintain separation between offline modeling and online inference + Implement safe rollout, monitoring, and fallback strategies + Ensure explainability and governance of model outputs, particularly in regulated contexts **Experience & Activation Enablement** + Partner with channel and experience teams to ensure decision outputs are: + Channel-agnostic + Rendered consistently + Enhanced post-decision without adding latency + Reusable across web, mobile, call-center, and marketing platforms **Governance, Compliance & Trust** + Guarantee all decision outputs are: + Traceable (including rationale and input data) + Reproducible + Aligned with regulatory and compliance obligations + Work with compliance, legal, and audit teams to establish guardrails and controls + Promote a culture of "decision trust" throughout the organization **People & Leadership** + Build, mentor, and retain senior engineering and architecture talent + Define clear ownership models and accountability across teams + Foster an engineering culture centered on clarity, accountability, and results + Serve as the primary accountable leader for the NBA platform's technical delivery **Use your skills to make an impact** **Required Qualifications** + Minimum 12 years' experience in software engineering, platform engineering, or distributed systems + At least 5 years managing large, multi-team engineering organizations + Deep expertise in: + Real-time APIs and microservices + Distributed state management + Event-driven architectures + Transactional consistency (e.g., outbox, idempotency) + Experience with: + Rules/policy engines + Machine learning inference in production + Demonstrated capability to operate in regulated industries (healthcare, finance, insurance, etc.) **Preferred Qualifications** + Experience with personalization, recommendation, or decisioning platforms + Familiarity with marketing, care navigation, or customer engagement systems + Experience with enterprise data platforms and feature stores + Excellent executive communication skills, with the ability to clearly explain complex systems **Success Criteria** + Decisions are made rapidly, consistently, and transparently across all channels + Engineering teams deliver reliably and maintain architectural discipline + Business stakeholders trust and rely on platform outputs + The organization can confidently answer "why was this recommended?" + The platform is continuously refined based on feedback and learning **Additional 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. _WAH Internet Statement_ 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. $189,400 - $260,500 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: 03-19-2026 **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 ***************************************************************************
    $89k-112k yearly est. Easy Apply 15d ago
  • Innovation Portfolio Strategy Advisor

    Humana 4.8company rating

    Columbus, OH jobs

    **Become a part of our caring community and help us put health first** The Innovation Portfolio Strategy Advisor reports to a Behavioral Health portfolio director and drives the product lifecycle for assigned products within that portfolio. This position is responsible for executing the product strategy developed by the portfolio director by translating strategy into actual product delivery. The Portfolio Strategy Advisor works actively across business units to form colleague teams that can support overall design and delivery of a product, sets prioritization, maintains alignment of effort, and ultimately owns successful delivery. The Innovation Portfolio Strategy Advisor works to execute the Product strategy set forward by the Portfolio Director. In this role, an individual will take the high-level strategic vision and formulate the tactics necessary to take the vision from ideation to reality. This individual will own multiple products at a given time and ensure that the work steps necessary for final execution are being properly defined and delivered by the product team, some of whom may be direct reports and others positioned in various business units within the enterprise. This position works to identify the resources required throughout the product lifecycle, barriers that need to be removed, guidance that may be needed by the product team to adhere to timelines, stakeholder interface at various levels of authority, customer interface to ensure the product will meet the ultimate need set forth and is open and available to feedback. This role is guided by data, both during the development phase, and following implementation, sharing outcomes transparently with leadership. **Key Responsibilities** + Hire, train, and build a product build team that may include direct reports and non-directs + Carefully understand the product vision needed for each assigned product + Work with the portfolio director to translate the vision into clear, defined steps within the overall product lifecycle + Drive delivery of the product, ensuring timely delivery, accuracy, and quality + Assess the outcomes of the product along financial, operational, quality, and customer satisfaction dimensions + Demonstrate professionalism, collaboration, drive a positive brand image + Demonstrate clear and impactful oral and written communication **Use your skills to make an impact** **Required Qualifications** + Bachelor's degree + 3 years of experience working in a healthcare environment + Product-led model expertise and experience + Ability to manage individuals and teams to deliver high quality, timely outcomes + Adept at interpreting data and translating it into opportunities + Proven organization, planning, and prioritization skills to collaborate with multiple internal stakeholders concurrently + Communicates with clarity and professionalism across both written and verbal channels + Independently driven with strong urgency of execution **Preferred Qualifications** + Master's degree in mental health field or RN with background in psychiatric nursing + Product certification and/or LEAN or Six Sigma certification **Additional Information** **Work-At-Home Requirements** + 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 **Interview Format** As part of our hiring process, we will be using an exciting interviewing technology provided by HireVue, a third-party vendor. This technology provides our team of recruiters and hiring managers an enhanced method for decision-making. If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in a pre-recorded Voice Interview and/or an SMS Text Messaging interview. If participating in a pre-recorded interview, you will respond to a set of interview questions via your phone. You should anticipate this interview to take approximately 10-15 minutes. 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. $115,200 - $158,400 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: 02-27-2026 **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 ***************************************************************************
    $115.2k-158.4k yearly 4d ago
  • Stars Technology Business Intelligence Lead Product Owner

    Humana 4.8company rating

    Columbus, OH jobs

    **Become a part of our caring community and help us put health first** The Lead, Technical Product Owner requires someone known for creative problem solving. This role solves complex business problems and issues using data and custom software from internal and external sources. The role works on problems of diverse scope and complexity ranging from moderate to substantial. It is responsible for leading, defining and delivering on the roadmap of multiple data and business application products. This role bridges product ownership, data and software engineering, and regulatory healthcare data requirements, ensuring that data ingestion, transformation, and delivery are optimized for quality measurement, reporting, and compliance with CMS standards. We are seeking an individual with a growth mindset, who is a highly experienced Technical Product Owner to drive the development of data products specifically related to CMS Stars and HEDIS quality measures. The ideal candidate has deep expertise in Stars/HEDIS data, regulatory requirements, and agile product development, and 3 tier software development and technical support for critical systems. In this role, you will teach and collaborate with business stakeholders, data engineers, and IT teams to translate complex requirements into actionable product features that support quality measurement, reporting, and compliance. **Key responsibilities:** + **Technology strategy and roadmap of Business and Data Products:** Define and maintain the vision, strategy, and roadmap for data products that enable CMS Stars and HEDIS reporting. Ensure alignment with enterprise goals and departmental priorities. + **Backlog management:** Own, groom, and prioritize the product backlog for one or more agile teams, ensuring it reflects business needs, regulatory changes, and technical dependencies. + **Requirements translation:** Elicit detailed requirements from stakeholders (e.g., business, compliance, and analytics) and translate them into clear user stories with defined acceptance criteria for development teams. + **Cross-functional collaboration:** Act as the primary liaison between business stakeholders and technical teams. Facilitate communication and alignment across data engineering, analytics, compliance, and QA teams. + **Technical guidance:** Work closely with data architects and engineers to design and validate data flows, mappings, and transformations. Provide guidance to ensure technical solutions are feasible and aligned with the product vision. + **Data quality and compliance:** Collaborate with governance teams to establish data quality benchmarks and implement testing protocols. Ensure data products adhere to CMS mandates and NCQA standards. + **Technical debt management:** Advocate for the resolution of technical debt and architectural improvements, balancing short-term feature delivery with long-term product sustainability. + **Stay current:** Monitor evolving CMS, NCQA, and HEDIS requirements and coordinate necessary updates in response to specification changes. + **Travel for this role is quarterly** **Use your skills to make an impact** **Role Essentials** + Bachelor's degree + 8 or more years of experience in data flow & analysis and software application building & enhancements + 2 or more years of project leadership experience + Strong experience with healthcare data, particularly clinical and claims data used in **HEDIS measurement** + Familiarity with **CMS Stars programs** , NCQA standards, and quality performance metrics. + Advanced experience working with big and complex data sets within large organizations + Experience analyzing data to solve a wide variety of business problems and create data visualizations that drive strategic direction + Proven ability to work with cross-functional teams and translate requirements between business, project management and technical projects or programs + Proficiency in understanding Healthcare related data + Proficiency in verbal/written communication to senior and executive leadership **Role Desirables** + Advanced Degree in a quantitative discipline, such as Mathematics, Economics, + Finance, Statistics, Computer Science, Engineering or related field + Knowledge of NCQA, CMS, and health plan quality measurement programs. + Deep understanding of healthcare interoperability standards (e.g., HL7, FHIR, X12). + Advanced in SQL, SAS and other data systems + Expertise in data mining, forecasting, simulation, and/or predictive modeling + Experience creating analytics solutions for various healthcare sectors **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 you. 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: 02-26-2026 **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 ***************************************************************************
    $117.6k-161.7k yearly Easy Apply 60d+ ago
  • Staff Utilization Management Clinical Pharmacist (VSP/PT)

    Humana 4.8company rating

    Columbus, OH jobs

    **Become a part of our caring community and help us put health first** The Staff Utilization Management Pharmacist (VSP/PT) is a clinical expert responsible for conducting medical necessity and comprehensive medication reviews for prescriptions requiring prior authorization. This role involves evaluating complex clinical scenarios and applying evidence-based criteria to ensure appropriate medication use. The pharmacist addresses moderately complex to complex issues that require critical thinking and in-depth analysis of variable factors. **Location:** **Remote - United States** **Schedule: This is a VSP (Variable Service Provider) role. The hours will vary between 24-40 hours per week.** **The s** **hift for training will be 10:00AM-630PM ET.** **After training, a shift of either 11:00AM-730PM ET, 12:00PM-830PM, or 1:00PM-930PM will be assigned based on business need.** **Some weekend coverage may be required. Mandatory overtime during peak season.** **Job Description:** The Staff Utilization Management Pharmacist (VSP/PT) is a clinical professional responsible for conducting comprehensive reviews of medication care plans. This includes evaluating medical necessity, analyzing overall utilization, and identifying unusual usage patterns. The pharmacist may intervene and provide clinical guidance to patients and providers to support cost-effective medication use and promote high-quality patient outcomes. **Use your skills to make an impact** **Required Qualifications:** + **Bachelor's degree or Doctor of Pharmacy (Pharm.D.) from an accredited college of pharmacy** + Active pharmacist license in the state of residence + Eligibility to participate in federal prescription programs (e.g., Medicare/Medicaid) + Self-directed with the ability to work effectively both independently and in a team environment + Strong problem-solving skills and the ability to foster collaborative solutions + High attention to detail with a strong work ethic focused on accuracy and productivity + Excellent verbal and written communication skills + Proficiency with computer systems, including but not limited to: + Microsoft Office Suite (Word, Excel, Outlook) + Clinical decision support tools (e.g., Micromedex, Lexicomp) + Pharmacy benefit management (PBM) platforms + Electronic health records (EHRs) + Passion for contributing to an organization focused on continuously improving the consumer experience **Preferred Qualifications:** + Experience in managed care pharmacy, particularly in utilization management review **Interview Format** : 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. **WAH Requirements:** 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 recommended; 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. **SSN 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** 1 **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. $104,000 - $143,000 per year **Description of Benefits** Humana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers benefits for limited term, variable schedule and per diem associates which are designed to support whole-person well-being. Among these benefits, Humana provides paid time off, 401(k) retirement savings plan, employee assistance program, business travel and accident. Application Deadline: 01-30-2026 **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 ***************************************************************************
    $37k-57k yearly est. Easy Apply 9d ago
  • Account Management Professional

    Humana 4.8company rating

    Columbus, OH jobs

    **Become a part of our caring community and help us put health first** The Account Executive - Group Medicare is responsible for growing membership within existing accounts and for directly managing business relationships with client accounts. The Account Executive - Group Medicare work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Group Medicare Account Executive serves as the primary contact for an assigned book of business, overseeing all aspects of customer account management. Responsibilities include developing and executing tailored retention strategies, presenting and negotiating renewals, and delivering annual reporting to each customer. The Account Executive acts as a consultative resource, advising on regulatory and industry changes that impact Medicare Advantage. Duties are influenced by each customer's unique culture, expectations, requirements, complexity, and size. **Use your skills to make an impact** **Required Qualifications** + 2+ years of Plan Sponsor/Broker/Consultant Facing Experience + 2+ Years of Group Medicare experience + Strong analytical and technical skills + Ability to think strategically and build meaningful relationships. + Strong presentation and meeting facilitation skills + Negotiation and Conflict resolution skills + Project management and multi-tasking skills + Problem solving ability and thinking outside of the box to find solutions for clients + Communication, customer service, and collaboration skills also crucial given the frequency of interacting with numerous internal HUM functional areas + Ability to travel + Must have life and health license for the state you reside or obtain w/in 60 days of employment + This role is part of Humana's Driver safety program and therefore requires an individual to have a valid state driver's license and proof of personal vehicle liability insurance **Preferred Qualifications** + Bachelor's Degree strongly preferred **Additional Information** + 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 \# LI-KR1 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. $52,900 - $71,500 per year This job is eligible for a commission 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: 02-12-2026 **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 ***************************************************************************
    $52.9k-71.5k yearly 2d ago
  • Lead Technology Professional - HR Systems IT

    Humana 4.8company rating

    Columbus, OH jobs

    **Become a part of our caring community and help us put health first** The Lead Technology Leadership Professional is responsible for all aspects of software or hardware product delivery and performance. The Lead Technology Leadership Professional works with vendor management team, procurement team and other internal IT team on problems of diverse scope, third party SaaS product and complexity ranging from moderate to substantial. The Lead Technology Leadership Professional works with design engineering, business partners and test team to drive products from strategy phase, requirement gathering, user story creation, design completion to volume production release. Performs various tasks to verify and validate product designs. Influence other leaders and teams, works with business and other teams in relase planning and roadmap. Supports product evaluation and qualification on leading edge technology components. Ensures that production schedules are followed and product(s) meet specifications and quality requirements. Interacts with product engineering, quality, manufacturing and marketing teams to analyze and provide technical support to help resolve customers' product related problems/issues. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, Uses independent judgment requiring analysis of variable factors and determining the best course of action. **Use your skills to make an impact** **Required Qualifications** + Bachelor's degree or 8 years of experience + Knowledge Anaplan Implementation Experience + Database Management ( Data lake, SQL) + Resource, Procurement and Vendor Management process experience + 2 or more years of project leadership experience + Experience leading system implementation enterprise-wide projects + Experience with the technologies in use in the application(s) or infrastructure + HR System knowledge + Experience with unit testing and mocking + Ability to manage multiple tasks and deadlines with attention to detail. + Ability to communicate effectively and deliver presentations to senior leaders + Advanced experience leading special projects and producing metrics, measurements and trend reports + Must be passionate about contributing to an organization focused on continuously improving consumer experiences **Preferred Qualifications** + MBA or other Advanced Degree + Demonstrated ability to run large scale, highly visible programs with responsibility for multiple project teams + Possess a solid understanding of operations, technology, communications and processes + Six Sigma certification + ITIL certification **Additional Information** **Work-At-Home Requirements** + 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 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: 02-26-2026 **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 ***************************************************************************
    $117.6k-161.7k yearly 1d ago
  • Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst

    Humana 4.8company rating

    Columbus, OH jobs

    **Become a part of our caring community and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the Pricer Business and System Support team responsible for administering complex Medicare provider reimbursement methodologies. The business needs of the team continue to evolve and grow, changing the composition of the team as it expands to accommodate the increased responsibilities. The Provider Hospital Reimbursement Analyst r will be primarily responsible for maintenance and support of Medicare outpatient provider reimbursement for hospitals and facilities. They will work closely with IT, the pricing software vendor, CIS BSS, claims operations, and other business teams involved in the administration of Medicare business at Humana. The Senior Business Intelligence Engineer will develop and maintain expertise in complex Medicare reimbursement methodologies. This role is within the Integrated Pricing Solutions (IPS) department which falls under the Provider Process and Network Organization (PPNO). **The Sr. Provider Hospital Reimbursement Analyst will be responsible for:** + Researching and maintaining expertise in Medicare Outpatient Prospective Payment System reimbursement methodologies (OPPS, ASC, FQHC, etc.) + Demonstrating expertise in Medicare Integrated Outpatient Code Editor (I/OCE) logic (i.e. grouping rules, OCE data files, editing, etc.) + Analyzing and interpreting CMS Regulatory documentation for Medicare Prospective Payment Systems (i.e. final and proposed rules, transmittals, manuals, legislation, etc.) + Supporting implementation of Medicare pricer projects and enhancements including but not limited to: + Reviewing pricing software vendor specifications. + Identifying system changes needed to accommodate CMS logic. + Assisting with requirements development. + Creating and executing comprehensive test plans + Ongoing Medicare Pricer maintenance, quality assurance, and compliance + Determine root causes driving issues and developing solutions + Working closely with IT and pricing software vendor to resolve issues + Utilize data and expertise to identify automation and improvement opportunities + Research and resolve complex provider reimbursement inquiries and advise operational teams on Pricer edit resolution + Provide consultation to internal business partners on Medicare reimbursement/editing logic and Humana system logic **Use your skills to make an impact** **Work-At-Home Requirements** + 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 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. $89,000 - $121,400 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: 01-29-2026 **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 ***************************************************************************
    $89k-121.4k yearly 60d+ ago
  • Senior Behavioral Economics Professional

    Humana 4.8company rating

    Columbus, OH jobs

    **Become a part of our caring community and help us put health first** The Senior Behavioral Economics Professional designs, executes, and measures the results of large scale experiments. The Senior Behavioral Economics Professional 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 Behavioral Economics Professional applies economic and econometric principles for analysis, and interprets and communicates insights and findings. 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. **Use your skills to make an impact** **Required Qualifications** + PhD Degree in Economics, Behavioral Sciences, Psychology, Applied Statistics or related field. + Experience leading the design of lab or field experiments. + Experience leading analysis of various types of data using R, Python, or similar software. + Understanding of quasi-experimental methods, including appropriate uses and trade-offs for different approaches. **Preferred Qualifications** + Demonstrated experience leading (or making meaningful contributions to) quasi-experimental analyses of real-world data. + At least two years of work experience in consulting, applied research, healthcare, insurance, or related industry (outside of academia). + Demonstrated experience communicating technical topics to non-technical audiences. + Demonstrated experience supporting measurement at different stages of project scale, e.g. feasibility pilots, outcomes studies, and full scaling. **Additional Information** **Work-at-Home / Internet 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. **SSN Alert:** 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. $106,900 - $147,000 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: 02-09-2026 **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 ***************************************************************************
    $36k-46k yearly est. Easy Apply 2d ago
  • Lead Software Engineer - Decision Integrity & Observability

    Humana 4.8company rating

    Columbus, OH jobs

    **Become a part of our caring community and help us put health first** We are developing an enterprise-scale Next Best Action (NBA) platform that delivers real-time, compliant, and explainable decisions across both digital and assisted channels. As we expand, our focus extends beyond speed to encompass decision integrity: ensuring deterministic outcomes, verifiable explainability, and audit-ready replay. The Lead Engineer - Decision Integrity & Observability is responsible for the core runtime infrastructure that guarantees every decision is traceable, explainable, and defensible. This role will embed integrity and observability throughout the decision kernel, rules arbitration, Action Library integration, and state/outbox execution boundaries, empowering teams to innovate with confidence. This is a hands-on individual contributor role with organization-wide impact. **Key Responsibilities** **Decision Integrity (NBA Core)** + Define and enforce determinism guarantees for the decision kernel (Context → Rules → Scores → Reconciliation → Response). + Govern the use of artifacts such as rule packs, reason-code taxonomies, model versions, and objective configurations to ensure decisions are fully explained (including plain-English reasons, rule/policy references, and model stamps). + Enforce contact policy controls (consent, quiet hours, frequency caps) and event-driven suppressions, ensuring all surfaced channels are compliant with policy. **Runtime Observability & Forensics** + Design end-to-end traceability, establishing lineage, causality, and cross-service correlation across the Decision Engine, Rules, Action Library, State Machine, Outbox, and channel executors. + Develop append-only decision ledgers (input summaries, context hashes, rule/model versions, explanations) with hash-verified replay paths for auditability. + Implement semantic guards to detect and alert on business logic errors (e.g., unauthorized channel offers), extending beyond traditional infrastructure monitoring. + Integrate OpenTelemetry instrumentation; provide operational dashboards displaying key indicators (p50/p95 latencies, rule-denial distributions, model latency, cache hit rates, replay health). **Release Safety & Validation** + Develop determinism validation harnesses using golden datasets to ensure consistent outputs for identical inputs and versions (integrated into CI/CD pipelines). + Ensure contract compliance for NBA interfaces via OpenAPI, schema validation, and consumer-driven contracts across all platform modules. + Apply property-based validation to rigorously test rules, scoring, and reconciliation under various policy and event scenarios. + Automate performance and resilience checks, including timeouts, circuit breakers, fallback logic, and chaos testing to maintain p95 SLOs. + Maintain explainability regression controls, ensuring that changes to rules or models do not degrade the quality of explanations. **Cross-Team Enablement** + Collaborate with rules and policy teams on reason-code coverage and pre-release simulation/backtesting. + Work with machine learning teams on model versioning, feature parity (training vs. serving), latency objectives, and safe rollout strategies (shadow/canary deployments). + Coordinate with state management and outbox teams to ensure exactly-once intent, idempotent consumers, legal state transitions, and invariant validation. + Support orchestration and integration needs for Node.js/TypeScript surfaces as required. **Use your skills to make an impact** **Required Qualifications** + Minimum of 8 years in backend/platform service development; at least 3 years in a senior or lead role overseeing mission-critical systems. + Proven experience delivering backend/platform systems with a focus on correctness, reliability, and traceability. + Demonstrated ability to reason about stateful, distributed flows and identify failure modes across interconnected services. + Hands-on implementation of advanced observability (structured logging, tracing) **Technical Expectations** + **Core Platform & Runtime (Java):** Advanced Java backend development, with a focus on deterministic execution and explicit invariants. Familiarity with rules/policy engines or DSLs; JVM-compiled DSL experience is advantageous. + **Distributed Systems & Messaging:** Experience in event-driven, asynchronous architectures, preferably with Kafka or similar pub/sub systems. Mastery of delivery guarantees (at-least-once transport, idempotent consumers, exactly-once effects via the Outbox pattern). + **Persistence & Data Modeling:** Expertise in relational database design (PostgreSQL or equivalent) supporting immutability, auditability, and replay, including append-only histories and versioned records. In-depth knowledge of transactions, isolation levels, and failure boundaries, with the ability to utilize explicit SQL for performance and correctness. + **Observability & Diagnostics:** Proficiency with OpenTelemetry and the ability to correlate logs, traces, and metrics across synchronous and asynchronous flows. Capability to design observability systems that provide business-contextual explanations. + **Ecosystem Awareness:** Experience working alongside Node.js/TypeScript services for orchestration/API composition. Exposure to production ML inference, including deterministic ranking integration and robust fallback handling. + **Engineering-Centric Validation:** Ownership of determinism/replay test harnesses, contract validation, property-based tests, and performance/chaos gates in CI/CD. Application of trace-driven assertions to ensure decision integrity is observable. **Additional 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. **WAH Internet Statement** 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 **Why This Role Matters:** This role ensures the platform does not simply make decisions, but makes decisions that are trustworthy, explainable, and defensible. It is foundational to platform maturity and empowers teams to move rapidly while maintaining confidence and accountability. If you are passionate about building systems where correctness is engineered, behavior is observable, and accountability is intrinsic, this is an exceptional opportunity to shape decision-making at scale. 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. $129,300 - $177,800 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: 03-19-2026 **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 ***************************************************************************
    $129.3k-177.8k yearly Easy Apply 3d ago
  • Stars Analytics Director - CAHPS & HOS

    Humana 4.8company rating

    Columbus, OH jobs

    **Become a part of our caring community and help us put health first** The Stars Analytics Director uses mathematics, statistics, modeling, business analysis, and technology to transform high volumes of complex data into advanced analytic solutions. The Stars Analytics Director requires an in-depth understanding of how organization capabilities interrelate across the function or segment. The Stars Analytics Director for CAHPS & HOS will lead Humana's newly established, high-performing analytics team dedicated to survey-based Star measures. This leader is accountable for the full analytics lifecycle for CAHPS and HOS - including measure forecasting, member- and plan-level insights, predictive modeling, and guiding tool development - and will serve as both the primary analytics counterpart to the Stars CAHPS/HOS business owners and a thought partner shaping strategy, innovation, and long-term capability development. This role requires a unique blend of deep analytics expertise, consulting acumen, executive presence, and strong cross-functional leadership. The Director will be a critical member of the expanding Stars Analytics leadership team, helping Humana strengthen performance, elevate decision-making, and transform our enterprise approach to survey-based quality. **Use your skills to make an impact** **Key Responsibilities:** CAHPS & HOS Analytics Leadership + Lead the end-to-end analytics for CAHPS and HOS, ensuring clarity, rigor, and timeliness across all deliverables. + Oversee core capabilities including: + Survey measure forecasting and performance modeling + Member-level and plan-level insights + Response likelihood models and risk profiling + Promoter/detractor segmentation and experience drivers + NLP-based insights from CAHPS Gaps, Pulse, and other feedback sources + Exploratory tools enabling business and clinical partners to identify improvement opportunities + Connect analytics insights to operational strategy with clarity, accuracy, and executive-ready storytelling. Strategic Partnership & Enterprise Influence + Serve as the primary analytics partner to Stars CAHPS/HOS leadership, aligning on objectives, informed risks, and strategic opportunities. + Act as a thought leader to shape strategy, identify innovation opportunities, and translate evolving business or regulatory needs into actionable analytics roadmaps. + Strengthen cross-functional collaboration across Stars, Stars-adjacent teams, product, clinical and operational partners, and enterprise analytics groups. + Provide analytics oversight related to CAHPS/HOS vendor partners ensuring methodological rigor, data integrity, and performance accountability + Contribute to modernization and long-term capability planning (e.g., new modeling approaches, new data sources, platform/tool enhancements). Executive Engagement & Narrative Leadership + Prepare and deliver materials for the highest levels of company leadership. + Ensure alignment of message, timing, confidence, and risk framing. + Synthesize complex analytics into clear narratives that support informed decision-making in high-stakes settings. + Elevate the right insights with intent - anticipating questions, surfacing risks early, and ensuring the organization is prepared for critical discussions. Team Leadership & Talent Development + Lead a high-performing analytics team, currently planned at 4-6 FTEs, fostering a culture of excellence, collaboration, transparency, and continuous improvement. + Coach and develop emerging analytics talent, building deep CAHPS and HOS expertise and strengthening enterprise bench strength. + Promote ways of working centered on alignment, anticipating partner needs, and stewarding shared ownership of the narrative. **Required Qualifications:** + Bachelor's degree in a relevant field (e.g., Data Science, Public Health, Health Policy, Business, Analytics, Statistics). + 7+ years of experience in healthcare analytics, quality measurement, or Medicare Advantage Stars. + 5+ years of demonstrated leadership of high-performing, multidisciplinary analytics teams. + Proven experience leading complex analytics portfolios and driving long-term strategy in a matrixed, consensus-driven environment. + Experience preparing and presenting analytics to executive audiences, with strong narrative-building and communication skills. + Demonstrated consulting mindset: ability to translate needs into solutions, frame insights clearly, and influence cross-functional partners. **Preferred Qualifications** + Experience with survey-based quality measurement, including CAHPS, HOS, or similar member-experience/statistical survey methodologies. + Direct CAHPS/HOS expertise strongly preferred; candidates with Stars quality experience and demonstrated ability to learn quickly will be considered. + Master's degree in Public Health, Health Services Research, Analytics, Statistics, Business, or related discipline. + Experience building predictive models, NLP pipelines, or segmentation frameworks. **What Success Looks Like (First 12 Months)** + Clear, trusted leadership of CAHPS and HOS analytics across the enterprise. + Highly effective partnership with Stars business leaders, reinforcing alignment and shared ownership of strategy and outcomes. + A strong performance forecasting process that is transparent, reliable, and well-communicated. + A cohesive, high-performing team with strengthened SME depth and demonstrated analytics innovation. + Elevated executive confidence through clear narrative quality, proactive risk identification, and crisp decision-support materials. 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. $189,400 - $260,500 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: 02-23-2026 **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 ***************************************************************************
    $189.4k-260.5k yearly Easy Apply 2d ago
  • Senior Database Engineer

    Humana 4.8company rating

    Columbus, OH jobs

    **Become a part of our caring community and help us put health first** The Senior Database Engineer leads important projects in design, development, implementation and management of databases. The Senior Database Engineer 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 Database Engineer** develops database architectures to address business requirements, ensuring system scalability, security, performance and reliability. Designs database applications such as interfaces, data transfer mechanisms and data partitions to enable efficient access of the generic database structure. Creates plans for architecture updates and integrates new systems with existing warehouse structure to refine performance/functionality. Generally has in-depth knowledge and expertise of database technologies, along with solid programming, design and system analysis skills. 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. **Use your skills to make an impact** cription **Required Qualifications** + 3 years of technical experience with a primary focus on ETL + Comprehensive knowledge of applications including SSIS and/or SSMS + Advanced knowledge and experience with SQL and/or Python/PySpark + Technical proficiency with Databricks and/or a Databricks Certification + Experience designing, developing, and testing of software applications and/or infrastructure + Demonstrated ability to communicate technical information to non-technical professionals + Proven experience with consulting with and building relationships with business partners + Self-starter that can work independently with minimal direction and takes ownership and anticipates future consequences and trends accurately + Critical thinker who can anticipate team needs and take initiative to present ideas, ask the right questions and deliver the highest quality work **Preferred Qualifications** + Experience with Azure and/or other cloud reporting systems or experience in Cloud design + Experience in the development of interactive reports using Power BI and/or similar product **Additional Information** **Work Style** : Remote **HireVue Statement** : As part of our hiring process for this opportunity, we will be using an exciting 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. **Work at Home/Remote Requirements** To ensure Hybrid Office/Home associates' ability to work effectively, the self-provided internet service of Hybrid Office/Home 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 and computer 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. $106,900 - $147,000 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: 01-29-2026 **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 ***************************************************************************
    $106.9k-147k yearly 8d ago
  • Lead Data Product Manager

    Humana 4.8company rating

    Columbus, OH jobs

    **Become a part of our caring community and help us put health first** The Lead Data Product Manager will work within the Integrate Business Advancement Data & Analytics team. The team is focused on converting data to actionable insights for our business partners across the enterprise who can utilize the same, to improve the customer's experience while reducing administrative costs. The Lead Data Product Manager is responsible for collaborating with stakeholders to identify data needs by leveraging the data flow throughout an entire product lifecycle and documenting the data requirements for each new capability, functionality, or product. This individual works as a liaison and manages data features between the solution and product teams. In this role, you will have an opportunity to influence the design and development of a solution to provide data sets that improve the quality and insights to business partners. The Lead Data Product Manager leads all phases of the product life cycle, from inception to introduction into the marketplace, by developing products to meet specific customer needs and achieve specific cost and success outcomes. Once products are launched, monitors efficacy of products and uses customer and business partner feedback to ensure products are meeting customer needs across each customer segmentation, adjusting products over time to continue to achieve the desired outcomes. Advises executives to develop functional strategies (often segment specific) on matters of significance. Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision, uses independent judgment requiring analysis of variable factors and determining the best course of action. In this role, you will have an opportunity to influence the design and development of a solution in order to provide data sets that improve the quality and insights to business partners. The ideal candidate will: + Define problem statements, features, value, benefit hypothesis, dependencies, risks, and identify teams needed to deliver work + Prioritize features spanning across all technical delivery teams supporting data + Ensure product owners have clear understanding of objectives, strategy, and success criteria + Translate the business needs to data requirements + Consult in capability development + Model and encourage Agile behaviors within the team + Identify opportunities for process improvements + Experience in performing in-depth data analysis to derive insights that drives business outcomes and decisions + Exhibit strong written and verbal communication skills + Be an innovative thinker and self-motivated with an innate curiosity around data + Ability to manage multiple priorities and meet deadlines + Use independent judgment requiring analysis of variable factors and determining the best course of action **Expected Outputs:** + Product roadmap: 12-month plan per product + Product requirements: What features, why and for whom + Product success metrics: Usage, business outcomes, etc. + Stakeholder alignment: Own relationship at the Associate Director and Lead level across business, upstream product, and IT stakeholder groups + Backlog prioritization: What's next in sprint, next quarter, and remainder of year + Business case: Assist with development of cost benefit analysis for future investment ideas **Use your skills to make an impact** **Required Qualifications** + Bachelor's Degree + 5+ years of product manager experience + 2+ years of project leadership experience + SAFe Agile POPM certification + Knowledge of Systems Development Life Cycle, Waterfall, and Agile Development Methodologies + Demonstrated ability to articulate ideas effectively in both written and oral forms + Working knowledge of Jira Align (JA) Azure Dev Ops (ADO) + Ability to communicate effectively and deliver presentations to senior leaders + Must be passionate about contributing to an organization focused on continuously improving consumer experiences **Preferred Qualifications** + Knowledge of Cloud Computing is a plus + Familiarity with the healthcare insurance industry + Previous experience with Genesys or other consumer experience equivalent platforms a plus + Experience producing metrics, measurements, trend reports, problem analysis and process improvement **Additional Information** **Work-At-Home Requirements:** 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 Why Humana? **You'll experience the following perks as a full-time Humana employee:** **Compensation and Financial Security -** Our pay philosophy is designed to motivate and reward associates for their skills and contributions to the company. We provide options to help you plan for your future and protect your assets: Competitive base pay, Recognition pay, and a 401(k) retirement savings plan with a company match. **Your Whole Health -** Humana's health products and services are designed to encourage personal wellness and smart healthcare decisions for you and your family: Medical, dental, and vision benefits, Health plan incentives, Paternity leave, etc. **Work Perks -** Humana knows your life extends outside of work. We have many options to support your interests and needs. Some departments have the flexibility to allow associates to work from home, and we offer all associates: Paid time off, holidays, volunteer time, jury duty pay, Associate charity matching program, Discount programs with major retailers, etc. **Grow With Us -** Humana provides growth and career opportunities that can help you develop your skills and build your future with the organization: Internal and external learning events, Tuition assistance, Inclusion and diversity training, etc. **Social Security Task:** Alert: Humana values personal identity protection. Please be aware that applicants being considered for an interview will be asked to provide a social security number, if it is not already on file. When required, an email will be sent from ******************** with instructions to add the information into the application at Humana's secure website. **Interview Format:** As part of our hiring process for this opportunity, we will be using an exciting interviewing technology called Modern Hire to enhance our hiring and decision-making ability. Modern Hire allows us to quickly connect and gain valuable information for you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected for a first-round interview, you will receive an email correspondence inviting you to participate in a Modern Hire interview. In this interview, you will receive a set of interview questions over your phone or via email to complete. Some of the questions may require longer responses and using a computer vs phone to type responses may work best. You should expect this interview to take about 15-20 minutes. Your recorded interview will be reviewed, and you will subsequently be informed if you will be moving forward to the next round of interviews. 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. $126,300 - $173,700 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: 02-01-2026 **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 ***************************************************************************
    $126.3k-173.7k yearly Easy Apply 3d ago
  • Senior Application Architect

    Humana 4.8company rating

    Columbus, OH jobs

    **Become a part of our caring community and help us put health first** The Senior Application Architect at Humana designs and develops IT architecture solutions that address complex business challenges, ensuring alignment with Humana's enterprise technology standards. This role delivers application modernization, secure automation, and the adoption of reusable architectures. The architect collaborates with enterprise teams to advance security, operational excellence, and cost beneficial solutions across the organization. We are hiring an Application Architect to support solution design and delivery specifically for Humana's corporate Legal technology demands. You will partner with the Lead Application Architect to design modern, secure, scalable applications and guide engineering teams through implementation. **Key Responsibilities** - Design end-to-end application architectures (UI, API, data, integrations, security). - Create architecture diagrams, design docs, and reusable patterns for cloud, SaaS, AI, and legacy modernization. - Provide technical leadership to development teams; conduct design and code reviews. - Ensure all solutions follow enterprise standards for security, scalability, and resiliency. - Support projects across the SDLC and collaborate with DevOps, Security, Cloud, and Data teams. - Participate in POCs and technology evaluations. - Coordinate issue resolution with production support team(s). **Why Join** - Work closely with the Lead Application Architect on high-impact, cross-functional projects; substantial exposure to AI development and other innovative automation **Use your skills to make an impact** **Required Qualifications** - 6+ years in application development, 2+ years in architecture or technical design. - Strong experience with modern stacks (React/Angular, .NET/Java/Python/Node). - Knowledge of Azure cloud services, containers, APIs, and CI/CD. - Understanding of IAM (Azure AD) and secret management (HashiCorp Vault). - Strong communication and documentation skills. **Preferred Skills** - Experience with AI/ML-enabled apps, RAG, or automation platforms. - Experience with cloud migrations, legacy modernization, and event-driven architectures. - Exposure to enterprise domains like Compliance, HR, Finance, Legal, or Risk. **Additional Information** **Work-At-Home Requirements** + 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 \#LI-Remote 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. $106,900 - $147,000 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: 02-19-2026 **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 ***************************************************************************
    $106.9k-147k yearly 45d ago

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