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  • Director Workforce Capacity Planning

    Humana Inc. 4.8company rating

    Remote or Boston, MA job

    Become a part of our caring community and help us put health first The Director, Workforce Capacity Planning is responsible for setting and executing CenterWell's workforce capacity strategy across CenterWell Call Centers, Pharmacy operations, Primary Care Clinics, and Home Health services. This position will integrate advanced and predictive analysis, people metrics and reporting to develop strategic and operational insights for workforce decision‑making. The Director, Workforce Management requires an in‑depth understanding of how organization capabilities interrelate across the function or segment. The Director Operating as a strategic partner to Operations, Finance, Clinical Leadership, Product, and Technology, the Director provides clear, data‑driven recommendations to senior leadership, enables disciplined planning and governance, and builds scalable capabilities that support CenterWell's long‑term growth and transformation. The Director, Workforce Management assesses organizational staffing and identifies requirements and solutions to meet workforce objectives. Enterprise Capacity Strategy & Planning The Director owns the end‑to‑end workforce capacity planning framework for CenterWell. This includes developing short‑term, annual, and multi‑year capacity plans that align demand forecasts, productivity assumptions, staffing models, and financial targets across all supported lines of business. The role ensures capacity strategies are forward‑looking, scenario‑based, and aligned to evolving care models, regulatory requirements, and growth initiatives. Demand Forecasting & Scenario Modeling This leader establishes and governs enterprise forecasting methodologies, ensuring consistency, rigor, and transparency across call center, pharmacy, clinical, and home health environments. The role leads scenario planning to assess risks and tradeoffs related to volume volatility, labor availability, productivity changes, technology adoption, and policy or market shifts. Insights are translated into actionable options for executive decision‑making. Financial Partnership & Investment Decisions The Director partners closely with Finance to support budgeting, re‑forecasting, and long‑range planning processes. This includes headcount planning, labor cost modeling, productivity targets, and return‑on‑investment analysis. The role clearly articulates the financial and operational implications of capacity decisions and provides recommendations that balance affordability with service and access commitments. Cross‑Functional Leadership & Influence Success in this role requires strong influence across a matrixed organization. The Director works in close partnership with Operations, Clinical Leaders, Workforce Management, HR, Product, and Technology teams to ensure capacity plans are executable and integrated with hiring, scheduling, training, and system roadmaps. The role aligns stakeholders around a single, enterprise capacity narrative and resolves competing priorities through data and structured decision frameworks. Governance The Director establishes a disciplined governance model for capacity planning, including standard assumptions, review cadences, escalation paths, and executive forums. The role ensures leadership has clear visibility into capacity risks, constraints, and performance, and that plans are regularly reviewed, refined, and aligned to business outcomes. Team Leadership & Capability Development The Director builds, leads, and develops a high‑performing workforce capacity planning team. This includes defining clear roles and expectations, strengthening analytical and business acumen, and standardizing tools, models, and processes. The role fosters a culture of accountability, continuous improvement, and intellectual curiosity. Communication A critical component of the role is translating complex analyses into clear, concise executive communications. The Director prepares and delivers materials that enable senior leaders to quickly understand capacity drivers, risks, and options, supporting timely and informed decisions. Communication is tailored for executive, operational, and clinical audiences. Outcomes & Measures of Success Success is measured by the accuracy and usability of capacity plans, improved alignment between demand and staffing, reduced operational volatility, stronger financial predictability, and leadership confidence in capacity insights. Over time, the role enables CenterWell to scale efficiently while maintaining high standards of access, quality, and member experience. Use your skills to make an impact Required Qualifications Bachelor's Degree 8 or more years of Workforce Management experience 5 or more years of management experience Comprehensive knowledge of Microsoft Word, Excel and PowerPoint Excellent written and oral communication skills Advanced forecasting and modeling techniques Strong analysis, critical thinking, and analytical problem solving skills Ability to handle multiple tasks and deadlines with attention to detail Must be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications Advanced Degree Prior experience in Process or Project Management Additional 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. 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. 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. $168,000 - $231,000 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: 01-22-2026 About us About CenterWell Pharmacy: CenterWell Pharmacy provides convenient, safe, reliable pharmacy services and is committed to excellence and quality. Through our home delivery and over‑the‑counter fulfillment services, specialty, and retail pharmacy locations, we provide customers simple, integrated solutions every time. We care for patients with chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health outcomes and drive superior medication adherence. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior‑focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole‑person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry‑leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well‑being, all from day one. 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. Centerwell, a wholly owned subsidiary of 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 full accessibility rights information and language options ************************************************************* #J-18808-Ljbffr
    $168k-231k yearly 5d ago
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  • Risk Adjustment - Risk Management Lead

    Humana Inc. 4.8company rating

    Remote or Washington, DC job

    Become a part of our caring community and help us put health first The Risk Management Lead acts as a consultant to the Risk Adjustment team leaders, as programs and initiatives are executed upon. Leveraging risk management and compliance frameworks, they will identify and analyze potential risks and sources of loss to evaluate business processes and drive improvements aimed at minimizing risk. The Lead will focus on Project Management and is responsible for oversight of the Risk Adjustment Operations processes. The Risk Management Lead works on problems of diverse scope and complexity ranging from moderate to substantial. The Risk Management Lead estimates the potential financial consequences of an occurring loss. Develops and implements controls and cost‑effective approaches to minimize the organization's risks. Assesses and communicates information regarding business risks with functions across the organization. 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 addition, this role provides consultative services to drive efficient, effective, and compliant risk adjustment processes. This Risk Adjustment Risk Management lead position will be responsible for providing risk management and compliance oversight of Risk Adjustment Operations, including the areas of Provider Data Validation, Provider Support, Provider Reporting, Quality Audit, and risk adjustment operations related to Provider Reconciliation and alternative encounter submission methods. Responsibilities of the role will include the following: Evaluating processes and procedures to ensure adequate controls are included Monitor compliance requirements specific to risk adjustment operations Conduct audits to ensure controls and processes are being executed with minimal risk Conduct risk assessments, as necessary, to identify current gaps in processes Collaborate with business area associates to develop remediation plans to close gaps Collaborate with business area teams and compliance partners to consult on initiatives and drive process excellence Develop annual work plan for responsible areas Understand and assist in financial control assessment and work collaboratively with internal and external auditors Evaluate Provider Data Validation, Provider Reporting, Quality Audit, and core risk adjustment operational business areas monthly progress against goals Track and report on project status Use your skills to make an impact Required Qualifications 3 or more years of project leadership experience 2+ year of audit, compliance, and/or risk experience Must be passionate about contributing to an organization focused on continuously improving consumer experiences Strong relationship building skills Ability to take the initiative Ability to manage multiple initiatives at a time and ensure progress is moving forward Preferred Qualifications Applicable Bachelor's degree - Accounting, Finance, Business, Auditing, Actuarial Certified Internal Auditor, CPA or CPC strongly preferred Risk Adjustment knowledge Experience with risk adjustment provider data and reporting Auditing experience Familiarity with CMS Reimbursement models and claims/encounter submission processes Data analysis and dashboarding experience People leadership experience Additional Information Location: Nationwide (U.S.); however, candidates located in the Eastern Standard Time (EST) Zone are strongly preferred to support alignment with team schedules and collaboration. 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 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 for you pertaining to your relevant skills and experience at a time that is best for your schedule. If you are selected, you will receive correspondence inviting you to participate in a HireVue assessment. You will have a set of questions and you will provide responses to each question. You should anticipate this to take about 15 - 20 minutes. Your answers will be reviewed, and you will subsequently be informed if you will be moving forward to next round. 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. $104,000 - $143,000 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: 01-23-2026 About us Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our *************************************************************************** #J-18808-Ljbffr
    $104k-143k yearly 2d ago
  • Risk Adjustment Risk Lead & Compliance Strategist

    Humana Inc. 4.8company rating

    Remote or Washington, DC job

    A national healthcare organization is seeking a Risk Management Lead to oversee risk adjustment operations and compliance. This role requires a minimum of three years of project leadership experience and expertise in audit and compliance. The ideal candidate will have strong relationship-building skills and the ability to manage multiple projects effectively. This remote position offers a salary range of $104,000 to $143,000 annually, along with competitive benefits including health insurance and a 401(k) plan. #J-18808-Ljbffr
    $104k-143k yearly 2d ago
  • Lead Experience Researcher - Remote Health UX & Strategy

    Humana Inc. 4.8company rating

    Remote or Boston, MA job

    A leading health insurance provider in Boston is looking for a Lead Experience Researcher to drive high-impact experiences by blending qualitative and quantitative research. This role will lead research engagements, partner with cross-functional teams, and provide insights to shape product design. Candidates should have a strong background in experience research methods, strategic problem-solving, and human-centered design. Competitive pay range is between $138,900 and $191,000 annually, plus benefits. #J-18808-Ljbffr
    $63k-78k yearly est. 3d ago
  • Director, Next Best Action (NBA) Platform

    Humana Inc. 4.8company rating

    Remote or Washington, DC job

    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 *************************************************************************** #J-18808-Ljbffr
    $189.4k-260.5k yearly 3d ago
  • Actuary, Analytics & Forecasting - Remote FP&A Leader

    Humana Inc. 4.8company rating

    Remote or Washington, DC job

    A healthcare services provider is seeking an Actuary for Analytics/Forecasting to join their Financial Planning team. This role involves analyzing financial data, collaborating with stakeholders, and providing strategic insights to support business decisions. Candidates should possess a Bachelor's degree, FSA or ASA certification, and strong communication skills. The position offers remote work flexibility with occasional office travel required. A competitive compensation package and benefits are provided. #J-18808-Ljbffr
    $74k-100k yearly est. 4d ago
  • Remote Market VP Pharmacy Compliance & Practice

    Humana Inc. 4.8company rating

    Remote or Washington, DC job

    A leading healthcare organization is seeking a Market Vice President of Pharmacy Professional Practice to oversee pharmacy compliance across various settings. This role requires a Bachelor's degree in Pharmacy and at least 5 years of relevant experience. The candidate will ensure regulatory compliance and lead a high-performing team. Candidates should possess extensive pharmacy knowledge and significant management experience. This position offers competitive compensation and requires occasional travel for meetings and training. #J-18808-Ljbffr
    $96k-120k yearly est. 3d ago
  • Remote Workforce Management Analyst II

    Humana Inc. 4.8company rating

    Remote or Washington, DC job

    A leading healthcare services company in Washington seeks a Workforce Management Professional 2 to analyze workforce needs and develop operational insights. The role requires 2+ years of scheduling experience, and proficiency in Microsoft Office. This remote position entails occasional travel for training. Competitive salary ranging from $59,300 to $80,900 per year, plus benefits focused on whole-person well-being. #J-18808-Ljbffr
    $59.3k-80.9k yearly 3d ago
  • Remote Finance Data Platform Leader

    Humana Inc. 4.8company rating

    Remote or Urban Honolulu, HI job

    A leading healthcare organization is seeking an Associate Director, Finance Data Management based in Honolulu, Hawaii. This role involves supporting all aspects of finance data management and implementing vital policies. Candidates must have a Bachelor's degree and extensive experience in ERP systems and finance functions. Additionally, proficiency in managing large datasets and SQL is required. Join a dynamic team to help enhance data architecture and improve operational efficiencies. #J-18808-Ljbffr
    $68k-82k yearly est. 5d ago
  • Infrastructure Operations Lead - Cloud and AI/GenAI Enablement

    Humana Inc. 4.8company rating

    Remote or Washington, DC job

    Become a part of our caring community and help us put health first The ideal candidate brings a passion for emerging technologies, a strong foundation in Infrastructure Operations and the curiosity and rigor to build next‑generation capabilities that improve healthcare delivery, reduce risk and optimize operational performance. If you're passionate about innovation and love working in an environment where you can constantly improve and adopt new technologies to drive business results, then Humana's Infrastructure Operations team could be the place for you! Use your skills to make an impact Key Responsibilities Lead and provide direction for our Managed Service Provider (MSP) Lead Managed Service Provider in Operations for Azure, GCP and AWS Cloud environment Drives moderate to complex processing improvements through optimization, enhancements and implementation of new operational features and functions around Cloud compliance, metrics/reporting and cost optimization Provide senior level expertise on decisions and priorities regarding the enterprise's overall Cloud Operations strategy, consumption, and optimization opportunities - understand Cost controls and the various cost optimization techniques Identifies, drives and assists in the implementation of opportunities to standardize Cloud environments Provides Cloud governance, processes and technical advisory support to business units and projects by working cross‑functionally and provides recommendations that support the business needs Participant as required (Level 2/3 escalation point) for Incident Management Participate and develop client relationships within Operations, Business partners, Managed Service Providers and Cloud Providers Work with cross-functional teams to support the engineering and implementation of new Cloud applications or solutions and define the related risks and onboard new capabilities Ability to communicate at all levels within an organization and influence strategic direction Ability to work with minimal supervision, making decisions based upon priorities, schedules and understanding business initiatives This leader will explore and prototype AI‑driven solutions to automate incident response, predict system failures, summarize complex telemetry data, and develop intelligent copilots to support Operations teams Lead research and evaluation of cutting‑edge AI and GenAI tools applicable to Infrastructure Operations (e.g., LLMs, vector databases, predictive analytics) Design and prototype AI‑driven systems for automated incident detection, anomaly classification, infrastructure forecasting/resiliency - leading to lower MttR and manual overhead in mission‑critical environments Develop and lead the strategic roadmap for AI adoption in Infrastructure Operations Collaborate with Infrastructure and Cloud Operations teams to pilot and integrate AI/GenAI features into critical workflows Modernize observability and alerting using AI/ML models for proactive monitoring and self‑healing actions Lead R&D of GenAI solutions for predictive alerting, incident triage and infrastructure automation Build AI copilots and natural language tools for infrastructure operations teams Integrate LLMs into observability platforms for real‑time RCA and log summarization Pilot and productionize GenAI‑based assistants, bots, and copilots to support ticket triage, knowledge management and resolution workflows Identify automation opportunities and implement AI‑enhanced runbooks, workflows and self‑healing mechanisms Contribute to a strategic roadmap for GenAI maturity within Infrastructure & Operations, including tools, governance and organizational readiness Partner with internal data science and clinical innovation teams to create proofs of concept, build ML/GenAI pipelines, and integrate with existing toolchains (e.g., ServiceNow, Splunk, Terraform) Autonomous log summarization, RCA generation and playbook suggestions Natural language interfaces for querying system health or telemetry Act as a GenAI ambassador, helping Infrastructure Operations teams upskill in AI‑augmented technologies and use cases Qualifications Bachelor's in Computer Science, Artificial Intelligence, Healthcare Informatics, or a related field 10+ years in infrastructure operations or engineering, with at least 3+ years of hands‑on involvement in AI/ML or GenAI R&D Deep understanding of large language models (LLMs), vector databases, retrieval‑augmented generation (RAG), and model orchestration (e.g., LangChain, Haystack). Experience integrating AI/GenAI capabilities with infrastructure automation tools (Terraform, Ansible, Python, Bash) Familiarity with healthcare systems and compliance frameworks (HIPAA, HITRUST) Proficiency with observability and telemetry platforms (e.g., Splunk, DynaTrace, SolarWinds) and AI‑driven monitoring Strong problem‑solving and experimentation mindset, with the ability to move from concept to pilot rapidly Experience with Continuous Integration and Deployment Pipelines, i.e. Azure DevOps, Jenkins, Git, Git Hub Has hands‑on scripting experience using one of the following: Terraform, Cloud Formation, PowerShell, Azure CLI, Python, JSON, Perl or Bash Preferred Master's degree Azure, AWS, GCP, ITIL and/or SRE certifications Experience with GenAI platforms (e.g., Azure OpenAI, Google Vertex AI) Experience deploying or evaluating open‑source LLMs or fine‑tuning models for infrastructure use cases 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. $142,300 - $195,700 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: 01-14-2026 About us Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our *************************************************************************** #J-18808-Ljbffr
    $142.3k-195.7k yearly 3d ago
  • Actuarial Principal - Strategic FP&A Leader (Remote)

    Humana Inc. 4.8company rating

    Remote or Juneau, AK job

    A leading healthcare provider in Alaska is seeking an Actuarial Analytics/Forecasting Principal to join their Financial Planning & Analysis team. This role involves analyzing and forecasting financial data and providing strategic guidance to business leaders. Candidates should have a Bachelor's degree, strong communication skills, and 10+ years of technical experience. The position offers significant exposure to leadership and opportunities for advancement. Competitive salary and benefits included. #J-18808-Ljbffr
    $93k-115k yearly est. 5d ago
  • Senior Infra Ops Lead: Cloud & GenAI Enablement (Remote)

    Humana Inc. 4.8company rating

    Remote or Boston, MA job

    A leading healthcare company is seeking an experienced Infrastructure Operations leader to drive innovation in AI and cloud technologies. The ideal candidate will have over 10 years in infrastructure, with a strong background in AI/ML, leading cloud operations for Azure and AWS. Key responsibilities include overseeing cloud strategy and governance, enhancing operational performance, and fostering partnerships across teams. This role offers a competitive salary and benefits focused on well-being. #J-18808-Ljbffr
    $114k-139k yearly est. 2d ago
  • Risk Adjustment Risk Lead & Compliance Strategist

    Humana Inc. 4.8company rating

    Remote or Boston, MA job

    A leading health services company is seeking a Risk Management Lead responsible for oversight of risk adjustment operations. The role includes advising on risk management strategies, compliance, and project management. The ideal candidate should have significant experience in project leadership and risk analysis, with a passion for enhancing consumer experiences. This remote position requires strong initiative and the ability to manage multiple projects simultaneously. Interested candidates are encouraged to apply for a rewarding opportunity focused on health improvement. #J-18808-Ljbffr
    $92k-126k yearly est. 5d ago
  • Remote Finance Special Projects Lead

    Humana Inc. 4.8company rating

    Remote or Washington, DC job

    A leading health services organization is seeking a Lead - Finance Special Projects to drive process improvements within the Finance function. This position requires collaboration with Finance leadership to optimize operations and promote technology adoption. Candidates should have a Bachelor's degree in Finance or related field and extensive experience in benchmarking and project management. This role involves creating project plans and tracking progress to ensure successful project delivery. Various benefits and a compensation range of $94,900 - $130,500 annual are offered. #J-18808-Ljbffr
    $94.9k-130.5k yearly 1d ago
  • Lead Experience Researcher - Remote Health UX & Strategy

    Humana Inc. 4.8company rating

    Remote or Urban Honolulu, HI job

    A leading health services company is hiring a Lead Experience Researcher to drive high-impact experiences by blending qualitative and quantitative research expertise. This position is crucial in uncovering unmet needs and informing strategic solutions while partnering with cross-functional teams. An ideal candidate will possess a Bachelor's degree, a minimum of five years in experience research methods, and a passion for human-centered innovation. This remote role offers a competitive salary range of $138,900 - $191,000, along with comprehensive benefits. #J-18808-Ljbffr
    $67k-80k yearly est. 3d ago
  • Remote Workforce Management Analyst II

    Humana Inc. 4.8company rating

    Remote or Urban Honolulu, HI job

    A leading healthcare company is looking for a Workforce Management Professional to apply analytics and people metrics to strategic workforce decision-making. The role involves assessing staffing needs and ensuring the alignment of organizational strategies. Candidates should have at least 2 years of relevant experience and excel in communication and analytical problem-solving. This position offers a competitive salary and benefits and requires occasional travel for training. A bachelor's degree is preferred. #J-18808-Ljbffr
    $47k-57k yearly est. 1d ago
  • Director Workforce Capacity Planning

    Humana Inc. 4.8company rating

    Remote or Washington, DC job

    Become a part of our caring community and help us put health first The Director, Workforce Capacity Planning is responsible for setting and executing CenterWell's workforce capacity strategy across CenterWell Call Centers, Pharmacy operations, Primary Care Clinics, and Home Health services. This position will integrate advanced and predictive analysis, people metrics and reporting to develop strategic and operational insights for workforce decision‑making. The Director, Workforce Management requires an in‑depth understanding of how organization capabilities interrelate across the function or segment. The Director Operating as a strategic partner to Operations, Finance, Clinical Leadership, Product, and Technology, the Director provides clear, data‑driven recommendations to senior leadership, enables disciplined planning and governance, and builds scalable capabilities that support CenterWell's long‑term growth and transformation. The Director, Workforce Management assesses organizational staffing and identifies requirements and solutions to meet workforce objectives. Enterprise Capacity Strategy & Planning The Director owns the end‑to‑end workforce capacity planning framework for CenterWell. This includes developing short‑term, annual, and multi‑year capacity plans that align demand forecasts, productivity assumptions, staffing models, and financial targets across all supported lines of business. The role ensures capacity strategies are forward‑looking, scenario‑based, and aligned to evolving care models, regulatory requirements, and growth initiatives. Demand Forecasting & Scenario Modeling This leader establishes and governs enterprise forecasting methodologies, ensuring consistency, rigor, and transparency across call center, pharmacy, clinical, and home health environments. The role leads scenario planning to assess risks and tradeoffs related to volume volatility, labor availability, productivity changes, technology adoption, and policy or market shifts. Insights are translated into actionable options for executive decision‑making. Financial Partnership & Investment Decisions The Director partners closely with Finance to support budgeting, re‑forecasting, and long‑range planning processes. This includes headcount planning, labor cost modeling, productivity targets, and return‑on‑investment analysis. The role clearly articulates the financial and operational implications of capacity decisions and provides recommendations that balance affordability with service and access commitments. Cross‑Functional Leadership & Influence Success in this role requires strong influence across a matrixed organization. The Director works in close partnership with Operations, Clinical Leaders, Workforce Management, HR, Product, and Technology teams to ensure capacity plans are executable and integrated with hiring, scheduling, training, and system roadmaps. The role aligns stakeholders around a single, enterprise capacity narrative and resolves competing priorities through data and structured decision frameworks. Governance The Director establishes a disciplined governance model for capacity planning, including standard assumptions, review cadences, escalation paths, and executive forums. The role ensures leadership has clear visibility into capacity risks, constraints, and performance, and that plans are regularly reviewed, refined, and aligned to business outcomes. Team Leadership & Capability Development The Director builds, leads, and develops a high‑performing workforce capacity planning team. This includes defining clear roles and expectations, strengthening analytical and business acumen, and standardizing tools, models, and processes. The role fosters a culture of accountability, continuous improvement, and intellectual curiosity. Communication A critical component of the role is translating complex analyses into clear, concise executive communications. The Director prepares and delivers materials that enable senior leaders to quickly understand capacity drivers, risks, and options, supporting timely and informed decisions. Communication is tailored for executive, operational, and clinical audiences. Outcomes & Measures of Success Success is measured by the accuracy and usability of capacity plans, improved alignment between demand and staffing, reduced operational volatility, stronger financial predictability, and leadership confidence in capacity insights. Over time, the role enables CenterWell to scale efficiently while maintaining high standards of access, quality, and member experience. Use your skills to make an impact Required Qualifications Bachelor's Degree 8 or more years of Workforce Management experience 5 or more years of management experience Comprehensive knowledge of Microsoft Word, Excel and PowerPoint Excellent written and oral communication skills Advanced forecasting and modeling techniques Strong analysis, critical thinking, and analytical problem solving skills Ability to handle multiple tasks and deadlines with attention to detail Must be passionate about contributing to an organization focused on continuously improving consumer experiences Preferred Qualifications Advanced Degree Prior experience in Process or Project Management Additional 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. 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. 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. $168,000 - $231,000 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: 01-22-2026 About us About CenterWell Pharmacy: CenterWell Pharmacy provides convenient, safe, reliable pharmacy services and is committed to excellence and quality. Through our home delivery and over‑the‑counter fulfillment services, specialty, and retail pharmacy locations, we provide customers simple, integrated solutions every time. We care for patients with chronic and complex illnesses, as well as offer personalized clinical and educational services to improve health outcomes and drive superior medication adherence. About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior‑focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole‑person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry‑leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well‑being, all from day one. 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. Centerwell, a wholly owned subsidiary of 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 full accessibility rights information and language options ************************************************************* #J-18808-Ljbffr
    $168k-231k yearly 1d ago
  • Actuary, Analytics & Forecasting - Remote FP&A Leader

    Humana Inc. 4.8company rating

    Remote or Juneau, AK job

    A leading health insurance provider is seeking an Actuary for their Financial Planning & Analysis team in Juneau, Alaska. This role involves analyzing and forecasting financial data, ensuring data integrity, and supporting business intelligence efforts. Candidates should hold a Bachelor's Degree, preferably have FSA or ASA designations, and possess strong communication skills. This position provides flexibility and opportunities for career advancement, along with competitive pay and benefits. #J-18808-Ljbffr
    $77k-99k yearly est. 5d ago
  • Associate Director - Finance Data Management

    Humana Inc. 4.8company rating

    Remote or Washington, DC job

    Become a part of our caring community and help us put health first The Associate Director, Finance Data Management supports all aspects of configuration control, data management, and deficiency reporting. The Associate Director, Finance Data Management requires a solid understanding of how Finance organization data capabilities interrelate across department(s). The Associate Director, Finance Data Management supports implementation of government and industry policies for requirements management, document management, change management, production and delivery, and configuration management of the performance, functional, and physical baselines. Acquires, validates, stores, protects, and processes required data to ensure the accessibility, reliability, and timeliness of the data for its users. Develops and executes architecture, policies, practices and procedures that properly manage the full data lifecycle needs of an enterprise. Decisions are typically related to identifying and resolving complex technical and operational problems within Finance and highly specialized professional associates. Associate Director, Finance Data Management, is responsible for executing and delivering a multi-year roadmap to help the Finance organization achieve target state architecture. The target state architecture helps the Finance org achieve: Standardized Finance Data Definition & Ownership Optimize Cost to Operate in Finance Empower Finance with Self Service Analytics Strengthen Compliance & Audit Readiness Accelerate Finance Close, Budgeting and Forecasting Cycle times Build a predictive, AI ready Finance Platform Associate Director, Finance Data Management will also focus on leading the team to operationalize the data foundations and continuous improvement processes and quality associated with data management in Finance. Associate Director, Finance Data Management will work closely with enterprise data governance and data strategy to ensure alignment and extension of enterprise goals and strategy in the data management space. Similarly, will also work at enterprise scale with the various data platform teams to achieve the finance data management goals. Use your skills to make an impact Required Qualifications Bachelor's degree in business or technology Hands-on operational experience in Finance functions (Accounting, FP&A or CFO org) 6 or more years of technical experience 2 or more years of management experience Understands and analyzes complex data and can articulate to various units within the company at the appropriate level Experience with Enterprise Scale ERP systems Experience working with large datasets both on prem and cloud Preferred Qualifications Master's degree in business/technology or CPA Certification/Advanced understanding of Oracle Fusion Cloud (ERP, GL, AP, AR other modules) Experience working with modern cloud platforms like Databricks or Snowflake Understanding of applied AI in a Finance function SQL, ability to manipulate and analyze data using modern analytical tools 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. $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: 01-25-2026 About us Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and our company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large. Equal Opportunity Employer It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment. Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our accessibility resources. #J-18808-Ljbffr
    $129.3k-177.8k yearly 2d ago
  • Actuarial Principal - Strategic FP&A Leader (Remote)

    Humana Inc. 4.8company rating

    Remote or Boston, MA job

    A leading health service provider in Boston is seeking an Actuarial Analytics/Forecasting Principal. This role involves analyzing financial and economic data for strategic decisions. Candidates should possess substantial technical experience, a strong educational background, and project leadership skills. The ideal candidate will thrive in a collaborative environment where they can challenge assumptions and propose innovative solutions. This position offers a competitive salary and numerous benefits, aiming to enhance health outcomes for the community. #J-18808-Ljbffr
    $93k-115k yearly est. 5d ago

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