Jobs at Humana

Designs, tests, and deploys data protection and security solutions (focus on Privacera) across Azure and GCP. Builds CI/CD pipelines, performs risk assessments and proofs-of-concept, supports incident response, and drives security R&D and integrations into cloud environments. Collaborates with stakeholders and influences security strategy.

Provide digital forensics and incident response expertise: collect and analyze forensic data, identify root cause, recommend remediation, manage real-time forensic capability, produce investigative reports for leadership, influence strategy, and participate in on-call rotation. Work involves complex cases across Humana infrastructure and occasional travel for training or meetings.

The Senior Kubernetes Cloud Architect designs and maintains Kubernetes clusters, integrates automation, oversees CI/CD pipelines, and mentors teams while ensuring high availability and security.

The Lead Data Engineer modernizes and optimizes the Medicaid Market's data platform, manages ETL processes, and partners with the Business Intelligence team to enhance data accessibility and reliability, while also leading contract resources in a complex environment.

The Principal IT Disaster Recovery Architect defines and supports DR strategy, provides guidance to teams, and improves recovery capabilities. Works with leaders to establish enterprise-wide strategies and educates teams on DR operations.

Lead operational stewardship for assigned enterprise data assets: manage metadata, monitor and remediate data quality, run root-cause analysis, enforce governance policies, enable trusted data use, scale stewardship practices, and collaborate with business and technical stakeholders to improve data usability and compliance.

Lead design and implementation of AI-enabled ITSM and lifecycle automation: integrate ServiceNow and enterprise platforms, build reusable AI-driven automation skills, automate incident/problem/change workflows, improve data flows and observability, and deliver dashboards and playbooks to accelerate end-of-life lifecycle execution and reduce manual effort.

The Lead AI Product Manager will drive AI innovation by guiding cross-functional teams in developing AI-powered solutions, managing product strategy, and ensuring alignment with business objectives to enhance healthcare services.

Lead the development of AI solutions and systems to improve healthcare outcomes, managing data science strategies and collaborating with engineering teams.

The Lead Network Architect designs IT infrastructure solutions, evaluates network performance, conducts cost studies, and advises executives on network strategies, ensuring optimal network ecosystem operations and technology integration.

The Lead Data Scientist will drive AI innovation, manage data science strategies, build AI systems, and collaborate on scalable AI solutions for healthcare delivery.

The Infrastructure Operations Lead manages cloud operations, oversees AI and GenAI implementations, and drives optimization and compliance efforts within a healthcare environment.

The Decision Intelligence Engineer will design and improve reinforcement learning policies for Humana's Next Best Action platform, focusing on decision-making algorithms, simulation environments, and training pipelines, while ensuring outputs align with clinical eligibility rules.

The Utilization Management Clinical Pharmacist 2 reviews medication authorizations, advises on cost-effective utilization, and ensures quality patient outcomes by analyzing care plans and usage patterns.

Builds and manages ETL processes and data pipelines in Azure Databricks using PySpark. Integrates data from multiple sources, tunes Spark and SQL for performance, troubleshoots pipeline failures, automates manual processes, and supports reporting and analytics to inform business decisions.

Lead development and execution of channel strategies to improve Stars outcomes. Manage cross-functional, enterprise programs from planning through execution, drive governance, performance reporting, backlog prioritization, sales channel readiness, stakeholder alignment, and executive communications to deliver regulatory-compliant business results.

Lead the development of Next Best Action strategies using Adobe Journey Optimization, ensuring personalized customer engagement through data-driven decisioning and content orchestration.

Lead design and enablement of scalable, reusable customer journey blueprints using Adobe Journey Optimizer. Collaborate with marketing, data science, IT, and agile pods to embed personalization, NBA decisioning, and multivariant testing; provide templates, governance, and documentation to accelerate pod execution and ensure compliant, measurable, enterprise-scale journeys.

Manage claims operations including customer contact, investigation, approval and settlement of claims. Work with insurers, providers, members and collections to resolve pending claims, exercise judgment in prioritizing and interpreting processes, and perform advanced administrative and operational support. Remote role with required virtual training and availability for weekday shifts in EST.

Lead pharmacy compliance efforts for Medicare Parts B and D, interpret regulatory guidance, perform audits and risk assessments, support PBM and dispensing operations, coordinate regulator audits, and collaborate across business units to monitor and remediate compliance risks.