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Healthtech
Owns the translation of approved business requirements into implementation-ready documentation for Humana’s Next Best Action platform. Coordinates Product Managers and configuration teams, manages action and treatment requirements, reviews completeness, resolves ambiguities, supports backlog and change management, tracks implementation progress, and improves documentation standards. The role is remote with occasional travel and focuses on scalable decisioning configuration practices across business areas and channels.
Top Skills:
HipaaPega Customer Decision HubPega Decision Management
Healthtech
Lead expansion of Humana’s Next Best Action platform across business channels and customer touchpoints. Translate channel needs into scalable product capabilities, requirements, integrations, onboarding plans, and implementation strategies. Partner with business, architecture, engineering, data, and product teams to identify capability gaps, prioritize enhancements, manage dependencies and risks, coordinate testing and readiness, and support successful launches. Establish reusable onboarding frameworks and improve governance and operating models across the enterprise.
Top Skills:
APIs
Healthtech
Lead product management for Humana’s enterprise Next Best Action decisioning platform. Define reusable platform capabilities, business rules, prioritization frameworks, user stories, and backlogs. Partner with engineering, architecture, analytics, UX, data science, and business teams to deliver scalable personalization and member engagement solutions. Serve as Product Owner for scrum teams, manage competing priorities, evaluate platform investments, and measure adoption, utilization, delivery, and stakeholder outcomes.
Top Skills:
Adobe RtcdpAgilePega CdhRtimSalesforce EinsteinScrum
Healthtech
Lead the design, development, reliability, scalability, and operational excellence of Humana’s Next Best Action platform. Build platform services, automated testing, observability, resilience, and production-readiness capabilities across distributed systems. Write production code, manage and mentor engineers and contractors, establish quality standards, and coordinate with platform, data, decisioning, orchestration, and activation teams. Ensure high performance, traceability, fault tolerance, and compliance in a regulated healthcare environment.
Top Skills:
Azure DevopsClaudeDatabricks LakehouseGithub CopilotHirevueJavaKafkaKubernetesNode.jsPythonTypescriptWorkday
Healthtech
Leads platform quality and reliability for the NBA platform through hands-on full-stack development, automated testing, observability, error management, scalability engineering, and production readiness. Owns uptime, performance, resilience, monitoring, quality gates, and service handoffs. Coordinates with delivery pods, manages contractor engineers, and enforces engineering standards across a polyglot Java, Python, Node.js, and TypeScript environment.
Top Skills:
Azure DevopsCi/CdClaudeGithub CopilotJavaKafkaKubernetesNode.jsPythonTypescript
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Healthtech
Leads retention and lifecycle strategies for mail order pharmacy members, improving refill rates, auto-refill enrollment, adherence, utilization, and long-term engagement. Partners with Operations, Marketing, Contact Center, Product, Analytics, and Clinical teams to reduce refill leakage and optimize member touchpoints. Uses performance data to identify growth opportunities, develop business cases, manage cross-functional initiatives, and advise senior leaders on sales and retention strategy.
Top Skills:
Analytics PlatformsCampaign Management PlatformsCRMMicrosoft AccessExcelMicrosoft WordReporting Platforms
Healthtech
The Business Intelligence Engineer analyzes complex internal and external data to solve business problems and deliver actionable insights to decision-makers. Responsibilities include integrating, analyzing, summarizing, and presenting data; conducting root cause analysis; using SQL, SAS, Databricks, and advanced Excel; and supporting data-driven business decisions. This is a remote role with occasional travel for training or meetings.
Top Skills:
DatabricksExcelPower PivotSASSQL
Healthtech
Leads portfolio operations for Humana’s Software Quality Engineering Center of Excellence, coordinating Agile governance, strategic transformation, financial planning, workforce capacity, vendor governance, executive reporting, communications, and organizational change. Partners across technology, finance, HR, procurement, and business teams to improve delivery transparency, resource alignment, operational discipline, and execution of enterprise priorities.
Top Skills:
AgileAi ToolsAzure DevopsCi/CdCollaboration ToolsDashboards/Reporting PlatformsDevOpsLean Portfolio ManagementSafe
Healthtech
Leads clinical intelligence initiatives by sizing AI opportunities, conducting data discovery, evaluating AI/ML solution performance, and measuring impact, accuracy, drift, and patient outcomes. Partners with product, clinical, engineering, compliance, and operations teams to develop measurement plans, value hypotheses, benchmarks, and scalable intelligence capabilities. The role is remote with occasional travel and requires advanced SQL, Python, clinical analytics, and population health research expertise.
Top Skills:
AIDatabricksMachine LearningPythonSQL
Healthtech
Leads hands-on design and delivery of production agentic AI systems for the NBA platform. Builds multi-step AI workflows, integrates LLMs, implements RAG and vector search, develops evaluation and reliability frameworks, and embeds AI-powered analysis into user-facing interfaces. Leads a small engineering team and contractors, partners with product and frontend teams, and ensures safe, auditable AI operation in a regulated healthcare environment.
Top Skills:
Adobe Experience PlatformAnthropic ClaudeClaude Agent SdkGithub CopilotLarge Language Models (Llms)Openai GptPythonRetrieval-Augmented Generation (Rag)SalesforceVector Search
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