Large

At Humana, our cultural foundation is aligned to helping members achieve their best health by delivering personalized, simplified, whole-person healthcare experiences. Recognizing healthcare needs continue to evolve for each person, for each family and for each community, Humana continuously creates innovative solutions and resources that help people live their healthiest lives on their terms –when and where they need it. Our employees are at the heart of making this happen and that’s why we are dedicated to building an organization of dynamic talent whose experience and passion center on putting the customer first.

Science & Healthcare

Humana

<div>
 <h1 class="jobSectionHeader"><b>Become a part of our caring community and help us put health first</b><br> </h1> Do you love using data and advanced technologies to create amazing customer experiences? If so, you might be the perfect fit for our Enterprise Architecture team. Our mission is to align business strategy with technology strategy, and to harness the power of Data, AI, and ML to deliver a flawless member and patient experience.
 <br> As a Senior Enterprise Architect with a focus on Data, AI, and ML, you will have a key role in connecting the business vision, the technology strategy, and the IT portfolio execution. You will help us optimize the use of our data assets and AI/ML capabilities to achieve critical business outcomes. You will also contribute to the development of technology strategies, and provide mentorship across the Enterprise
 <br> 
 <br> The Senior Enterprise Architect translates business needs into technical systems solutions and architectural roadmaps. The Senior Enterprise Architect work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.
 <p></p>
 <p> The Senior Enterprise Architect integrates hardware, software and network interfaces to form a system. Recommends products that will evolve the organization's technical infrastructure. Provides leadership in developing the organization's technical and architectural staff. 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.</p>
 <p></p>
 <ul>
  <li> Define strategies for modernizing and transforming how the Enterprise Data Fabric makes data available for the enterprise a variety of use cases including but not limited to real-time APIs, machine learning, reporting &amp; analytics, automation, operational processes &amp; decision making.</li>
  <li> Lead efforts to identify and evaluate emerging and potentially disruptive technology to provide prescriptive guidance to our solution and data engineering team on how to adopt and leverage the technology in new solution patterns.</li>
  <li> Provide thought leadership and new perspectives on how to leverage cloud services and capabilities.</li>
  <li> Define strategic architecture blueprints depicting target end state architecture to guide the delivery of enterprise capabilities aligned to an over-arching vision.</li>
  <li> Provide thought leadership in identifying industry trends in the domain of data and analytics and driving toward evaluation of those trends for Humana fit.</li>
  <li> Work across organizational and role boundaries to facilitate the creation of future state roadmaps illustrating when and how enterprise capabilities will be available.</li>
  <li> Align IT architecture technology strategy and frameworks to enable the company's business strategy and goals, by providing guidance and building consensus among and across stakeholders.</li>
  <li> Facilitate Architecture Collaboratives working across all architect roles within the enterprise including solution and domain architect(s) to provide a consensus-based enterprise solution that is scalable, adaptable, and in synchronization with ever-changing business needs.</li>
  <li> Manage risk of information and IT assets through appropriate standards and security policies.</li>
 </ul>
 <h1 class="jobSectionHeader"><br> <b> Use your skills to make an impact</b><br> <b> </b></h1>
 <p><b>Required Qualifications</b></p>
 <ul>
  <li> Ability to partner within and across teams to produce strategies, blueprints, and other reference architecture as required</li>
  <li> Experience architecting information management technology solutions inclusive of modern data / cloud technologies and platforms in support of both real-time and higher latency operational and analytical use cases.</li>
  <li> Experience with:
   <ul>
    <li> Enterprise data pipeline management and integration technologies and platforms</li>
    <li> Crafting enterprise-wide strategies for enabling delivery teams with technologies, capabilities, and APIs</li>
    <li> Operational Data Integration for real-time APIs</li>
    <li> Strong communication skills for creating and sharing presentations to multiple levels of audiences of stakeholders – i.e. senior executives in business and IT, architects, developers, etc.</li>
   </ul></li>
  <li> Bachelor’s degree in Computer Science or a related field</li>
 </ul>
 <p></p>
 <p><b> Preferred Qualifications</b></p>
 <ul>
  <li> Experience with enabling broad enterprise adoption of cloud-based managed services.</li>
  <li> Experience with Machine Learning and required data prep such as feature engineering.</li>
  <li> Knowledge of Artificial Intelligence concepts and applications such as natural language processing, computer vision, speech recognition, etc.</li>
  <li> Proficiency in using Machine Learning frameworks and tools such as TensorFlow, PyTorch, Scikit-learn, etc.</li>
  <li> Ability to design and implement Machine Learning solutions that are scalable, reliable, and secure.</li>
  <li> Big Data Integration &amp; Analytics</li>
  <li> NoSQL and other modern data stores</li>
  <li> API management platforms &amp; providing / consuming RESTful APIs</li>
  <li> Message-based integration – i.e. MQ, Kafka, RabbitMQ, etc</li>
 </ul>
 <p></p>
 <p><b> Additional Information</b></p>
 <p></p>
 <p> Remote/WAH requirements:</p>
 <ul>
  <li> 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.</li>
  <li> A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.</li>
  <li> Satellite and Wireless Internet service is NOT allowed for this role.</li>
  <li> A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information</li>
 </ul>
 <p></p>
 <p><b> Scheduled Weekly Hours</b></p>
 <p></p> 40
 <p></p>
 <p><b> Pay Range</b></p> 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.
 <br> 
 <p></p> $115,300 - $158,600 per year
 <br> 
 <p></p> This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
 <p></p>
 <p><b> Description of Benefits</b></p> 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.
 <h1 class="jobSectionHeader"><br> <b> About us</b><br> </h1> 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.
 <p></p>
 <p><b><br> Equal Opportunity Employer</b></p>
 <p></p>
 <p> 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 because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.</p>
</div> 
<br> Not Specified 
<br> 0


 Become a part of our caring community and help us put health first  Do you love using data and advanced technologies to create amazing customer experiences? If so, you might be the perfect fit for our Enterprise Architecture team. Our mission is to align business strategy with technology strategy, and to harness the power of Data, AI, and ML to deliver a flawless member and patient experience.
  As a Senior Enterprise Architect with a focus on Data, AI, and ML, you will have a key role in connecting the business vision, the technology strategy, and the IT portfolio execution. You will help us optimize the use of our data assets and AI/ML capabilities to achieve critical business outcomes. You will also contribute to the development of technology strategies, and provide mentorship across the Enterprise
  
  The Senior Enterprise Architect translates business needs into technical systems solutions and architectural roadmaps. The Senior Enterprise Architect 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 Enterprise Architect integrates hardware, software and network interfaces to form a system. Recommends products that will evolve the organization's technical infrastructure. Provides leadership in developing the organization's technical and architectural staff. 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.
 
 
   Define strategies for modernizing and transforming how the Enterprise Data Fabric makes data available for the enterprise a variety of use cases including but not limited to real-time APIs, machine learning, reporting & analytics, automation, operational processes & decision making.
   Lead efforts to identify and evaluate emerging and potentially disruptive technology to provide prescriptive guidance to our solution and data engineering team on how to adopt and leverage the technology in new solution patterns.
   Provide thought leadership and new perspectives on how to leverage cloud services and capabilities.
   Define strategic architecture blueprints depicting target end state architecture to guide the delivery of enterprise capabilities aligned to an over-arching vision.
   Provide thought leadership in identifying industry trends in the domain of data and analytics and driving toward evaluation of those trends for Humana fit.
   Work across organizational and role boundaries to facilitate the creation of future state roadmaps illustrating when and how enterprise capabilities will be available.
   Align IT architecture technology strategy and frameworks to enable the company's business strategy and goals, by providing guidance and building consensus among and across stakeholders.
   Facilitate Architecture Collaboratives working across all architect roles within the enterprise including solution and domain architect(s) to provide a consensus-based enterprise solution that is scalable, adaptable, and in synchronization with ever-changing business needs.
   Manage risk of information and IT assets through appropriate standards and security policies.
 
   Use your skills to make an impact  
 Required Qualifications
 
   Ability to partner within and across teams to produce strategies, blueprints, and other reference architecture as required
   Experience architecting information management technology solutions inclusive of modern data / cloud technologies and platforms in support of both real-time and higher latency operational and analytical use cases.
   Experience with:
   
     Enterprise data pipeline management and integration technologies and platforms
     Crafting enterprise-wide strategies for enabling delivery teams with technologies, capabilities, and APIs
     Operational Data Integration for real-time APIs
     Strong communication skills for creating and sharing presentations to multiple levels of audiences of stakeholders – i.e. senior executives in business and IT, architects, developers, etc.
   
   Bachelor’s degree in Computer Science or a related field
 
 
  Preferred Qualifications
 
   Experience with enabling broad enterprise adoption of cloud-based managed services.
   Experience with Machine Learning and required data prep such as feature engineering.
   Knowledge of Artificial Intelligence concepts and applications such as natural language processing, computer vision, speech recognition, etc.
   Proficiency in using Machine Learning frameworks and tools such as TensorFlow, PyTorch, Scikit-learn, etc.
   Ability to design and implement Machine Learning solutions that are scalable, reliable, and secure.
   Big Data Integration & Analytics
   NoSQL and other modern data stores
   API management platforms & providing / consuming RESTful APIs
   Message-based integration – i.e. MQ, Kafka, RabbitMQ, etc
 
 
  Additional Information
 
  Remote/WAH 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
 
 
  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.
  
  $115,300 - $158,600 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.
   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 because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.
 
 Not Specified 
 0

Senior Enterprise Architect(ML/AI) (remote virtual) - Humana

United States

Senior Enterprise Architect(ML/AI) (remote virtual)

Tampa

Become a part of our caring community and help us put health first

The Claims Research & Resolution Representative 2 manages claims operations that involve investigation of claims for and against the organization. The role performs advanced administrative, operational, and customer support duties that require independent initiative and judgment.

Tampa Office

The Claims Research & Resolution Representative 2


 * Works with ancillary departments, providers, mail vendors and teammates in the settlement of claims
 * Follows established guidelines/procedures for return checks research, return mail, claim batch load reports, and preloading claims.
   
   

Required Qualifications

Use your skills to make an impact


 * Work in Office in Tampa office 5 day a week
 * 1 or more years of Medical Claims knowledge
 * 1 or more years of the Customer Service experience
 * 1 or more years of Medical Insurance experience
 * Intermediate proficiency with Microsoft Word and Excel skills
   
   

Preferred Qualifications


 * Computer Sciences Corporation (CSC) Experience (CarePlus Platform)
 * Prior medical claims processing experience
 * Member reimbursement experience
 * Intermediate Microsoft Access skills
 * Healthcare customer member call center experience
   
   

Additional Information

Work Days/Hours: Monday – Friday; must be able to work a flexible 8-hour shift between the hours of 6:00am – 5:30pm. Metwest office in Tampa, FL

Additional Information

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.

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.

Internal- If you have additional questions regarding this role posting, please send them to the Ask A Recruiter persona by visiting go/vivaengage and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.

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.

$34,500 - $47,400 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.

About Us

About CarePlus Health Plans: CarePlus Health Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to help people with Medicare, or both Medicare and Medicaid, achieve their best possible health and wellness through plans with benefits and services they care about. As a wholly owned subsidiary of Humana, CarePlus currently serves Medicare beneficiaries throughout 21 Florida counties.

About Humana: Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers, and our company. Through our Humana insurance services, and our 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 because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.



Claims Research and Resolution Representative - Humana

&lt;strong&gt;Become a part of our caring community and help us put health first&lt;br&gt;&lt;br&gt;&lt;/strong&gt;The Claims Research &amp;amp; Resolution Representative 2 manages claims operations that involve investigation of claims for and against the organization. The role performs advanced administrative, operational, and customer support duties that require independent initiative and judgment.&lt;br&gt;&lt;br&gt;Tampa Office&lt;br&gt;&lt;br&gt;The Claims Research &amp;amp; Resolution Representative 2&lt;br&gt;&lt;br&gt;&lt;ul&gt;&lt;li&gt;Works with ancillary departments, providers, mail vendors and teammates in the settlement of claims&lt;/li&gt;&lt;li&gt;Follows established guidelines/procedures for return checks research, return mail, claim batch load reports, and preloading claims.&lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;&lt;strong&gt;&lt;strong&gt;Required Qualifications&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;/strong&gt;&lt;strong&gt;Use your skills to make an impact &lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;ul&gt;&lt;li&gt;Work in Office in Tampa office 5 day a week&lt;/li&gt;&lt;li&gt;1 or more years of Medical Claims knowledge&lt;/li&gt;&lt;li&gt;1 or more years of the Customer Service experience&lt;/li&gt;&lt;li&gt;1 or more years of Medical Insurance experience&lt;/li&gt;&lt;li&gt;Intermediate proficiency with Microsoft Word and Excel skills&lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;&lt;strong&gt;&lt;strong&gt;Preferred Qualifications&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;/strong&gt;&lt;ul&gt;&lt;li&gt;Computer Sciences Corporation (CSC) Experience (CarePlus Platform)&lt;/li&gt;&lt;li&gt;Prior medical claims processing experience&lt;/li&gt;&lt;li&gt;Member reimbursement experience&lt;/li&gt;&lt;li&gt;Intermediate Microsoft Access skills&lt;/li&gt;&lt;li&gt;Healthcare customer member call center experience&lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;&lt;strong&gt;&lt;strong&gt;Additional Information&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;/strong&gt;Work Days/Hours: Monday – Friday; must be able to work a flexible 8-hour shift between the hours of 6:00am – 5:30pm. Metwest office in Tampa, FL&lt;br&gt;&lt;br&gt;&lt;strong&gt;&lt;strong&gt;Additional Information&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;/strong&gt;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.&lt;br&gt;&lt;br&gt;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.&lt;br&gt;&lt;br&gt;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.&lt;br&gt;&lt;br&gt;&lt;strong&gt;Internal- &lt;/strong&gt;If you have additional questions regarding this role posting, please send them to the Ask A Recruiter persona by visiting go/vivaengage and searching Ask A Recruiter! Please be sure to provide the requisition number so we may be able to research your request quicker.&lt;br&gt;&lt;br&gt;&lt;strong&gt;Scheduled Weekly Hours&lt;br&gt;&lt;br&gt;&lt;/strong&gt;40&lt;br&gt;&lt;br&gt;&lt;strong&gt;Pay Range&lt;br&gt;&lt;br&gt;&lt;/strong&gt;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.&lt;br&gt;&lt;br&gt;$34,500 - $47,400 per year&lt;br&gt;&lt;br&gt;&lt;strong&gt;&lt;strong&gt;Description Of Benefits&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;/strong&gt;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.&lt;br&gt;&lt;br&gt;&lt;strong&gt;&lt;strong&gt;About Us&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;/strong&gt;About CarePlus Health Plans: CarePlus Health Plans is a recognized leader in healthcare delivery that has been offering Medicare Advantage health plans in Florida over 23 years. CarePlus strives to help people with Medicare, or both Medicare and Medicaid, achieve their best possible health and wellness through plans with benefits and services they care about. As a wholly owned subsidiary of Humana, CarePlus currently serves Medicare beneficiaries throughout 21 Florida counties.&lt;br&gt;&lt;br&gt;About Humana: Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers, and our company. Through our Humana insurance services, and our 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.&lt;br&gt;&lt;br&gt;&lt;strong&gt;Equal Opportunity Employer&lt;br&gt;&lt;br&gt;&lt;/strong&gt;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 because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.&lt;br&gt;&lt;br&gt;

Claims Research and Resolution Representative

Dallas

Become a part of our caring community and help us put health first

The Advisor, Medicaid Provider & Network Strategy will be accountable for leading the development of Humana Healthy Horizon’s (Medicaid) provider & network market entry strategy for its Medicaid growth markets. This strategist will lead data-driven research oriented strategic advisement in the development of strategies that produce robust, adequate, and accessible networks. The Advisor will also drive the development of competitive & innovative provider & network strategies to support request for proposals (RFPs) and market entry. Such strategies include, but are not limited to access to care, practice transformation, provider relations, alternative sites of care, and value-based purchasing. The position requires an in-depth understanding of how organizational capabilities interrelate within the enterprise to develop and execute on network strategy. This position exercises strong project management skills, analysis of variable source information, independent judgment, and decision making on complex issues related to the job duties and related tasks. Up to 10% travel is expected for this role.

We are seeking an experienced strategist with a track record of synthesizing and evaluating multiple sources of qualitative and quantitative data to define network priorities and build solutions. Excellent interpersonal, organizational, written, and oral communication and presentation skills with proven experience writing and delivering presentations to members of the management team and internal business partners will be critical in this role.

Key Responsibilities For This Role Include


 * Oversees the creation of a playbook that drives Humana’s provider & network market entry strategy decisions.
 * Works cross functionally to seek consult and provide advisement on a proposed network build approach and timeline based on analysis of internal and external source data and managed care program requirements.
 * Drives market competitor analysis and the evaluation existing managed care requirements to assess gaps in Humana’s pre-rfp & market entry provider & network strategy.
 * Leads network workstream meetings, including content creation from the market development kick-off through the initiation of the network build.
 * Presents to Medicaid senior leadership regular progress updates on Provider & Network Strategy in assigned markets.
 * Develops provider & network strategies based on insights from the playbook in assigned Medicaid pipeline markets to support RFP responses and market entry.
 * Serves as the market subject matter expert to assist business development in developing provider & network request for proposal (RFP) responses.
   
   

Required Qualifications

Use your skills to make an impact


 * Bachelor's degree
 * 5+ years of experience in network development, contracting, and/or network management or provider relations experience.
 * 2+ years of project leadership experience
 * 2+ years of Medicaid experience/Managed Care
   
   

Preferred Qualifications


 * Master’s degree in business administration, healthcare administration, public administration, public health, or public policy.
   
   

Work From Home

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

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 Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.

HireVue

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.

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.

$112,400 - $154,900 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.

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 because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.

Advisor, Medicaid Provider & Network Strategy - Humana

&lt;strong&gt;Become a part of our caring community and help us put health first&lt;br&gt;&lt;br&gt;&lt;/strong&gt;The Advisor, Medicaid Provider &amp;amp; Network Strategy will be accountable for leading the development of Humana Healthy Horizon’s (Medicaid) provider &amp;amp; network market entry strategy for its Medicaid growth markets. This strategist will lead data-driven research oriented strategic advisement in the development of strategies that produce robust, adequate, and accessible networks. The Advisor will also drive the development of competitive &amp;amp; innovative provider &amp;amp; network strategies to support request for proposals (RFPs) and market entry. Such strategies include, but are not limited to access to care, practice transformation, provider relations, alternative sites of care, and value-based purchasing. The position requires an in-depth understanding of how organizational capabilities interrelate within the enterprise to develop and execute on network strategy. This position exercises strong project management skills, analysis of variable source information, independent judgment, and decision making on complex issues related to the job duties and related tasks. Up to 10% travel is expected for this role.&lt;br&gt;&lt;br&gt;We are seeking an experienced strategist with a track record of synthesizing and evaluating multiple sources of qualitative and quantitative data to define network priorities and build solutions. Excellent interpersonal, organizational, written, and oral communication and presentation skills with proven experience writing and delivering presentations to members of the management team and internal business partners will be critical in this role.&lt;br&gt;&lt;br&gt;&lt;strong&gt;Key Responsibilities For This Role Include&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;ul&gt;&lt;li&gt;Oversees the creation of a playbook that drives Humana’s provider &amp;amp; network market entry strategy decisions.&lt;/li&gt;&lt;li&gt;Works cross functionally to seek consult and provide advisement on a proposed network build approach and timeline based on analysis of internal and external source data and managed care program requirements.&lt;/li&gt;&lt;li&gt;Drives market competitor analysis and the evaluation existing managed care requirements to assess gaps in Humana’s pre-rfp &amp;amp; market entry provider &amp;amp; network strategy. &lt;/li&gt;&lt;li&gt;Leads network workstream meetings, including content creation from the market development kick-off through the initiation of the network build.&lt;/li&gt;&lt;li&gt;Presents to Medicaid senior leadership regular progress updates on Provider &amp;amp; Network Strategy in assigned markets.&lt;/li&gt;&lt;li&gt;Develops provider &amp;amp; network strategies based on insights from the playbook in assigned Medicaid pipeline markets to support RFP responses and market entry.&lt;/li&gt;&lt;li&gt;Serves as the market subject matter expert to assist business development in developing provider &amp;amp; network request for proposal (RFP) responses.&lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;&lt;strong&gt;Required Qualifications&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;strong&gt;Use your skills to make an impact &lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;ul&gt;&lt;li&gt;Bachelor's degree&lt;/li&gt;&lt;li&gt;5+ years of experience in network development, contracting, and/or network management or provider relations experience.&lt;/li&gt;&lt;li&gt;2+ years of project leadership experience&lt;/li&gt;&lt;li&gt;2+ years of Medicaid experience/Managed Care&lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;&lt;strong&gt;Preferred Qualifications&lt;br&gt;&lt;br&gt;&lt;/strong&gt;&lt;ul&gt;&lt;li&gt;Master’s degree in business administration, healthcare administration, public administration, public health, or public policy.&lt;br&gt;&lt;br&gt;&lt;/li&gt;&lt;/ul&gt;&lt;strong&gt;Work From Home&lt;br&gt;&lt;br&gt;&lt;/strong&gt;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&lt;br&gt;&lt;br&gt;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&lt;br&gt;&lt;br&gt;Satellite, cellular and microwave connection can be used only if approved by leadership&lt;br&gt;&lt;br&gt;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.&lt;br&gt;&lt;br&gt;Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.&lt;br&gt;&lt;br&gt;Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information&lt;br&gt;&lt;br&gt;&lt;strong&gt;SSN &lt;br&gt;&lt;br&gt;&lt;/strong&gt;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 Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.&lt;br&gt;&lt;br&gt;&lt;strong&gt;HireVue &lt;br&gt;&lt;br&gt;&lt;/strong&gt;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.&lt;br&gt;&lt;br&gt;&lt;strong&gt;Scheduled Weekly Hours&lt;br&gt;&lt;br&gt;&lt;/strong&gt;40&lt;br&gt;&lt;br&gt;&lt;strong&gt;Pay Range&lt;br&gt;&lt;br&gt;&lt;/strong&gt;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.&lt;br&gt;&lt;br&gt;$112,400 - $154,900 per year&lt;br&gt;&lt;br&gt;This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.&lt;br&gt;&lt;br&gt;&lt;strong&gt;Description Of Benefits&lt;br&gt;&lt;br&gt;&lt;/strong&gt;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.&lt;br&gt;&lt;br&gt;&lt;strong&gt;About Us&lt;br&gt;&lt;br&gt;&lt;/strong&gt;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.&lt;br&gt;&lt;br&gt;&lt;strong&gt;Equal Opportunity Employer&lt;br&gt;&lt;br&gt;&lt;/strong&gt;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 because he or she is a protected veteran. It is also the policy of  Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.

Advisor, Medicaid Provider &amp; Network Strategy

Advisor, Medicaid Provider & Network Strategy

You need extensive experience in solutions architecture, strong leadership skills, and expertise in healthcare technology to design and implement innovative solutions effectively.

You will design and implement solutions, collaborate with cross-functional teams, ensure alignment with business goals, and guide stakeholders on technical strategies to enhance project outcomes.

<div>
 <h1 class="jobSectionHeader"><b>Become a part of our caring community and help us put health first</b><br> </h1> Humana is seeking a Lead Solutions Architect to join our team that is building a Digital Health Platform for many of our omni-channel applications. The Lead Solutions Architect works with user groups to solve business problems with available technology including hardware, software, databases, and peripherals. The Lead Solutions Architect works on problems of diverse scope and complexity ranging from moderate to substantial.
 <br> 
 <br> This is your opportunity to join our Fortune #40, Best Places to Work company and help us make a difference as we help our members achieve their best health!
 <p></p>
 <p> The Lead Solutions Architect:</p>
 <ul>
  <li><p> Translates business needs into technical systems solutions.</p></li>
  <li><p> Builds omni-channel experiences following MACH (Microservices, API First, Cloud Native and Headless) architectural pattern.</p></li>
  <li><p> Builds solutions like patterns with great visibility (Logging, Monitoring and Tracing) into the system.</p></li>
  <li><p> Integrates hardware, software and network interfaces to form a system.</p></li>
  <li><p> Advises executives to develop functional strategies (often segment specific) on matters of significance.</p></li>
  <li><p> Exercises independent judgment and decision making on complex issues regarding job duties and related tasks, and works under minimal supervision.</p></li>
  <li><p> Uses independent judgment requiring analysis of variable factors and determining the best course of action.</p></li>
 </ul>
 <h1 class="jobSectionHeader"><b><br> Use your skills to make an impact</b><br> <b> </b></h1>
 <p><b>Required Qualifications</b></p>
 <ul>
  <li><p> Bachelor's degree in Computer Science, Information Technology, or a related field</p></li>
  <li><p> 8 years of progressive information technology experience directly related to architecture/engineering, information security, or other specialized technology field</p></li>
  <li><p> Prior project lead experience</p></li>
  <li><p> Strong expertise in building omni-channel experiences following MACH (Microservices, API First, Cloud Native and Headless) architectural pattern.</p></li>
  <li><p> Strong expertise in building solutions like patterns with great visibility (Logging, Monitoring and Tracing) into the system.</p></li>
  <li><p> Strong expertise in software development and cloud infrastructure blueprinting/provisioning</p></li>
  <li><p> Experience working with and building CI/CD pipelines</p></li>
  <li><p> Strong expertise in UI, including Vue.js, Angular, and/or React</p></li>
  <li><p> Strong expertise in mobile, including React Native and/or Flutter</p></li>
  <li><p> Strong expertise in cloud platforms, such as Azure, AWS, or GCP</p></li>
  <li><p> Strong expertise in back-end, including .NET, Java, and/or Node</p></li>
  <li><p> Strong expertise in Kubernetes and/or Docker</p></li>
  <li><p> Strong expertise in OAuth2.0 and/or OIDC</p></li>
 </ul>
 <p></p>
 <p><b> Preferred Qualifications</b></p>
 <ul>
  <li><p> Master's degree in Computer Science, Information Technology, or a related field</p></li>
 </ul>
 <p></p>
 <p><b> Additional Information</b></p>
 <p></p>
 <p><b> Location/Work Style:</b> Remote US</p>
 <p></p>
 <p><b> Why Humana? </b></p>
 <p>At Humana, we know your well-being is important to you, and it’s important to us too. That’s why we’re committed to making resources available to you that will enable you to become happier, healthier, and more productive in all areas of your life. Just to name a few:</p>
 <ul>
  <li><p> Work-Life Balance</p></li>
  <li><p> Generous PTO package</p></li>
  <li><p> Health benefits effective day 1</p></li>
  <li><p> Annual Incentive Plan</p></li>
  <li><p> 401K - Excellent company match </p></li>
  <li><p>Well-being program</p></li>
  <li><p> Paid Volunteer Time Off</p></li>
 </ul>
 <p></p>
 <p> If you share our passion for helping people, we likely have the right place for you at Humana.</p>
 <p></p>
 <div>
  <div>
   <p><b> Work at Home Guidance</b></p>
  </div>
  <p> 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:</p>
  <ul>
   <li><p> 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</p></li>
   <li><p> Satellite, cellular and microwave connection can be used only if approved by leadership</p></li>
   <li><p> 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.</p></li>
   <li><p> Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.</p></li>
   <li><p> Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information </p></li>
  </ul>
  <p></p>
  <p><b>SSN Alert Statement</b></p>
  <p> 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 Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.</p>
 </div>
 <p></p>
 <p><b> Scheduled Weekly Hours</b></p>
 <p></p> 40
 <p></p>
 <p><b> Pay Range</b></p> 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.
 <br> 
 <p></p> $139,500 - $192,000 per year
 <br> 
 <p></p> This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
 <p></p>
 <p><b> Description of Benefits</b></p> 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.
 <h1 class="jobSectionHeader"><br> <b> About us</b><br> </h1> 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.
 <p></p>
 <p><b><br> Equal Opportunity Employer</b></p>
 <p></p>
 <p> 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 because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.</p>
</div> 
<br> Not Specified 
<br> 0


 Become a part of our caring community and help us put health first  Humana is seeking a Lead Solutions Architect to join our team that is building a Digital Health Platform for many of our omni-channel applications. The Lead Solutions Architect works with user groups to solve business problems with available technology including hardware, software, databases, and peripherals. The Lead Solutions Architect works on problems of diverse scope and complexity ranging from moderate to substantial.
  
  This is your opportunity to join our Fortune #40, Best Places to Work company and help us make a difference as we help our members achieve their best health!
 
  The Lead Solutions Architect:
 
   Translates business needs into technical systems solutions.
   Builds omni-channel experiences following MACH (Microservices, API First, Cloud Native and Headless) architectural pattern.
   Builds solutions like patterns with great visibility (Logging, Monitoring and Tracing) into the system.
   Integrates hardware, software and network interfaces to form a system.
   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 in Computer Science, Information Technology, or a related field
   8 years of progressive information technology experience directly related to architecture/engineering, information security, or other specialized technology field
   Prior project lead experience
   Strong expertise in building omni-channel experiences following MACH (Microservices, API First, Cloud Native and Headless) architectural pattern.
   Strong expertise in building solutions like patterns with great visibility (Logging, Monitoring and Tracing) into the system.
   Strong expertise in software development and cloud infrastructure blueprinting/provisioning
   Experience working with and building CI/CD pipelines
   Strong expertise in UI, including Vue.js, Angular, and/or React
   Strong expertise in mobile, including React Native and/or Flutter
   Strong expertise in cloud platforms, such as Azure, AWS, or GCP
   Strong expertise in back-end, including .NET, Java, and/or Node
   Strong expertise in Kubernetes and/or Docker
   Strong expertise in OAuth2.0 and/or OIDC
 
 
  Preferred Qualifications
 
   Master's degree in Computer Science, Information Technology, or a related field
 
 
  Additional Information
 
  Location/Work Style: Remote US
 
  Why Humana? 
 At Humana, we know your well-being is important to you, and it’s important to us too. That’s why we’re committed to making resources available to you that will enable you to become happier, healthier, and more productive in all areas of your life. Just to name a few:
 
   Work-Life Balance
   Generous PTO package
   Health benefits effective day 1
   Annual Incentive Plan
   401K - Excellent company match 
  Well-being program
   Paid Volunteer Time Off
 
 
  If you share our passion for helping people, we likely have the right place for you at Humana.
 
 
  
    Work at Home Guidance
  
   To ensure Home or Hybrid Home/Office associates’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria:
  
    At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested
    Satellite, cellular and microwave connection can be used only if approved by leadership
    Associates who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
    Humana will provide Home or Hybrid Home/Office associates with telephone equipment appropriate to meet the business requirements for their position/job.
    Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information 
  
  
  SSN Alert Statement
   Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana’s secure website.
 
 
  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.
  
  $139,500 - $192,000 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.
   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 because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.
 
 Not Specified 
 0

Lead Solutions Architect - Humana

Lead Solutions Architect

You need strong experience in service design, user research, and collaboration with cross-functional teams. Excellent communication skills and a user-centered approach are essential.

You will design user-centered services, conduct research, create prototypes, collaborate with cross-functional teams, and optimize service experiences to enhance customer satisfaction and engagement.

Chicago

<div>
 <h1 class="jobSectionHeader"><b>Become a part of our caring community and help us put health first</b><br> </h1> As a Senior Service Designer, you will work in a multi-disciplinary team with partners across the enterprise, creating new service experiences for consumers that help members achieve their best health.
 <p></p>
 <div>
  <div>
   <p><b> Humana, a Fortune 60 Healthcare Company</b></p>
  </div>
  <div>
   <p> Humana is a Fortune 60 healthcare company with a history of successful innovation and reinvention, with over 50 years as a proven leader and innovator in the health and wellness industry. A passionate emphasis on people, choice, well-being, and innovation guide our business and culture. We’re not just a health insurance company, our diverse lines of business position us to serve millions of people with a wide range of needs, including seniors, military members, and self-employed individuals.</p>
  </div>
  <p></p>
  <p><b> Role Overview: Senior Service Designer</b></p>
 </div>
 <div>
  <p> The Senior Service Designer will help to coordinate seamless customer experience connectivity across touchpoints, channels, and business offerings, using strategic tools and human-centered approaches such as user experience research, customer personas, journey mapping, and service blueprinting. You will follow new services through delivery to measure the consumer experience and support ongoing improvement and evolution of the consumer's journey with Humana.</p>
 </div>
 <p></p>
 <div>
  <p><br> Humana’s Service Design team was formed to deliver one thing: A seamless healthcare experience oriented around our members. This team operates with a mandate to break down traditional silos and design solutions based on how our members seek and receive care. By teaming differently, pioneering new methodologies, and relentlessly focusing on the consumer experience, the Service Design team seeks to deliver on this promise for all our members.</p>
 </div>
 <h1 class="jobSectionHeader"><b><br> Use your skills to make an impact</b><br> <b> </b></h1>
 <div>
  <div>
   <p><b>How We </b><b>Work</b></p>
  </div>
  <div>
   <ul>
    <li><p> Collaborative Mindset: Work collaboratively with customers, product management, operators, and leadership to propose novel experience improvements for unique and diverse customer populations</p></li>
   </ul>
  </div>
  <div>
   <ul>
    <li><p> Mastering the Craft: Build repeatable, effective tools and processes to reduce the time from consumer insights to validated release of new experiences in production</p></li>
   </ul>
  </div>
  <div>
   <ul>
    <li><p> Relentless Curiosity: Drive customer research agenda, working with research, marketing and experience teams to coordinate and ensure activity aligns to strategy and knowledge gaps</p></li>
   </ul>
  </div>
 </div>
 <div>
  <div>
   <ul>
    <li><p> Insightful Storytelling: Lead teams to synthesize findings into insights and business recommendations that engender empathy and drive impact</p></li>
   </ul>
  </div>
  <div>
   <ul>
    <li><p> Problem Solving Start To Finish: Track implementation of end-to-end experience for each customer archetype and/or segment, tying improvement activities to key measures that create customer and business value</p></li>
   </ul>
  </div>
  <div>
   <ul>
    <li><p> Attention To Detail: Design and maintain useful visual artifacts to describe the member and associate experience, including detailed end-to-end service blueprints/journey maps across all member touchpoints</p></li>
   </ul>
  </div>
  <div>
   <ul>
    <li><p> Balanced Approach: Collaborate and co-create with product teams and business partners to quantify the value of a concept, design operational roles and processes, and build business models for larger deployment</p></li>
   </ul>
  </div>
  <p></p>
  <div>
   <p><br> <b>Required Qualifications</b></p>
  </div>
  <div>
   <ul>
    <li><p> Bachelor’s Degree in a design related field</p></li>
   </ul>
  </div>
  <div>
   <ul>
    <li><p> 4-6 years of experience with user experience design</p></li>
   </ul>
  </div>
  <div>
   <ul>
    <li><p> 3+ years of experience with Design Thinking, Service Design, Design Strategy, user-centered design methodologies</p></li>
   </ul>
  </div>
  <div>
   <ul>
    <li><p> Experience with horizontal leadership (i.e., an ability to productively collaborate across various organizations to drive cross-functional initiatives)</p></li>
   </ul>
  </div>
  <div>
   <ul>
    <li><p> Expert facilitator with ability to design and deliver multiple types of design activities with consumers and business stakeholders</p></li>
   </ul>
  </div>
  <div>
   <ul>
    <li><p> Demonstrated ability supporting user experience needs from design definition to execution and measurement in multiple channels</p></li>
   </ul>
  </div>
  <div>
   <ul>
    <li><p> Experience with conducting user experience research</p></li>
   </ul>
  </div>
  <div>
   <ul>
    <li><p> Advanced communication and storytelling abilities</p></li>
   </ul>
  </div>
  <div>
   <ul>
    <li><p> Experience working with product teams using an Agile methodology</p></li>
   </ul>
  </div>
  <div>
   <ul>
    <li><p> Demonstrated ability to work in a dynamic, complex, fast-paced environment</p></li>
   </ul>
  </div>
  <p></p>
  <div>
   <p><br> <b>Additional Requirements</b></p>
  </div>
 </div>
 <div>
  <p> A portfolio is required for interviewing.</p>
 </div>
 <p></p>
 <div>
  <p><b><br> Work-At-Home Information</b></p>
  <p> 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:</p>
  <ul>
   <li><p> 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</p></li>
   <li><p> Satellite, cellular and microwave connection can be used only if approved by leadership</p></li>
   <li><p> 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.</p></li>
   <li><p> Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.</p></li>
   <li><p> Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information</p></li>
  </ul>
 </div>
 <p></p>
 <p><b> Scheduled Weekly Hours</b></p>
 <p></p> 40
 <p></p>
 <p><b> Pay Range</b></p> 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.
 <br> 
 <p></p> $84,600 - $116,300 per year
 <br> 
 <p></p> This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
 <p></p>
 <p><b> Description of Benefits</b></p> 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.
 <h1 class="jobSectionHeader"><br> <b> About Us</b><br> </h1> 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.
 <p></p>
 <p><b><br> Equal Opportunity Employer</b></p>
 <p></p>
 <p> 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 because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.</p>
</div> 
<br> Not Specified 
<br> 0


 Become a part of our caring community and help us put health first  As a Senior Service Designer, you will work in a multi-disciplinary team with partners across the enterprise, creating new service experiences for consumers that help members achieve their best health.
 
 
  
    Humana, a Fortune 60 Healthcare Company
  
  
    Humana is a Fortune 60 healthcare company with a history of successful innovation and reinvention, with over 50 years as a proven leader and innovator in the health and wellness industry. A passionate emphasis on people, choice, well-being, and innovation guide our business and culture. We’re not just a health insurance company, our diverse lines of business position us to serve millions of people with a wide range of needs, including seniors, military members, and self-employed individuals.
  
  
   Role Overview: Senior Service Designer
 
 
   The Senior Service Designer will help to coordinate seamless customer experience connectivity across touchpoints, channels, and business offerings, using strategic tools and human-centered approaches such as user experience research, customer personas, journey mapping, and service blueprinting. You will follow new services through delivery to measure the consumer experience and support ongoing improvement and evolution of the consumer's journey with Humana.
 
 
 
   Humana’s Service Design team was formed to deliver one thing: A seamless healthcare experience oriented around our members. This team operates with a mandate to break down traditional silos and design solutions based on how our members seek and receive care. By teaming differently, pioneering new methodologies, and relentlessly focusing on the consumer experience, the Service Design team seeks to deliver on this promise for all our members.
 
  Use your skills to make an impact  
 
  
   How We Work
  
  
   
     Collaborative Mindset: Work collaboratively with customers, product management, operators, and leadership to propose novel experience improvements for unique and diverse customer populations
   
  
  
   
     Mastering the Craft: Build repeatable, effective tools and processes to reduce the time from consumer insights to validated release of new experiences in production
   
  
  
   
     Relentless Curiosity: Drive customer research agenda, working with research, marketing and experience teams to coordinate and ensure activity aligns to strategy and knowledge gaps
   
  
 
 
  
   
     Insightful Storytelling: Lead teams to synthesize findings into insights and business recommendations that engender empathy and drive impact
   
  
  
   
     Problem Solving Start To Finish: Track implementation of end-to-end experience for each customer archetype and/or segment, tying improvement activities to key measures that create customer and business value
   
  
  
   
     Attention To Detail: Design and maintain useful visual artifacts to describe the member and associate experience, including detailed end-to-end service blueprints/journey maps across all member touchpoints
   
  
  
   
     Balanced Approach: Collaborate and co-create with product teams and business partners to quantify the value of a concept, design operational roles and processes, and build business models for larger deployment
   
  
  
  
    Required Qualifications
  
  
   
     Bachelor’s Degree in a design related field
   
  
  
   
     4-6 years of experience with user experience design
   
  
  
   
     3+ years of experience with Design Thinking, Service Design, Design Strategy, user-centered design methodologies
   
  
  
   
     Experience with horizontal leadership (i.e., an ability to productively collaborate across various organizations to drive cross-functional initiatives)
   
  
  
   
     Expert facilitator with ability to design and deliver multiple types of design activities with consumers and business stakeholders
   
  
  
   
     Demonstrated ability supporting user experience needs from design definition to execution and measurement in multiple channels
   
  
  
   
     Experience with conducting user experience research
   
  
  
   
     Advanced communication and storytelling abilities
   
  
  
   
     Experience working with product teams using an Agile methodology
   
  
  
   
     Demonstrated ability to work in a dynamic, complex, fast-paced environment
   
  
  
  
    Additional Requirements
  
 
 
   A portfolio is required for interviewing.
 
 
 
   Work-At-Home 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 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
  
 
 
  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.
  
  $84,600 - $116,300 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.
   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 because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.
 
 Not Specified 
 0

Humana

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