Teams at Humana

Lead strategy, architecture, and delivery of pharmacy technology platforms. Drive modernization, resilience, and scalability; oversee solution design, cloud and data platforms, AI/automation adoption, vendor management, cost optimization, and talent development across large engineering teams.

Lead enablement and operational support for delegated provider and vendor relationships. Develop programs, oversight processes, reporting, and training; resolve complex operational issues; monitor performance and risks; lead cross-functional collaboration and a small team; prepare executive-level recommendations to improve delegation governance and value-based outcomes.

Review utilization management activities and documentation to ensure policy and regulatory compliance. Collect and analyze outcome and operational metrics, process QIO fast-track appeals and expedited authorizations, make independent determinations, and follow regulatory turnaround times. Work a four-day, 10-hour shift schedule (Wed–Sun or Thu–Sun) in an EST-operating, remote role with strict home-office and internet requirements.