Human Factors Engineer in United States

Become a part of our caring community The Medical Coding Educator 2 identifies opportunities to improve provider documentation and creates an education plan tailored to each assigned provider. You will report to the Manager, Medicare Risk Adjustment. As the Medical Coding Educator 2 you will Arrange educational sessions with assigned providers aimed at quality of care and documentation improvements. Identify educational needs based on reports Prepare comprehensive reports and presentations on coding quality trends, risk areas, and educational outcomes using data visualization techniques. Provider onsite education Collaboration with other market provider facing role Use data analytics tools to assess coding quality, identify error patterns, and monitor compliance with internal and external standards. Analyze coding audit results and other relevant data to develop data-driven educational materials and interventions. Work with teams to improve documentation, data integrity, and workflow processes Use your skills to make an impact Required Qualifications AHIMA or AAPC CPC (Certified Professional Coder) Certification 3 or more years of medical coding education or auditing in a healthcare setting experience Proficiency with data analytics tools (such as Excel, Power BI, or similar) and experience interpreting large data sets Demonstrated knowledge of healthcare risk adjustment, including HCC coding and CMS-HCC model version 28. Experience speaking with leadership, webinars public speaking or presentation skills with healthcare providers Live in NC, SC, GA, VA or TN Preferred Qualifications Bachelor's Degree Value-based care Primary care Medicare Risk Adjustment kn

Become a part of our caring community The Field Service Coordinator (Care Coach 1) assesses and evaluates member's needs and requirements. This is done to achieve and/or maintain optimal wellness state by guiding members/families toward resources appropriate for their care and wellbeing. The Service Coordinator work assignments are often straightforward and of moderate complexity. Your role will involve meeting members in their location, spending quality time assessing their needs and barriers and then connecting our members with quality services to promote their ultimate well-being and guide health outcomes. Responsibilities include: Administer ongoing long-term services and support (LTSS) related assessments through person-centered thinking approaches. Contacts members both telephonically and/or in-person to establish goals and priorities. This involves evaluating resources, developing a plan of care, and identifying LTSS providers and community partnerships. The goal is to provide a combination of services and supports that best meet the needs and goals of the member and caregiver through person-centered thinking approaches. Development and modification of Service Plan and involve applicable members of the care team in care planning (Informal caregiver coach, PCP) Support members through navigation of their LTSS and related environmental and social needs Use available information about member to prevent the need for administration of duplicative assessments. Focus on supporting members or caregivers in accessing long-term services and support, social, housing, educational and other services, regardless of funding sources to meet their needs. Assist members in maintaining Medicaid eligibility Collaborate with Medical Director/Geriatrician/Care Coordinator as deemed necessary to ensure cohesive, holist

Become a part of our caring community With over 10 million sales interactions annually, Humana understands that while great products are important, it’s the quality of our service that truly defines us. We know that when our members and prospects have delightful and memorable experiences, it strengthens their connection with us and enables us to put their Health First. After all, a health services company that has multiple ways to improve the lives of its customers is uniquely positioned to put those customers at the center of everything it does. This role is field based, and you will be out and about in the field in the Oklahoma, NW AR and Central AR markets working with your team and meeting members face to face. You must reside in the Oklahoma City, OK area or be willing to relocate. In this field position, you will; coach, mentor, educate, motivate and train a team of sales individuals. The Senior Manager, Medicare Sales, must have a solid understanding of the market they serve, how to resolve operational problems and provide creative solutions to increase sales while following CMS guidelines. This role also involves cultivating, maintaining, and building relationships with Humana’s customers, both internal and external business partners, along with the community we serve through telephonic, virtual, and face-to-face interactions with individuals and groups. Other responsibilities include developing marketing budgets, and looking for branding opportunities. Benefits include: Medical, Dental, Vision, and a variety of other supplemental insurances Paid Time Off (PTO) and Paid Holidays 401(k) retirement savings plan with a company match Tuition reimbursement and/or scholarships for qualifyi

Become a part of our caring community The Software Engineer 2 plays a key role in developing and maintaining solutions that support secure and reliable file transfers between external partners and internal systems, with a strong emphasis on Hyland OnBase integrations and enterprise content management solutions. You will be responsible for designing, configuring, and supporting integrations between Hyland OnBase, the organization's Record Management System, and web applications to enable efficient file upload and download capabilities, document management, and seamless business process automation. You will bring experience in Hyland OnBase administration, configuration, and integration, along with strong technical skills in C#, .NET, HTML, CSS, SSIS, SQL, and related tools. You will also troubleshoot complex issues, gather and translate requirements, document technical solutions, and work collaboratively across teams to ensure secure, compliant, and reliable system performance. Our Department of Defense Contract requires U.S. citizenship for this position. This is a hybrid position which requires associates to come into the Louisville KY office at least 2 days per week. You will report to the Associate Director, HGB IT Platform and Foundational Services for Humana Military. Required Qualifications 1 or more years' experience supporting or developing integrations with Hyland OnBase Experience with enterprise content management, system configuration, and application interoperability Proficiency in C#, .NET, SQL, SSIS, HTML, and CSS Experience designing and implementing API integrations Strong analytical, troubleshooting, and problem-solving skills Strong verbal and written communication skills, including technical documentation Successfully

Become a part of our caring community Job Description Summary The Lead Solutions Architect provides architecture leadership for CenterWell Home Health programs and platforms, shaping conceptual and reference architectures, governing solution designs, and aligning delivery teams to cloud and data strategies. The scope includes high-priority initiatives as well as interoperability and provider-data integrations that span CenterWell and Humana Insurance. As Lead Solution Architect, you'll be the senior individual contributor on a team with broad accountability across CenterWell's dispensing pharmacy portfolio — mail order, specialty, retail, and associated platforms. You'll own the architectural vision for complex, multi-system initiatives, shape how technology decisions get made, and act as a connective force between business strategy, engineering execution, and enterprise standards. You will operate within CenterWell IT – Cross-CenterWell Architecture. You will collaborate with product, engineering, EA Activation, security, data, and operations. You will engage governance forums to enable Integrated Health across CenterWell and Humana Insurance. Key Activities Quickly conduct structured knowledge transfer with existing architects and relevant stakeholders to capture critical in-flight designs and decisions. Review current initiatives and establish an architectural roadmap aligned with organizational priorities. Develop or refine reference architectures and design patterns for core platforms and solutions. Collaborate with governance and compliance teams to validate designs against enterprise standards and regulatory requirements. Define integration strategies and solution blueprints for key systems and data flows. Establish architecture review processes and decision forums to support de

Become a part of our caring community Humana invites MBA and other advanced-degree students to join its Summer 2027 Internship Program. This immersive experience allows students to contribute to meaningful, enterprise-level work across a range of business functions, engage with executive leaders, and develop the skills and perspective needed for a successful healthcare career after graduation. We are seeking purpose-driven leaders who demonstrate intellectual curiosity, agility, sound judgment, and a high degree of emotional intelligence. Strong candidates embrace complex challenges, navigate ambiguity confidently, and are motivated to shape the future of healthcare. MBA Primary Care & Clinical Innovation Internship opportunities are available across several strategic areas, including: Clinical Performance & Innovation CenterWell Primary Care Organization Primary Care Organization Practice Technology Portfolio & Change Management Value Based Care Enablement Medical Specialty Operations Across these strategic areas, interns help translate priorities in primary care and clinical innovation into action through strategic planning, business case development, cross-functional coordination, process improvement, portfolio execution, and transformation support. They may contribute to initiatives that strengthen clinical performance, advance technology-enabled care, improve operational efficiency, and deliver greater value for patients and the enterprise while supporting sound governance and continuous improvement. Location and work arrangement : This is a 12-week, in-person internship based primarily at Humana’s headquarters in Louisville, KY, with limited opportunities in Arlington, VA; Chicago, IL; Fort Lauderdale, FL; Boston, MA; Nashville, TN; and New York

Become a part of our caring community The Provider Contracting Professional supports the West Region in the negotiation, analysis, and maintenance of physician and other provider agreements for an organization delivering healthcare to the senior population. You will assist with contract management activities, provides analytical support, and ensure accurate documentation within established processes and guidelines. You will report to a Director, Provider Contracting. Job Responsibilities: Support the contracting team in drafting, reviewing, and processing provider contracts and amendments Collaborate with market engagement, leadership, and legal teams to facilitate contract execution and resolve basic contract term revisions Assist in communicating contract terms, payment structures, and reimbursement rates to IPA and ACO provider groups under the guidance of senior staff Conduct initial financial analyses of contracts and terms; prepare summaries for senior review Maintain contract files and documentation within the organization's tracking system, ensuring accuracy and compliance Assist in identifying and reaching out to potential providers for network development based on current needs and network composition Prepare reports and updates for contracting initiatives as requested Manage assigned priorities and deadlines, escalating complex issues to senior team members Use your skills to make an impact Required Qualifications 2+ years' experience in provider contracting, network management, or a related healthcare field Knowledge of managed care or value-based contracting Understand contract terms and basic financial impact Preferred Qualifications Experience supporting ACO or IPA provider

Become a part of our caring community The Medical Assistant 2 is the first point of contact for patient care. Responsible for administrative responsibilities in addition to patient care. The Medical Assistant 2 performs varied activities and moderately complex administrative, operational, and customer support assignments. Typically work on semi-routine assignments. The Medical Assistant 2 performs clinical duties such as discussing symptoms, obtaining vital signs, medication/vaccine administration, phlebotomy, collecting specimens, performing diagnostic screening tests, sterilizing/cleaning equipment, maintaining examination rooms, and documenting information into the electronic medical records system. Collaborate with Physicians and Advanced Practice Providers. Deliver direct patient care dependent on what active certification allows. Decisions typically focus on interpretation of area/department policy and methods for completing assignments. Work within defined parameters to identify work expectations and quality standards, but has latitude over prioritization/timing, and works under minimal direction. Follow standard procedures that allow opportunity for interpretation/deviation or independent discretion. Use your skills to make an impact Required Successful completion of MA school/training program or a Certified/Registered Medical Assistant or 5+ years of experience and approval from Provider High school diploma or equivalent CPR Certified This role is considered patient facing and is part of the company's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB Bilingual proficiency in English and Spanish - must pass proficiency exam prior to foreign language communication Preferred Certified o

Become a part of our caring community The Legal Operations Professional collects, organizes, and analyzes law department data, including matter management metrics, outside counsel spend, and operational benchmarks. Your work assignments are often straightforward and of moderate complexity. Job Responsibilities: Help with the administration and maintenance of legal technology platforms such as e-billing, matter management, and knowledge management systems Assist with vendor management coordination, including tracking outside counsel performance, processing invoices, and maintaining vendor records Help prepare reports, dashboards, and presentations on law department metrics, spend trends, and benchmarking data to inform leadership decision-making Conduct financial analysis of law department spend data, including reviewing and evaluating law firm and legal service provider pricing structures Helps create financial models to analyze law firm alternative fee arrangements (AFAs), prompt pay discounts, volume discounts, and other fee structures to identify cost savings and optimize outside counsel spend Support the preparation of law firm and legal service provider pricing reviews, including rate benchmarking, fee arrangement comparisons, and value assessments to inform negotiation strategies Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation. Use your skills to make an impact Required Qualifications Bachelor's degree 1+ years experience working in legal operations, legal support, knowledge management, or a related professional services environment Experience collecting, organizing, and analyzing data to support operational reporting and decision-making

Become a part of our caring community Humana invites MBA and other advanced-degree students to join its Summer 2027 Internship Program. This immersive experience allows students to contribute to meaningful, enterprise-level work across a range of business functions, engage with executive leaders, and develop the skills and perspective needed for a successful healthcare career after graduation. We are seeking purpose-driven leaders who demonstrate intellectual curiosity, agility, sound judgment, and a high degree of emotional intelligence. Strong candidates embrace complex challenges, navigate ambiguity confidently, and are motivated to shape the future of healthcare. MBA Strategy & Operations Internship opportunities are available across several strategic areas, including: CenterWell Pharmacy – Business Development CenterWell Pharmacy Hub Team CenterWell Pharmacy Operations Consumer Product Enablement & Solutions Corporate Strategy Insurance Product Solutions Pharmacy Business Integration Pharmacy Product Management Provider Network Operations – Humana Military Sales Strategy Transformation Office Value-Based Care Enablement Strategy <p style

Become a part of our caring community The Care Coaching Assistant 2 (Transition Coordination Support Staff) employs a variety of strategies and techniques to support a member's wellness state by coordinating services and resources. The Care Coaching Assistant may support multiple responsibilities including Transitions. You/applicant/employee typically focuses decisions on interpretation of area/department policy and methods for completing assignments. Work within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works. Follow standard practices that allow for some opportunity for interpretation/deviation or independent. Position Responsibilities: Contribute to administration of care coordination, for transitions and custodial prevention teams. Provide non-clinical support to the assessment and evaluation of members' needs and requirements. This support helps achieve and/or maintain an optimal wellness state by guiding members/families toward resources appropriate for their care and wellbeing. Additionally, it facilitates interaction with these resources. Perform varied activities and moderately complex administrative/operational/customer support assignments. Perform computations. Typically work on semi-routine assignments. Use your skills to make an impact Required Qualifications Less than 3 years of technical experience Must reside in the State of Indiana Proficiency in Microsoft Word, Excel and Outlook Excellent verbal and written communication skills Must Reside in the State of Indiana Preferred Qualifications Clerical support background in a healthcare environment Associate or Bachelor's Degree </

Become a part of our caring community The Counsel provides a full range of legal advice and services on litigation, arbitration, and related legal matters and strategy. The Counsel will collaborate internally and with outside counsel on case strategy, discovery, and resolution of disputes. The Counsel will exercise independent judgment and decision-making on litigation issues and related tasks and work under modest supervision. This role requires applying in-depth and broad knowledge of litigation practices, frequently taking full ownership of legal matters, and organizing and managing individual litigation matters from inception through trial. Use your skills to make an impact Required Qualifications Juris Doctor degree from an ABA-accredited law school Active and licensed membership in a state bar association At least 4 years of experience in litigation Strong project management and organizational skills across all facets of litigation from inception through trial Ability to organize and successfully manage a number of case matters simultaneously Strong skills in communicating complex legal issues to various stakeholders Ability to mitigate risk by acting as a trusted advisor whose strategic thinking, pragmatic problem-solving, and proactive counsel are sought by clients Ability to work independently under general supervision and in team settings Experience with large-scale e-discovery Preferred Qualifications Experience with provider disputes and healthcare reimbursement disputes Experience with alternative dispute resolution (ADR), including arbitration Understanding of Medicaid/Medicare laws and regulations Work at Home Requirements:

Become a part of our caring community The Principal Storage Engineer is a senior technical leader responsible for defining and advancing the enterprise storage architecture and long-term data infrastructure strategy. This role establishes standards, develops five-year technology roadmaps, and designs secure, resilient, scalable, and cost-effective storage platforms for business-critical, analytics, and artificial intelligence workloads. The engineer serves as the organization’s storage subject-matter expert and partners with infrastructure, cloud, security, data, application, architecture, finance, and vendor teams to translate business requirements into sustainable technology capabilities. The Principal Storage Engineer is a senior technical leader responsible for defining and advancing the enterprise storage architecture and long-term data infrastructure strategy. This role establishes standards, develops five-year technology roadmaps, and designs secure, resilient, scalable, and cost-effective storage platforms for business-critical, analytics, and artificial intelligence workloads. The engineer serves as the organization’s storage subject-matter expert and partners with infrastructure, cloud, security, data, application, architecture, finance, and vendor teams to translate business requirements into sustainable technology capabilities. Key Responsibilities Define the enterprise storage vision, reference architecture, engineering standards, and five-year roadmap across block, file, object, software-defined, and hybrid storage services. Lead architecture decisions for on-premises AI infrastructure, including high-throughput and low-latency storage fo

Become a part of our caring community The Network Operations Coordinator 4 manages provider data for health plans including but not limited to demographics, rates, and contract intent. Manages provider audits, provider service and relations, credentialing, and contract management systems. Executes processes for intake and manage provider perceived service failures. Decisions are regarding the daily priorities for an administrative work group and/or external vendors including coordinating work activities and monitoring progress towards schedules/goals, and often oversees work of others and/or is the primary administrative owner of a main process, program, product or technology. Works within broad guidelines with little oversight. Use your skills to make an impact Required Qualifications Minimum of 2 years of provider relations experience, healthcare services or related experience Minimum of 1 year of experience managing mid to large scale projects Intermediate experience in Microsoft Word, Outlook, Excel (VLOOKUP’s, lateral lookups & ability to manipulate data) and TEAMS Ability to accommodate a work schedule following Central Standard Time zone hours Preferred Qualifications Advanced experience with Microsoft Excel Provider contract interpretation experience Previous account management or project management Knowledge of medical claims Work at Home Requirements: To ensure Home or Hy

Become a part of our caring community The Program Delivery Lead, Medicare Advantage Bid Operations is responsible for coordinating and managing the annual Medicare Advantage bid planning, development, governance, and submission process. Serving as a central point of coordination across Product, Finance, Actuarial, Growth Strategy, Markets, Quality, and executive leadership teams, this role ensures key decisions, deliverables, and milestones are completed on time and with appropriate stakeholder engagement. This individual acts as the convener and coordinator of the bid operating model, managing the overall program calendar, overseeing program governance forums and processes, supporting coordination of new plan expansions with core strategic partners, and coordinating across executive stakeholders to ensure successful execution of a highly complex enterprise initiative. The Program Delivery Lead will operate in a highly matrixed environment and must be skilled at influencing without authority, managing strict deadlines, and serving as a key point of contact for questions about bid planning processes. In partnership with the broader Growth Strategy team, the Program Delivery Lead helps to drive continuous evolution of the Medicare Advantage bid operating model, governance structure, decision forums, and planning processes to improve organizational effectiveness and execution quality. Key Responsibilities Bid Program Management Develop and manage the integrated annual Medicare Advantage bid plan calendar, including milestones, deliverables, dependencies, and CMS deadlines Serve as the point person for bid planning and execution process governance questions and feedback Identify risks, issues, and dependencies that may impact bid execution and facilitate mitigation strategies Monitor overall program health and esc