Teams at Humana

Perform actuarial analytics and forecasting to model financial and market trends, support value-based care contracting and implementation, ensure data integrity, develop metrics and forecasts, troubleshoot data issues, and advise leadership to inform strategic and operational decisions.

Lead Product Owner translates product strategy and CMS interoperability/regulatory requirements into actionable backlogs for Agile teams. Primary focus on ePA APIs and FHIR-based interoperability, driving backlog prioritization, user story development, acceptance criteria, stakeholder alignment, and delivery execution. Serves as primary liaison among product, compliance, architecture, and engineering to ensure scalable, compliant solutions.

Lead pharmacy compliance for Medicare Part B and D by developing policies, interpreting regulatory/contract requirements, auditing PBM and dispensing operations, supporting regulator audits, conducting risk assessments, monitoring performance, and advising business units. Collaborate cross-functionally, present to regulators, and support remediation and continuous improvement efforts.