Top Tech Jobs & Startup Jobs in San Francisco Bay Area, CA

Develop and operate reinforcement learning systems powering Humana’s Next Best Action platform. Responsibilities include RL algorithm development, reward and constraint design, simulation and backtesting, distributed Databricks and Ray RLlib training, PySpark feature engineering, MLflow model governance, production deployment, safety evaluation, and integration with rules engines and feedback pipelines. The role also requires explainability, auditability, and collaboration with healthcare, data, platform, and compliance teams.

Manages a sales support team and enables field sales execution through strategic initiatives, sales operations, performance reporting, process standardization, and cross-functional collaboration. Oversees territory alignment, resource allocation, dashboards, forecasts, and data-driven improvements. Recruits, coaches, and develops direct reports while partnering with sales, marketing, compliance, training, analytics, HR, and external vendors. The role is remote with occasional travel to Humana offices for training or meetings.

Provides customer support through phone, digital, and written channels. Responds to benefits and member inquiries, documents interactions, researches and resolves issues, applies established policies, escalates complex matters, and delivers accurate information while meeting service and quality expectations. Works independently on moderately complex administrative and operational assignments, supporting customer satisfaction in a remote environment.

Owns the Medicare Risk Adjustment platform and technical portfolio by translating business needs into technical requirements, prioritizing enhancements, assessing business value, and coordinating business, analytics, and IT delivery teams. The role manages competing priorities, supports technical budgeting, identifies opportunities, escalates insights affecting Stars outcomes, and drives initiatives that maximize platform value. This is a remote position with occasional travel for training or meetings.

Lead product strategy, backlog management, and platform development for Adobe Experience Platform web integrations across authenticated and unauthenticated channels. Translate business, regulatory, and customer needs into product requirements while partnering with engineering, architecture, marketing, CRM, legal, privacy, and compliance teams. Drive consent, preference, identity, personalization, and downstream activation capabilities; support enterprise adoption; monitor KPIs, data quality, integration health, and compliance risk; and optimize customer experiences across digital and omnichannel platforms.

Sets pricing assumptions and develops Medicare Part D bid pricing models. Analyzes claims, drug utilization, member behavior, market dynamics, drug launches, regulatory changes, and clinical developments to forecast pharmacy costs. Maintains pricing tools and utilization projections, researches cost trends, collaborates with pricing, clinical, pharmacy, formulary, and finance teams, and communicates recommendations to leadership.

Leads contract management, compliance, subcontract administration, procurement oversight, and ethics functions across Federal Government programs. Provides strategic direction and operational oversight to ensure contracts, purchasing, small business commitments, and compliance activities meet FAR, DFARS, regulatory, and organizational requirements.

Leads Humana’s enterprise conversational channels and advocate experience portfolio, including IVR, routing, conversational AI, virtual assistants, co-browse, intelligent search, and CRM. Owns product strategy, roadmaps, UX, architecture, delivery, modernization, and outcome measurement across member and advocate journeys. Partners with operations, technology, analytics, and digital teams to improve service quality, productivity, authentication, routing, efficiency, and member outcomes. Requires extensive leadership in product management, contact center technology, enterprise AI, regulated environments, and cross-functional portfolio delivery.

Leads Humana’s enterprise digital platform portfolio, defining multi-year product strategy, investment priorities, adoption plans, governance, and value-realization metrics. Oversees platforms including Adobe Experience Platform, consent management, digital health, design systems, content, and reusable digital services. Partners with business, design, technology, and engineering leaders to align roadmaps, drive enterprise adoption, manage trade-offs, and improve customer and business outcomes. Develops senior product leaders and cross-functional teams in a regulated environment.

Develops and executes Medicare Advantage pricing strategies, establishes assumptions, prepares bids, supports regulatory filings and certifications, implements rates and benefit changes, and advises product leaders. Analyzes market performance, forecasts, competitive conditions, and experience data to recommend pricing actions supporting profitability and membership growth. Requires cross-functional collaboration, actuarial judgment, and compliance with state and federal regulations.