Director, Technology Solutions

Humana Inc.
Atlanta, GA, United States
2 months ago

Role details

Contract type
Permanent contract
Employment type
Full-time (> 32 hours)
Compensation
$172,200.0 - $236,900.0
Working hours
Regular working hours
Job source

Tech stack

Application Programming Interfaces (APIs) Artificial Intelligence Amazon Web Services Data Analysis Microsoft Azure Clinical Data Repository Cloud Computing Electronic Data Interchange (EDI) Healthcare Effectiveness Data and Information Set Interoperability Systems Integration Epic Tapestry
+5 more
Fast Healthcare Interoperability Resources Snowflake Data Analytics Health Level Seven International Databricks

Job description

Humana is seeking a hands-on technology leader to drive enterprise integrations, interoperability, and clinical data platform initiatives across payer and provider ecosystems.

As the Director, Technology Solutions - Integrations and Clinical Data Platform, you will lead modernization efforts leveraging cloud, data analytics, AI, and automation to improve operational efficiency, scalability, and healthcare outcomes.

Key Responsibilities

  • Lead enterprise integrations across APIs, HL7, FHIR, EDI/X12, and Epic ecosystems.

  • Drive architecture and delivery for clinical and healthcare data platforms using Databricks and Snowflake.

  • Provide technical leadership for Epic Tapestry and preferably Compass Rose integrations.

  • Support healthcare operations including Utilization Management (UM), Care Management (CM), HEDIS, STAR Ratings, and Value-Based Care initiatives.

  • Leverage AI, automation, and analytics to streamline workflows and improve operational performance.

  • Partner with business, clinical, and technology leaders to define scalable, AI-first solutions., Reporting Structure: You will report to an Associate VP, Technology Solutions, Travel: While this is a remote position, occasional travel to Humana’s offices for training or meetings may be required.

Scheduled Weekly Hours

40

Requirements

  • 15+ years of healthcare technology leadership experience.

  • Deep experience with Epic Tapestry; Compass Rose preferred.

  • Strong hands-on expertise with Databricks, Snowflake, APIs, HL7, FHIR, and healthcare interoperability.

  • Experience supporting payer and clinical workflows including UM, CM, HEDIS, and STAR programs.

  • Proven experience leveraging analytics, automation, and AI within healthcare operations.

  • Strong leadership, communication, and execution skills.

Preferred Qualifications

  • Experience with Medicare Advantage, commercial payer environments, and Value-Based Care.

  • Cloud platform experience (Azure, AWS, or GCP).

  • Experience leading large-scale healthcare transformation initiatives.

Benefits & conditions

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.

$172,200 - $236,900 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 the company

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.

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