Humana

Senior Technology Solutions Professional

San Antonio, Texas, United States

Humana Logo
Not SpecifiedCompensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, Health Insurance, Clinical OperationsIndustries

Requirements

Candidates should possess 3+ years of experience in Clinical Operations/Application Management and/or Production Support, along with experience using SharePoint and Requirements Management Software such as Jira Align or Azure DevOps. They should also have experience in building and implementing new processes from ground up, and experience working in cross-functional, collaborative teams.

Responsibilities

The Senior Technology Solutions Professional will troubleshoot and coordinate to resolve system issues promptly, conduct Root Cause Analysis, establish and monitor SLAs, and create/track tickets. They will collaborate with multiple teams (internal and external) on complex issues to determine viable technical and/or business approaches to problems, provide emergency support, assist with system upgrades or integrations, and monitor all interfaces (Batch and API) between the Clinical Application and external systems. Additionally, they will provide analysis, awareness, and collaboration on solutions where appropriate.

Skills

System Troubleshooting
Root Cause Analysis
SLA Monitoring
API and Batch Interface Monitoring
Emergency Support
Process Improvement
SharePoint
Jira
Azure DevOps
Application Management
Production Support

Humana

Health insurance provider for seniors and military

About Humana

Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.

Key Metrics

Louisville, KentuckyHeadquarters
1961Year Founded
IPOCompany Stage
Social Impact, HealthcareIndustries
10,001+Employees

Risks

Potential over-reliance on AI could disrupt operations if systems fail or are compromised.
Rising medical costs and tightening Medicare reimbursements may strain financial performance.
Leadership change with new CEO Jim Rechtin could lead to strategic disruptions.

Differentiation

Humana is a leader in Medicare Advantage plans, focusing on seniors and military personnel.
The company emphasizes inclusivity, offering free language interpreter services for accessibility.
Humana leverages AI and cloud technologies through a partnership with Google Cloud.

Upsides

Humana's investment in Healthpilot enhances digital enrollment for Medicare options.
The company is the first insurer to cover TMS therapy for adolescent depression.
Humana's focus on value-based care aims to improve outcomes for kidney disease patients.

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