Director, Core Admin, Claims – Medicare

Job not on LinkedIn

🔥 12 hours ago

🐎 Kentucky, New York, +2 more states – Remote

🐎 Kentucky – Remote 🗽 New York – Remote 🍂 Massachusetts – Remote 🤠 Texas – Remote

💵 $156.6k - $215.4k / year

⏰ Full Time

🔴 Lead

👔 Director

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 0%

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Humana

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1961

🏥 Healthcare

🛡️ Insurance

⚕️ Healthcare Insurance

Healthcare • Insurance • Healthcare Insurance

Humana is a healthcare company dedicated to making a positive impact on the health of individuals, communities, and the healthcare system as a whole. With a focus on putting health first, Humana serves a diverse range of populations, including seniors and the military, providing Medicare Advantage HMO, PPO, and PFFS plans. Humana is committed to fostering a culture of belonging and mutual respect, offering competitive and flexible benefits to ensure the financial security of its employees and their families. The company prides itself on creating an inclusive workplace where everyone has the opportunity to succeed.

📋 Description

• Lead quality engineering strategy and execution across a defined portfolio, domain, or segment • Lead and develop quality engineering managers, leads, engineers, and SDETs • Drive organization design, talent growth, and team performance • Establish portfolio quality goals, KPIs, and governance • Embed built-in quality across planning, design, development, testing, and deployment • Oversee functional, integration, end-to-end, regression, and release validation testing • Own portfolio-level quality risk management, including defect trends, release concerns, environment issues, and cross-team dependencies • Drive automation-first practices and integrate quality signals, validation, and gates into CI/CD pipelines • Lead adoption of AI-enabled quality engineering capabilities • Sponsor modernization of quality frameworks, tooling, and test approaches for APIs, distributed systems, and cloud-native platforms • Oversee performance, resiliency, operational readiness, and security validation • Use metrics and production insights to drive continuous improvement, maturity, and investment priorities • Partner with segment and enterprise stakeholders to align execution with broader quality engineering strategy and standards • Ensure responsible AI adoption and compliance with security, privacy, regulatory, and operational standards

🎯 Requirements

• Bachelor’s degree or equivalent experience • 10+ years of experience in software engineering, quality engineering, testing, or related technical disciplines • 5+ years of leadership experience managing quality engineering, test automation, or software delivery teams in large enterprise environments • Experience leading quality engineering execution across multiple agile teams or a complex application/product portfolio • Experience driving quality engineering modernization, including automation, tooling, process improvement, and metrics-driven execution • Strong understanding of Agile, DevOps, and CI/CD practices • Experience with API, UI, integration, regression, and end-to-end testing approaches • Familiarity with distributed systems and modern application architectures • Strong communication and stakeholder management skills • Experience working in matrixed organizations and leading geographically distributed teams • Proven experience leading adoption of AI capabilities within Quality Engineering processes • Experience leveraging AI to improve test planning, test design, test automation, and QE effectiveness • Experience utilizing AI-enabled solutions for test case generation and optimization, test automation acceleration and maintenance, change impact assessment and risk analysis, requirements traceability and coverage verification, and release readiness and quality risk assessment • Experience establishing governance, metrics, and best practices for responsible and effective adoption of AI within Quality Engineering organizations

🏖️ Benefits

• Bonus incentive plan based on company and/or individual performance • Medical benefits • Dental benefits • Vision benefits • 401(k) retirement savings plan • Paid time off • Company holidays • Personal holidays • Paid parental leave • Paid caregiver leave • Short-term disability • Long-term disability • Life insurance • Personal wellness support • Smart healthcare decision support for employees and families • Remote work arrangement • Occasional travel to Humana offices for training or meetings