Lead, Medicaid Technology

Join our team as a technology leader driving end-to-end delivery for Medicaid initiatives. This role ensures successful implementation of use cases across multiple platforms, aligning with regulatory requirements and enterprise architecture standards.

About the role

This hybrid position requires working 3 days a week in the office at 210 Park Ave, Oklahoma City, OK 73102. The Lead for Medicaid Technology serves as the primary technology point of contact for Medicaid, orchestrating cross-functional collaboration to deliver compliant, scalable, and innovative solutions.

Responsibilities

• Strategic Leadership
  • Own the technology roadmap for Medicaid, ensuring alignment with state and federal mandates
  • Partner with business leaders to translate Medicaid program requirements into actionable technology solutions
  • Ensure state requirements are achievable, and influence state requirements when needed
• Cross-Platform Integration
  • Coordinate across horizontals (Eligibility, Enrollment, Claims, Provider, Pharmacy, Care Management/Utilization Management) to implement Medicaid-specific use cases
  • Drive interoperability between Humana core platforms and vendor systems for seamless data exchange
• Program Delivery
  • Lead execution of critical initiatives such as new state requirements and regulatory mandates, ensuring timely delivery and risk mitigation
  • Oversee testing strategies (end-to-end, release, and connectivity) to validate compliance and performance
• Governance & Compliance
  • Maintain adherence to Medicaid SMMC contract provisions and regulatory requirements
  • Establish governance frameworks for decision-making, escalation, and metrics tracking across IT workstreams
• Risk Management
  • Identify and resolve technology risks impacting go-live timelines (e.g., integration performance, audit file processing)
  • Implement contingency plans and communicate status to executive stakeholders
• Innovation & Optimization
  • Champion modernization efforts, leveraging APIs, cloud capabilities, and data fabric solutions to improve efficiency and scalability

Requirements

• Bachelor’s degree in Computer Science, Information Systems, or related field; advanced degree preferred
• 8+ years of progressive IT experience, including direct oversight of large technology implementations
• Proven experience leading large-scale Medicaid or healthcare technology programs
• Strong understanding of managed care platforms, eligibility/enrollment systems, and regulatory compliance
• Expertise in cross-platform integration, interoperability, and data governance
• Ability to manage complex stakeholder relationships and drive consensus across business and IT teams
• Proven track record of successful delivery of complex IT initiatives in a regulated environment
• Excellent communication, stakeholder management, and organizational skills
• Experience in driving strategic alignment and integrating teams
• Familiarity with cloud-based architectures and modern API frameworks
• Understanding of insurance products, benefits administration, and healthcare industry standards

Schedule

• Full-time position (40 hours per week)
• Hybrid work arrangement: 3 days per week in the Oklahoma City office
• Occasional travel to Humana's offices for training or meetings may be required

Pay

• Starting base pay range: $117,600 - $161,700 per year
• Eligible for bonus incentive plan based on company and/or individual performance

Benefits

Humana offers competitive benefits supporting whole-person well-being:

• Medical, dental, and vision benefits
• 401(k) retirement savings plan
• Paid time off (including company and personal holidays)
• Paid parental and caregiver leave
• Short-term and long-term disability
• Life insurance

Additional work-from-home requirements:

• Minimum internet speed: 25 Mbps download / 10 Mbps upload (wireless, wired cable, or DSL connection suggested)
• Dedicated workspace free from ongoing interruptions to protect member PHI/HIPAA information
• Humana provides telephone equipment appropriate to meet business requirements
• Employees in California, Illinois, Montana, or South Dakota receive bi-weekly internet expense payments