Lead, Medicaid Technology

Humana

2d • Hybrid

About The Position

Become a part of our caring community and help us put health first The Lead for Medicaid Technology is responsible for driving end-to-end technology delivery for Medicaid initiatives. This role ensures successful implementation of use cases across multiple horizontal platform owners, aligning with regulatory requirements and enterprise architecture standards. The leader will serve as the primary technology point of contact for Medicaid, orchestrating cross-functional collaboration to deliver compliant, scalable, and innovative solutions. Position Overview The Lead for Medicaid Technology is responsible for driving end-to-end technology delivery for Medicaid initiatives. This role ensures successful implementation of use cases across multiple horizontal platform owners, aligning with regulatory requirements and enterprise architecture standards. The leader will serve as the primary technology point of contact for Medicaid, orchestrating cross-functional collaboration to deliver compliant, scalable, and innovative solutions.

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.

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 work with the business to influence state requirements when needed.
• Cross-Platform Integration Coordinate across horizontals (Eligibility, Enrollment, Claims, Provider, Pharmacy, Data 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.

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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level