Risk Adjustment Lead - Platform Product Owner

Humana
$117,600 - $161,700Remote

About The Position

This is a remote position. You will connect Medicare Risk Adjustment business leaders, analytics resources, and IT delivery teams to maximize Risk Adjustment platform and technical portfolio value. You will apply technical understanding and consultative skills to translate and prioritize business needs into technical requirements that drive measurable outcomes. You will guide platform enhancements, identify opportunities, and escalate Risk Adjustment insights that may affect Stars. You will exercise independent judgment, manage competing priorities, drive initiatives, and navigate technical budgeting processes that will deliver Risk Adjustment value. This position reports to the Director, Risk Management & Compliance.

Requirements

  • Bachelor’s degree in a related field.
  • 3+ years of experience in system migrations, technical operations, or Agile product ownership.
  • Experience developing business cases and quantifiable value assessments.
  • Ability to translate complex business needs into technical requirements.

Nice To Haves

  • Advanced degree in a related field.
  • Knowledge of Medicare Risk Adjustment or Medicare Advantage regulations.
  • Experience with ADO or Jira.
  • Experience with epics, features, user stories, and acceptance criteria.
  • Six Sigma certification.

Responsibilities

  • Connect Medicare Risk Adjustment business leaders, analytics resources, and IT delivery teams to maximize Risk Adjustment platform and technical portfolio value.
  • Apply technical understanding and consultative skills to translate and prioritize business needs into technical requirements that drive measurable outcomes.
  • Guide platform enhancements, identify opportunities, and escalate Risk Adjustment insights that may affect Stars.
  • Exercise independent judgment, manage competing priorities, drive initiatives, and navigate technical budgeting processes that will deliver Risk Adjustment value.

Benefits

  • medical
  • dental
  • vision benefits
  • 401(k) retirement savings plan
  • time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
  • short-term and long-term disability
  • life insurance
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