Lead Engineer - EDI & Clearinghouse Technology

Become a part of our caring community
 

The Lead Software Engineer is responsible for advancing and optimizing the Batch, EDI, and Clearinghouse technology ecosystem supporting the eHub and HIT teams. This role leads complex engineering work, enhances system performance and reliability, and enables strategic capabilities that improve provider experience, operational efficiency, and compliance. The position blends hands-on engineering with technical leadership, driving innovation through automation, AI, and modern integration patterns.

The Lead Software Engineer possesses advanced hands-on engineering expertise and offers technical leadership, promptly addressing critical production issues and promoting ongoing improvements in transaction accuracy and timeliness. This position is integral to supporting the organization's modernization initiatives, including automation, AI-driven efficiencies, application and API optimization, and the reduction of technical and digital footprints. Furthermore, the role enhances enterprise security by improving TLM processes, addressing vulnerabilities, and removing hard-coded secrets across environments. The Lead Software Engineer also provides guidance to executives in developing functional strategies on significant, often segment-specific matters. The role requires independent judgment and decision-making on complex tasks, operating with minimal supervision and analyzing variable factors to determine optimal solutions.

Key Responsibilities

Technology Leadership & Solution Delivery

• Lead the design, engineering, and optimization of Batch, EDI, and Clearinghouse capabilities that support business strategy and provider experience improvement.
• Collaborate with cross‑functional teams (eHub, HIT, Operations, EIP, Architecture) to deliver scalable, secure, and compliant technology solutions.
• Drive continuous modernization and simplification, improving performance, reliability, and technology lifecycle management.

EDI, Clearinghouse, and Batch Operations Excellence

• Monitor, interpret, and report on KPIs related to EDI transactions, clearinghouse connectivity, and batch processing.
• Identify performance gaps, systemic issues, and opportunities for optimization; recommend and implement improvements aligned with strategic objectives.
• Lead resolution of complex transmission, connectivity, and processing issues with internal teams and external partners.

Automation, AI, and Productivity Enablement

• Engineer and integrate automation, AI accelerators, and intelligent tooling to streamline workflows, reduce manual effort, and improve data quality.
• Advance operational efficiency by supporting:
  • Application and API rationalization
  • Simplification of reporting and reduction of data redundancies
  • Reduction of digital/system footprint
• Promote the adoption of modern engineering, integration, and DevOps practices.

Security, Compliance & Engineering Quality

• Support and improve technology lifecycle management (patching, upgrades, decommissioning, modernization).
• Partner with security teams to identify, respond to, and remediate vulnerabilities in a timely manner.
• Drive secure engineering practices, including the elimination of hard‑coded secrets and adoption of enterprise secret‑management solutions.

Collaboration, Mentorship & Technical Guidance

• Serve as a subject matter expert for EDI, batch, and clearinghouse technologies.
• Mentor engineers, guide technical decision‑making, and promote engineering best practices.
• Influence architectural approaches and help shape integration strategies for future-state capabilities.

Use your skills to make an impact
 

Required Qualifications

• 5–7+ years of experience in integration engineering, systems engineering, or similar technical roles.
• Strong technical expertise in EDI (X12), clearinghouse transactions, and batch processing architectures.
• Demonstrated ability to engineer and optimize large-scale transactional systems.
• Hands-on experience with automation, scripting, and workflow orchestration.
• Understanding of AI/ML or intelligent automation tools (e.g., NLP, process automation, Azure AI, Claude code, GitHub Copilot).
• Experience with secure engineering practices, vulnerability remediation, or secret‑management tooling.
• Must be willing to work in a Hybrid work structure within Louisville, Kentucky or Nashville, Tennessee

Preferred Qualifications

• Experience with Azure or other cloud platforms.
• Familiarity with modern integration platforms (Apigee, Edifecs, Azure Integration Services).
• Knowledge of DevOps practices, CI/CD pipelines, and Infrastructure-as-Code.
• Healthcare or regulated industry experience.

Additional Information

Why Humana?

At Humana, we know your well-being is important to you, and it's important to us too. That's why we're committed to making resources available to you that will enable you to become happier, healthier, and more productive in all areas of your life. Just to name a few:

• Work-Life Balance
• Generous PTO package
• Health benefits effective day 1
• Annual Incentive Plan
• 401K - Excellent company match
• Well-being program
• Paid Volunteer Time Off

If you share our passion for helping people, we likely have the right place for you at Humana.

SSN Alert Statement

Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana's secure website.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

 

$129,300 - $177,800 per year

 

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our 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.

About Us
 

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.

​
Equal Opportunity Employer

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.