In this role, you will formulate and define system objectives based on user needs and industry standards, devise or modify processes to solve complex problems, and validate benefits achieved from solution implementation. Work assignments involve moderately complex to complex issues requiring in-depth evaluation of variable factors. You will exercise considerable latitude in determining objectives and approaches, influence departmental strategy, and make decisions on technical approaches for project components with minimal direction.
Responsibilities
Analyze business processes and user needs to develop detailed requirements and functional specifications for digital health initiatives.
Collaborate with cross-functional teams to support the integration and optimization of systems such as athenahealth EMR and Genesys telephony.
Document workflows, use cases, and process improvements to support agile development and operational efficiency.
Assist in backlog grooming, user story creation, and sprint planning activities.
Conduct cost/benefit analyses and validate outcomes of implemented solutions.
Support data extraction and analysis using query tools and reporting platforms.
Ensure compliance with healthcare regulations and internal standards.
Contribute to continuous improvement efforts focused on enhancing consumer and provider experiences.
Required Qualifications
Bachelor’s degree.
A minimum of five years of business systems analysis or technical experience in healthcare.
Working knowledge of EMR systems (preferably athenahealth) and telephony platforms.
Familiarity with Systems Development Life Cycle (SDLC) and Agile methodologies.
Experience with data extraction tools and repositories.
Strong documentation and process analysis skills.
Proficiency in Microsoft Office tools including Word, Excel, PowerPoint, Access, and Visio.
Passion for improving healthcare experiences and outcomes.
Preferred Qualifications
Experience with process documentation and re-engineering.
Exposure to senior-focused or Medicare Advantage care models.
Additional Information
Remote role
Preferred work hours: EST or CST
Work at Home Statement
To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested.
Satellite, cellular and microwave connection can be used only if approved by leadership.
Employees who live and work from Home in the state of California, Illinois, Montana, or South Dakota will be provided a bi-weekly payment for their internet expense.
Humana will provide Home or Hybrid Home/Office employees with telephone equipment appropriate to meet the business requirements for their position/job.
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.
Scheduled Weekly Hours
40Pay 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.
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.Application Deadline: 01-02-2026
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.