Director, Member Services, Medicaid

Humana

Location: Remote (US)
Workplace: Remote
Job type: Full-time
Salary: $157k–$215k
Posted: Today
Source: Himalayas

Become a part of our caring community Humana is committed to helping people achieve their best health by delivering innovative technology solutions that enable exceptional member and provider experiences. The Director, Segment Quality Engineering is a strategic technology leader responsible for advancing quality engineering practices across a defined portion of Humana’s technology portfolio. Reporting to the AVP, Quality Engineering – Segment, this role will lead teams responsible for delivery quality, test automation, release readiness, and continuous improvement across multiple product and application teams. This leader will work closely with Product, Engineering, Architecture, Platform, DevOps, and enterprise quality partners to embed quality throughout the software development lifecycle and improve release confidence, delivery speed, and production stability.Responsibilities - Lead quality engineering strategy and execution across a defined portfolio, domain, or segment. - Lead and develop quality engineering managers, leads, engineers, and SDETs; drive organization design, talent growth, and team performance. - Establish portfolio quality goals, KPIs, and governance to improve delivery quality, release readiness, and production stability. - Embed built-in quality across planning, design, development, testing, and deployment. - Oversee test strategy and execution across functional, integration, end-to-end, regression, and release validation. - Own portfolio-level quality risk management, including defect trends, release concerns, environment issues, and cross-team dependencies. - Drive automation-first practices and integrate quality signals, validation, and gates into CI/CD pipelines. - Lead adoption of AI-enabled quality engineering capabilities and promote innovative practices that improve speed, coverage, and reliability. - Sponsor modernization of quality frameworks, tooling, and test approaches for APIs, distributed systems, and cloud-native platforms. - Oversee non-functional quality practices, including performance, resiliency, operational readiness, and security validation. - Use metrics and production insights to drive continuous improvement, maturity, and investment priorities. - Partner with segment and enterprise stakeholders to align execution with broader quality engineering strategy, standards, and reference architecture direction. - Ensure responsible adoption of AI and compliance with applicable security, privacy, regulatory, and operational standards. Use your skills to make an impact Required Qualifications - Bachelor’s degree or equivalent experience. - 10+ years of experience in software engineering, quality engineering, testing, or related technical disciplines. - 5+ years of leadership experience managing quality engineering, test automation, or software delivery teams in large enterprise environments. - Experience leading quality engineering execution across multiple agile teams or a complex application/product portfolio. - Demonstrated success driving quality engineering modernization, including automation, tooling, process improvement, and metrics-driven execution. - Strong understanding of Agile, DevOps, and CI/CD practices. - Experience with API, UI, integration, regression, and end-to-end testing approaches. - Familiarity with distributed systems and modern application architectures. - Strong communication and stakeholder management skills, with the ability to influence cross-functional leaders. - Experience working in matrixed organizations and leading geographically distributed teams. - Proven experience leading adoption of AI capabilities within Quality Engineering processes. - Demonstrated success leveraging AI to improve test planning, test design, test automation, and QE effectiveness. - Experience utilizing AI-enabled solutions for: Test case generation and optimizationTest automation acceleration and maintenanceChange impact assessment and risk analysisRequirements traceability and coverage verificationRelease readiness and quality risk assessment - Experience establishing governance, metrics, and best practices for responsible and effective adoption of AI within Quality Engineering organizations. Preferred Qualifications - Experience in healthcare or another highly regulated industry. - Familiarity with member, provider, digital experience, or enterprise platform domains. - Experience with enterprise quality tools, test management platforms, and engineering lifecycle tools. - Knowledge of microservices, APIs, event-driven systems, and cloud-native architectures. - Experience supporting non-functional testing, including performance and resiliency. - Exposure to AI-enabled quality engineering or intelligent automation capabilities. - Familiarity with enterprise reference architecture principles, patterns, and standards in cloud, hybrid, on-premise, and SaaS environments. Success in this Role - In this role, success will be measured by: - Improved release stability and delivery quality across the assigned portfolio. - Reduced escaped defects and production incidents related to delivery quality. - Increased automation adoption, regression reliability, and validation efficiency. - Stronger integration of quality engineering into engineering workflows and CI/CD pipelines. - Advancement of quality engineering maturity and consistent execution across teams. - Positive stakeholder partnership and strong team engagement and development outcomes. Work at Home Requirements: 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. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information.Travel: While this is a remote position, occasional travel to Humana's offices for training or meetings may be required.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.$156,600 - $215,400 per yearThis 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, 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. Originally posted on Himalayas

Director, Member Services, Medicaid

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