Risk Adjustment Lead - Platform Product Owner

Humana; United States; Remote; USD 118,000 - 162,000; Full time

Job summary

Humana is seeking a remote Risk Adjustment program/technical owner who will connect business leaders, analytics teams, and IT delivery to maximize the Risk Adjustment platform value and drive measurable outcomes. You will translate business needs into actionable technical requirements and guide platform enhancements with budgeting considerations.

The role reports to the Director, Risk Management & Compliance and requires 3+ years in migrations, operations, or Agile product ownership, plus a

Qualifications

• 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.

Responsibilities

• Collaborate with Medicare Risk Adjustment business leaders, analytics resources, and IT delivery teams to maximize platform and portfolio value.
• Translate business needs into technical requirements and prioritize them to drive measurable outcomes.
• Guide platform enhancements and budget processes to deliver Risk Adjustment value and influence Stars outcomes.

Job description

Become a part of our caring community

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 elevate 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.

Use your skills to make an impact

Required Qualifications

• 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.

Preferred Qualifications

• 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.

Additional Information

_This role is not eligible for work visa sponsorship._

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

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.

$117,600 - $161,700 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline: 09-29-2026

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 atHumana.comand atCenterWell.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.