Director, Technology Solutions

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Job Profile

Director, Technology Solutions

Job Level

Director Become a part of our caring community and help us put health first The Director of New Medicaid States will provide strategic leadership and technical direction for Medicaid state implementations and expansions. The role will drive end-to-end delivery for new state launches, system integrations, compliance, and ongoing support of Medicaid products and operations. The ideal candidate will partner with business, technology, and regulatory teams to ensure seamless execution of Medicaid initiatives and high-quality member experiences, paying special attention to the nuanced contractual terms per state.

Key Responsibilities:

• Technical Leadership
  • Strong understanding of Medicaid business processes, enrollment, eligibility, and claims systems.
  • Experience with large-scale IT implementations, system integrations, and data migrations.
  • Proficiency in project management methodologies (Agile, Waterfall, hybrid).
  • Familiarity with cloud-based solutions and enterprise platforms (AWS, Azure, Salesforce, etc.).
  • Working knowledge of data management, security, and compliance frameworks (HIPAA, HITRUST).
  • Ability to analyze complex data sets and design solutions for interoperability and automation.
  • Advanced proficiency with tools such as SQL, ETL, API integration, and reporting technologies.
  • Excellent communication, stakeholder management, and problem-solving skills.
  • Proven ability to lead distributed teams and drive organizational change.
• Business Partnership
  :
  Partner with Product Owners, business stakeholders, and cross-functional technology teams to deliver high-quality, compliant solutions that meet regulatory and business requirements.
• Regulatory Compliance
  :
  Maintain strong controls related to data privacy, security, and compliance with applicable U.S. federal regulations.
• People Management
  :
  Manage team performance, including coaching, mentoring, and developing talent to ensure a high-performing, inclusive environment.
• Project Management
  :
  Ensure successful delivery of projects and ongoing operations, including budget management, resource allocation, and vendor relationships.

Use your skills to make an impact

Required Qualifications

• Bachelor’s degree in Computer Science, Information Systems, or related field
• Experience hiring and growing high performing teams
• 8+ years of progressive IT leadership experience, including direct oversight of large, cross-functional teams.
• Proven track record of successful delivery of complex IT initiatives in a regulated environment.
• Excellent communication, stakeholder management, and organizational skills.
• Experience in driving organizational change and integrating teams.
• Strong understanding of data governance, privacy, and compliance frameworks.

Preferred Qualifications

• Familiarity with cloud-based architectures and modern API frameworks
• Demonstrated expertise in member administration platforms and enterprise API management.
• Masters degree

Additional Information

As part of our hiring process for this opportunity, we will be using an interviewing technology called Hire Vue to enhance our hiring and decision-making ability. Hire Vue allows us to quickly connect and gain valuable information from you pertaining to your relevant skills and experience at a time that is best for your schedule.

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…