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Lead Software Engineer, Claims Adjudication System (CAS) Modernization

Humana

Humana

Software Engineering
Remote
Posted on Monday, July 1, 2024

Become a part of our caring community and help us put health first

**Requires a strong foundation in COBOL mainframe development **

Overview:
Humana’s Claims Adjudication System (CAS) team is at the heart of our core services, providing essential claims processing and management solutions. As we embark on a significant modernization journey to enhance our system's functionality and align it with Humana’s architectural standards, we are eager to welcome a visionary Lead Software Engineer. This role is pivotal in driving the transformation and modernization of our CAS platform, ensuring it not only meets current needs but also sets the stage for future advancements in efficiency, speed, and user experience.

Responsibilities:

  • Lead Modernization Efforts: Spearhead the planning and execution of CAS platform modernization projects, ensuring alignment with Humana’s architectural standards.
  • Innovate and Improve: Continuously evaluate current systems and processes, proposing and implementing innovative solutions to enhance functionality, efficiency, and user satisfaction.
  • Collaborate with Leaders: Work closely with business leaders to ensure solutions are comprehensive and forward-thinking, addressing current needs while anticipating future challenges.
  • Fast-Paced Adaptation: Thrive in a dynamic, fast-paced environment, managing multiple priorities and adapting to constant changes in demand.
  • Team Development: Share expertise and knowledge with team members, fostering an environment of growth and continuous learning.

Job Duties:

  • Works with business to understand needs and craft requirements and make strategic inputs for leaders on how modify the system to meet current and future needs
  • Designs software solutions for the business requirements, conducts reviews of those designs, and hands off design to development team.
  • Thinks strategically and coordinates with leaders with a mindset of how to change the technology or craft the way design solutions with a mindset of two to three projects down the road and not just the current need
  • Resolves development issues and provides coding guidance to software developers.
  • Mentors junior members of the team to increase skills among all associate.
  • Conducts quality reviews of software.
  • Actively works to improve quality of not only their own work but to help improve for the team.
  • Reviews testing issues and provides guidance to developers for resolution
  • Resolves any issues that occur after software is turned.
  • Actively looks at issues from a mindset of how to improve the team as a whole to prevent issues versus only looking at their specific project.


Use your skills to make an impact

Qualifications:

  • Proven experience in software engineering with a track record of leading large-scale modernization projects.
  • Strong analytical and problem-solving skills, with the ability to innovate and think out of the box.
  • Excellent communication and collaboration skills, capable of working effectively with cross-functional teams.
  • Experience in the healthcare industry, particularly with claims adjudication systems, is highly preferred.
  • Proficiency in modern software development tools and methodologies.

Required Qualifications

  • 8 years COBOL mainframe development experience
  • Proficiency in COBOL with a strong understanding of mainframe development and debugging tools
  • Bachelor’s degree in computer science or related field
  • 8 or more years of progressive IT experience as a senior developer in large IT projects
  • 8 years’ experience in software design and development
  • 2 or more years of project leadership experience
  • Must be passionate about contributing to an organization focused on continuously improving consumer experiences
  • Excellent problem-solving skills, with the ability to analyze complex issues and provide effective solutions in a timely manner

Preferred Qualifications

  • Master's Degree
  • Worked with Agile

Why Join Us?

At Humana, you’ll be part of a team that’s committed to innovating for better care, better health outcomes, and a more efficient system. We value our employees and offer a rewarding career with opportunities for growth and development, alongside a competitive benefits package.

Ready to Transform Healthcare?

If you're motivated by the challenge of modernizing a critical platform, eager to make a tangible impact, and ready to lead a team towards cutting-edge solutions, we would love to hear from you. Join us in shaping the future of healthcare at Humana.

We look forward to your application and the exciting opportunity to have you join our pioneering CAS team!

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.


$126,800 - $174,500 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

Humana Inc. (NYSE: HUM) is committed to putting health first – for our teammates, our customers and our company. Through our Humana insurance services and 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, Medicaid, families, individuals, military service personnel, and communities at large.


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 because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, 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.