[Hiring] Senior Configuration Professional @Humana

Role Description

The Senior Configuration Professional is responsible for leading Medicaid-related product capabilities, configuration strategy, backlog management, and implementation support within the care management and utilization management platform. This role partners with various stakeholders to define product vision, prioritize work, translate business needs into actionable requirements, and ensure delivered solutions support clinical, operational, regulatory, and member experience outcomes.

This position combines senior-level configuration management expertise with product ownership responsibilities, ensuring system capabilities are properly configured, tested, documented, governed, and continuously optimized to support Medicaid care and utilization management workflows.

Key Responsibilities

• Serve as the product owner for Medicaid-related capabilities within the application or comparable care management, utilization management, or population health platform.
• Partner with stakeholders to define product vision, roadmap, priorities, and business outcomes.
• Own, maintain, and prioritize the product backlog based on various factors including business value and regulatory requirements.
• Translate business needs into clear features, user stories, acceptance criteria, process flows, functional requirements, business rules, and configuration specifications.
• Lead backlog refinement, sprint planning, requirement reviews, product demos, and stakeholder walkthroughs.
• Lead configuration management activities for Medicaid capabilities, including configuration analysis, design, validation, implementation, documentation, and governance.
• Collaborate with vendor partners and internal technology teams to evaluate configuration options and operational risks.
• Ensure delivered solutions support Medicaid care management and utilization management workflows.
• Partner with compliance and regulatory stakeholders to ensure system functionality aligns with requirements.
• Configure, validate, test, and deploy system changes in accordance with approved processes.
• Support implementation planning, release readiness, production validation, and operational stabilization activities.
• Analyze operational data, user feedback, production issues, defects, and process inefficiencies.
• Facilitate cross-functional decision-making and help resolve competing priorities.
• Support change management, training, communications, and stakeholder readiness activities.
• Monitor product performance, adoption metrics, configuration quality, incident trends, and business outcomes.
• Identify risks, dependencies, impediments, and configuration impacts early.
• Maintain strong documentation of business rules, requirements, configuration decisions, and workflows.
• Develop and maintain configuration baselines, reusable templates, controls, and documentation standards.

Qualifications

• Bachelor's degree in Business, Healthcare Administration, Information Technology, Clinical Operations, Computer Science, Engineering, or a related field, or equivalent work experience.
• 5+ years experience supporting healthcare technology platforms, preferably in a Product Owner, Business Analyst, Product Manager, Configuration Professional, or similar capacity.
• Hands-on experience with GuidingCare, Epic, or comparable platforms.
• Strong understanding of Medicaid care management, utilization management, and clinical workflows.
• Experience working in Agile delivery environments, including Scrum, SAFe, or similar methodologies.
• Excellent verbal and written communication skills.
• Strong documentation skills.

Preferred Qualifications

• Experience supporting Medicaid implementations across multiple states or markets.
• Experience supporting clinical operations teams.
• Experience with tools such as Jira, Azure DevOps, ServiceNow, Confluence, and similar platforms.
• Experience with automation, scripting, reporting tools, or infrastructure-as-code concepts.
• Experience supporting enterprise-scale technology transformation initiatives.

Requirements

• Location: Remote
• Work at Home Requirements: Minimum download speed of 25 Mbps and upload speed of 10 Mbps; dedicated workspace required.
• Travel: Occasional travel to Humana's offices for training or meetings may be required.
• Scheduled Weekly Hours: 40
• Pay Range: $94,900 - $130,500 per year, eligible for a bonus incentive plan.

Benefits

• Medical, dental, and vision benefits.
• 401(k) retirement savings plan.
• Paid time off, including company and personal holidays.
• Paid parental and caregiver leave.
• Short-term and long-term disability.
• Life insurance and many other opportunities.

Company Description

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.

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.