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The Senior Workforce Management Professional applies and integrates advanced and predictive analysis, people metrics and reporting to develop strategic and operational insights for workforce decision-making (e.g., staffing, learning and development, talent management, diversity and human resource compliance). The Senior Workforce Management Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors.

The Senior Workforce Management Professional plays a pivotal role in supporting Medicaid Inpatient and Outpatient Utilization Management (UM) forecasting and staff planning activities. This position is responsible for assessing organizational staffing levels, identifying requirements, and formulating solutions to meet strategic workforce objectives. The incumbent will provide robust analysis of talent needs and staffing models based on enterprise-level strategic planning, and will begin to influence the direction of departmental strategy through expert insights and recommendations.

Key Responsibilities:

• Collaborate with the WFM team to develop and implement workforce planning strategies to ensure optimal staffing for Medicaid Inpatient and Outpatient UM functions.
• Conduct in-depth analysis of historical utilization trends, forecast future staffing requirements, and provide actionable recommendations to senior leadership.
• Evaluate organizational structures and recommend enhancements to improve efficiency, service delivery, and alignment with business objectives.
• Collaborate with cross-functional teams, including HR, Finance, and Operations, to ensure workforce plans are integrated and support overall enterprise goals.
• Utilize advanced analytical tools and methodologies to model staffing scenarios, assess risks, and develop contingency plans.
• Present findings, forecasts, and recommendations to leadership and key stakeholders to inform data-driven decision-making.
• Exercise independent judgment on moderately complex to highly complex issues related to technical approaches for project components.
• Demonstrate considerable latitude in determining objectives and approaches to assignments with minimal supervision.
• Monitor ongoing workforce metrics and adjust planning as needed to respond to changing business conditions, regulatory requirements, and strategic priorities.

This position is designed to deliver significant impact to enterprise workforce planning and operational performance, and will support Humana’s commitment to effective Medicaid program management and continuous improvement.

Use your skills to make an impact

Required Qualifications

• Bachelor's degree
• 5 or more years of Workforce Management, Staff Planning, or Finance experience
• Comprehensive knowledge of Microsoft Word, Excel and PowerPoint
• Strong analysis, critical thinking, and analytical problem-solving skills
• Ability to handle multiple tasks and deadlines with attention to detail
• Proven experience in workforce planning, preferably within back-office teams
• Strong analytical, quantitative, and strategic planning skills.
• Ability to translate complex data into clear recommendations for operational and strategic initiatives.
• Demonstrated ability to influence departmental strategy and collaborate effectively with diverse teams.
• Excellent communication skills, both written and verbal, for presenting analysis and recommendations to leadership.
• Advanced proficiency with workforce management software and analytical tools.
• This role works Eastern Standard time zone

Preferred Qualifications

• Advanced Degree
• Staff planning experience in Medicaid markets
• Knowledge of Medicaid market compliance regulations

Additional Information

Interview Format
As part of our hiring process for this opportunity, we will be using an interviewing technology called HireVue to enhance our hiring and decision-making ability. HireVue 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.

WAH Internet Statement
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 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.

$71,100 - $97,800 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.Application Deadline: 11-19-2025

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.

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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.