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Humana

Sells Medicare health plans and runs senior clinics

Principal Chief Architect

Technical Product ManagementConfirmed live in the last 24 hours
Full-timeIn-person

About the Job

Requirements

  • A bachelor's degree in Computer Science, Information Systems, or a related field is required.
  • At least 10 years of progressive information technology experience spanning product management, solution architecture, or a meaningful combination of both disciplines.
  • At least 5 years of solution architecture or senior product ownership experience within healthcare IT, with demonstrated delivery in regulated environments involving HIPAA/PHI and HITECH.
  • A proven track record owning and prioritizing cross-functional product backlogs and roadmaps across multiple business lines or segments simultaneously, including managing competing stakeholder demands at the executive level.
  • Hands-on architecture experience with Azure services, including Azure API Management, Event Hub, Service Bus, Azure Data Factory, AKS, and Azure AD/Entra ID; working knowledge of Snowflake or Databricks data platform patterns.
  • Deep competency in API design and governance, event-driven architecture, and microservices patterns; experience with FHIR R4 and HL7 interoperability standards in healthcare contexts.
  • Demonstrated ability to produce reference architectures, architectural decision records, and solution blueprints used by multiple engineering delivery teams.
  • Experience participating in enterprise governance forums, such as ARB, TRB, or MOR, and translating their output into actionable product and architecture direction.
  • Proficiency in agile and SAFe delivery models, including backlog management, PI planning, iteration ceremonies, and dependency management across agile release trains.
  • Executive-level communication skills and the ability to synthesize complex architectural and product trade-offs into clear, concise recommendations for senior and C-suite audiences.
  • Demonstrated experience incorporating AI/ML capabilities into product strategy and architectural design, including generative AI use cases such as clinical document NLP, prior authorization automation, member-facing conversational AI, or care gap identification.
  • Working knowledge of LLM integration patterns, including RAG, prompt engineering, knowledge management, and fine-tuning; ability to evaluate Azure OpenAI, Amazon Bedrock, and Vertex AI and make informed build, buy, or integrate recommendations.
  • Depth in agent orchestration, including planning loops, tool/function calling, multi-agent coordination, and human-in-the-loop override workflows, especially for clinically sensitive or compliance-gated outputs.
  • Familiarity with MLOps/LLMOps practices, including model lifecycle governance, observability, evaluation frameworks, and cost/performance optimization at enterprise scale.
  • Understanding of enterprise AI guardrails, including responsible AI principles, bias mitigation, policy enforcement, and healthcare regulatory considerations such as FDA SaMD guidance and the ONC AI framework.

Responsibilities

  • Define and own a unified cross-segment product roadmap that balances segment-specific priorities against shared platform investments and communicates trade-offs to leadership.
  • Establish and maintain reference architectures, design patterns, and integration standards applicable across the four CenterWell segments.
  • Conduct cross-segment discovery sessions, design workshops, and architecture reviews to identify shared needs, resolve competing priorities, and prevent duplicative development.
  • Own and prioritize top-level product backlogs for shared platforms, partnering with segment product owners to break initiatives into delivery-ready user stories with clear acceptance criteria and non-functional requirements.
  • Define integration contracts, API standards, and domain boundaries for cross-segment data flows across pharmacy, clinical, home health, and military health domains.
  • Lead architecture checkpoints and risk reviews for cross-segment initiatives, and represent the combined product and architecture perspective in governance forums such as ARB, TRB, and MOR.
  • Translate product vision into architectural runways and delivery-ready specifications for engineering teams across segments.
  • Identify and steward opportunities for component and pattern reuse across segments, and build the case for platform consolidation where convergence creates lasting efficiency.
  • Serve as the primary liaison between segment business leaders, engineering leads, EA Activation, security, data, and the enterprise CIO organization.
  • Own and continuously evolve a shared platform product roadmap spanning Pharmacy, PCO, Home Solutions, and Humana Military; balance segment priorities against enterprise platform investments; facilitate prioritization across competing demands; and communicate decisions and rationale to executives and delivery teams.
  • Serve as the architectural decision-maker for cross-segment initiatives; produce and maintain reference architectures, integration patterns, and design standards; and author architectural decision records that document context, alternatives, and rationale for future reuse.
  • Own top-level product backlog items for shared platforms and cross-segment capabilities; partner with segment product owners to decompose epics into executable user stories with defined acceptance criteria, architectural constraints, and measurable non-functional requirements; and determine cross-segment feature scope and dependency sequencing.
  • Lead architecture and product checkpoints for cross-segment solutions; ensure designs conform to enterprise security, privacy, and regulatory requirements, including HIPAA/PHI, ONC interoperability rules, and DoD/TRICARE data standards where applicable; and represent the combined product and architecture perspective in governance forums.
  • Define integration contracts, API standards, and domain data boundaries for cross-segment data flows; ensure observability, data lineage, and end-to-end data protection for shared assets across pharmacy benefit, clinical EMR, home health operations, and military health domains on Snowflake, Databricks, and Azure data platforms.
  • Identify opportunities to reuse components, services, and architectural patterns across segments; promote shared capabilities over duplicated development; and build quantitative business cases for platform consolidation that improves efficiency and reduces technical debt.
  • Connect segment business leaders, product owners, engineering leads, EA Activation, security, data, and enterprise CIO teams; translate architectural and product decisions for PI planning and executive briefings; and maintain alignment across the four segment operating rhythms.

Desired Qualifications

  • Experience supporting or architecting solutions for pharmacy benefit management, medication therapy management, specialty pharmacy, or retail pharmacy platforms, including integrations with pharmacy dispensing systems and PBM claims engines.
  • Familiarity with TRICARE and military health benefit administration, DoD/VA interoperability requirements, electronic health record systems used in military contexts, or government health benefit program integrations.
  • Experience with primary care clinical workflows, EMR integrations such as Epic or Cerner, value-based care program architecture, or risk-stratified care management platforms.
  • Knowledge of home health operational workflows, including clinical document management, authorization/eligibility automation, visit scheduling, and Home Health OASIS/PDGM reimbursement data requirements.
  • Demonstrated product or architecture leadership managing strategy across multiple business lines with distinct regulatory, operational, and technical profiles simultaneously.
  • Experience in agent orchestration, including planning loops, tool/function calling, role assignment, and multi-agent collaboration patterns for production healthcare workflows.
  • Experience with long- and short-term memory management, context window optimization, and retrieval strategies for AI assistants operating across complex, multi-domain knowledge bases.
  • Experience designing human-in-the-loop workflows, including overrides, confidence thresholds, escalation paths, and audit trails for AI outputs in clinically sensitive or compliance-gated contexts.
  • Experience with telemetry and evaluation, including distributed tracing, evaluation frameworks such as LLM-as-judge and human evaluation pipelines, A/B testing for AI-assisted features, and latency/cost service-level objective definition.
  • Experience with reliability patterns for agentic systems, including structured retries, graceful fallbacks, circuit breakers, and deterministic handoffs between human and automated decision nodes.
  • Experience with FHIR R4/SMART on FHIR integration patterns and familiarity with ONC interoperability and information-blocking rules as they apply to AI-enabled clinical data access.
  • Experience integrating tool ecosystems using REST/GraphQL API orchestration, MCP server configuration, vector database design with Pinecone, Azure AI Search, or pgvector, and feature store patterns for machine-learning-adjacent workloads.
  • Experience with enterprise identity and access management flows, Azure Active Directory/Entra ID group governance, and privileged access management in large multi-tenant healthcare environments.
  • Familiarity with portfolio governance and activation forums such as ARB, TRB, and MOR, and translating governance decisions into architecture-informed delivery runways across multiple agile release trains.
  • Knowledge of data mesh and data product patterns for distributed healthcare data ownership at segment scale, including federated governance and interoperability contracts.

About the Company

Humana

Sells Medicare health plans and runs senior clinics

Humana sells health insurance paid for by government programs, chiefly Medicare Advantage plans that private insurers run for Americans 65 and older in place of traditional Medicare. It ranks among the largest Medicare Advantage insurers in the country and also runs Medicaid plans for low-income families in several states. Its CenterWell business operates senior primary care clinics, a mail-order pharmacy and home health services, so many members get care from a company the insurer owns. Medicare and states pay Humana a set monthly amount per member, and it keeps the difference between those payments and members' medical costs. Humana was founded in 1961 as a nursing home company and is based in Louisville, Kentucky.

Company size
10,001+
Company stage
IPO
Headquarters
Louisville, KY
Founded
1961

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