Full-Time

Director – State Public Policy

Government Affairs

Posted on 10/7/2025

Deadline 10/9/25
Humana

Humana

10,001+ employees

Medicare Advantage health insurer for seniors

Compensation Overview

$168k - $231k/yr

+ Bonus Incentive Plan

Texas, USA + 11 more

More locations: Florida, USA | Georgia, USA | Arizona, USA | Tennessee, USA | Virginia, USA | Kentucky, USA | North Carolina, USA | Ohio, USA | Indiana, USA | Louisiana, USA | Illinois, USA

Remote

Preferred locations include AZ, FL, GA, IL, IN, KY, LA, NC, OH, TN, TX, VA. Occasional travel to Humana's offices for training or meetings may be required.

Category
Consulting (1)
Required Skills
Public Policy
Requirements
  • Bachelor’s degree
  • 8 or more years’ experience working at a state legislative or executive branch, regulatory board, trade group, intergovernmental group, consulting firm, or private sector public policy function.
  • 8 or more years’ experience in pharmacy and/or PBM public policy with a direct understanding of pharmacy/PBM operations and state public policy environment impacting operations.
  • Strong knowledge of state health administrative/regulatory/licensure rules and guidance as well as state health policy. Demonstrated relationships with policy makers and thought leaders in the state public policy arena.
  • A track record of applied analysis, research, and resource development supporting healthcare policy and translating information from a wide variety of resources into actionable policy documents for use in an advocacy setting or otherwise.
  • Understanding of pharmacy and PBM public policy and regulatory issues and ability to translate complex issues in clear, concise manner to business leaders and advocacy team (technical and non-technical audiences).
  • Passion for the development of innovative, high quality government healthcare programs
  • Strong conceptual and creative thinker with an ability to identify trends and interrelationships
  • Strong verbal and written communication skills, creative problem-solving, negotiation, and multi-tasking skills in time-sensitive settings.
  • Ability to actively listen to others and ensure an open and confident style of communication both written and verbal.
  • Highly developed interpersonal skills with ability to build strong working relationships internally and externally.
  • Ability to meet clearly stated expectations and take responsibility for achieving results.
Responsibilities
  • Be an instrumental part of Government Affairs Team by leading the development of Humana’s state public policy positions for our pharmacy and PBM businesses.
  • Engage across the company to analyze state public policy, develop positions, and draft deliverables supporting Humana business strategy.
  • Monitor and analyze state policy trends impacting pharmacies and PBMs. Contribute policy expertise to state-level advocacy efforts.
  • Draft concise and clear descriptions/analyses/summaries of key issues to Government Affairs and Humana businesses. Inform State Affairs and business leadership on legislative and regulatory trends and translate trends into clear business impact analysis.
  • Partner with Humana’s pharmacy and PBM businesses to identify business risk and opportunities in external state policy developments.
  • With input from enterprise subject matter experts, analyze, draft, and develop public policy positions to support the enterprise’s priorities.
  • Provide regulatory guidance, talking points, issue management and strategic stakeholder engagement support to Government Affairs and business leaders.
  • Prepare testimony, regulatory comments, and position statements sent to legislative and regulatory bodies and other interested parties concerning legislation, policies, published reports, regulations, and statutes.
  • Develop and maintain repository of legislative and regulatory analyses, policy briefs, reports, position statements, white papers, and other materials pertinent to Humana’s pharmacy and PBM businesses.
  • Represent Humana before national advocacy groups, trade associations, public policy organizations, intergovernmental groups, and state boards of pharmacy/National Associations of Boards of Pharmacy; manage public policy consultants and develop external stakeholder outreach strategies.
  • Maintain current awareness and analyze/compare trends, positions, and issues promoted by other companies, trade, and advocacy organizations active on pharmacy and PBM issues.
  • Perform necessary research and analyses to support enterprise positions and priorities.
Desired Qualifications
  • Master’s in health/public policy, economics or health care administration.
  • 10 or more years’ of multistate state public policy experience with specific focus on pharmacy and/or PBM issues.
  • Experience working in a matrixed organization preferred, as well as experience working with multiple cross-functional business teams.

Humana focuses on health and well-being by offering Medicare Advantage plans (HMO, PPO, and PFFS) mainly for seniors, military personnel, and communities. Its products are health insurance plans funded through a mix of government contracts and member premiums, enrolling members to provide comprehensive coverage with flexible benefits and a broad provider network. Members receive care through a network of providers, with additional services such as free language interpretation to improve accessibility. Humana differentiates itself through its emphasis on inclusivity, accessibility, and tailored benefits, aiming to deliver reliable service and high renewal rates. The goal is to improve health outcomes and overall well-being for members by delivering coverage that meets diverse needs and making care accessible to all.

Company Size

10,001+

Company Stage

IPO

Headquarters

Louisville, Kentucky

Founded

1961

Simplify Jobs

Simplify's Take

What believers are saying

  • Medicare Advantage membership grew 25% to 7.1 million in Q1 2026.
  • CenterWell added 110,500 patients sequentially via MaxHealth acquisition.
  • Cost Plus Drugs partnership automates prescriptions through SwiftyRx AI.

What critics are saying

  • Star Ratings drop to 20% in 4+ plans erodes $3.5 billion bonuses in 2026.
  • 89.4% benefit ratio from coding changes compresses margins below $9 EPS.
  • UnitedHealthcare's 77% 4+ star plans capture Humana's enrollees in 2026.

What makes Humana unique

  • Humana leads with 13.4% market share in Vision Insurance.
  • CenterWell integrates senior primary care and pharmacies for Medicare members.
  • b.well platform enables real-time health data from 2.4 million providers.

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Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

Unlimited Paid Time Off

Paid Vacation

Paid Parental Leave

Short-term Disability

Long-term Disability

401(k) Retirement Plan

401(k) Company Match

Wellness Program

Company News

Yahoo Finance
Apr 12th, 2026
Humana appoints healthcare investment expert to board as shares trade 80% below fair value

Humana has appointed Robert S. Field to its Board of Directors, adding healthcare investment and regulatory expertise to its governance structure. The appointment follows direct shareholder input and comes as the health insurer faces valuation scrutiny. Field's background in healthcare investments and legal matters positions him to contribute to discussions on payment models, technology adoption and risk oversight. The addition may influence Humana's priorities across growth initiatives and regulatory engagement. Humana's shares currently trade at $192.15, reflecting a 16.2% gain over the past month but a 33.8% decline over the past year. The stock trades at a price-to-earnings ratio of 19.4, below the healthcare industry average of 22.0. Analysts have set a target price of $212.08, approximately 9% above current levels.

Business Wire
Apr 9th, 2026
Humana goes live with b.well to enable real-time health data access across providers and health plans

Humana has launched a partnership with b.well Connected Health to enable members to securely access and share their health data across providers, pharmacies and health plans. The collaboration supports Humana's commitment to the CMS Health Technology Ecosystem. Through b.well's national health data network, Humana members can connect data from 2.4 million providers and 350 health plans in one place. The platform uses a 13-step data refinery process to normalise and enrich fragmented data into complete longitudinal health records. The partnership allows Humana to access member data in real-time during claims processing and respond to data requests from providers, supporting care coordination and quality improvement. The initiative aims to reduce administrative burden whilst giving individuals greater control over their health information.

Yahoo Finance
Mar 12th, 2026
Humana revenue beats at $32.6B as health insurers face tougher Q4 quarter

Clover Health posted the strongest Q4 results among health insurance providers, reporting revenues of $487.7 million, up 44.7% year on year and beating analyst expectations by 4.4%. The company delivered a solid quarter with revenue outperformance and EPS in line with estimates. The 12 health insurance providers stocks tracked reported a slower Q4 overall. As a group, revenues beat consensus estimates by 0.8%, whilst next quarter's revenue guidance was in line. Share prices have struggled, down 8.4% on average since latest results. Humana reported revenues of $32.64 billion, up 11.8% year on year, exceeding expectations by 1.8%. However, the company missed full-year EPS guidance estimates significantly. The stock has fallen 3.9% since reporting. The health insurance sector faces regulatory scrutiny and rising medical costs alongside opportunities from an ageing population and data analytics advancements.

Yahoo Finance
Feb 26th, 2026
UnitedHealth vs. Humana: Which healthcare stock offers more upside amid Medicare Advantage growth?

UnitedHealth and Humana, two major US managed care providers, face evolving healthcare landscapes shaped by rising medical costs and changing government programmes. Both have significant Medicare Advantage exposure but differ in business models. UnitedHealth, valued at $248.2 billion, operates a diversified structure combining UnitedHealthcare insurance with Optum health services. Fourth-quarter 2025 revenues rose 12.3% year-over-year, with UnitedHealthcare up 17.5% and Optum up 8%. The company is advancing AI-driven initiatives in claims processing and care coordination. Medicare Advantage membership increased 7.6% year-over-year. Humana maintains a more concentrated focus on government-sponsored plans and value-based care. The article compares their scale, vertical integration and revenue mix to assess which stock offers greater upside potential.

MarketScreener
Feb 13th, 2026
CenterWell acquires Florida's MaxHealth, expanding senior primary care to 82 clinics and 80,000 patients

CenterWell, the healthcare services division of Humana, has completed its acquisition of MaxHealth from Arsenal Capital Partners and the company's founder-shareholders. Financial terms were not disclosed. MaxHealth operates a network of 82 owned and affiliated clinics across West and South Florida, serving over 120,000 patients, including more than 80,000 in value-based care programmes. Founded in 2015, the company employs over 530 staff, including 100-plus primary care providers and 30-plus specialists. The acquisition expands CenterWell Senior Primary Care, the nation's largest senior-focused, value-based primary care provider, into new key Florida markets. MaxHealth was formed through the combination of three physician-founded organisations under Arsenal's ownership. Guggenheim Securities and Morgan Stanley advised MaxHealth, whilst JP Morgan Securities advised Humana and CenterWell.

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