Full-Time

Director – Risk Management

Center of Excellence

Posted on 9/10/2025

Deadline 11/1/25
Humana

Humana

10,001+ employees

Medicare Advantage health insurer for seniors

Compensation Overview

$150k - $206.3k/yr

+ Bonus Incentive Plan

Louisville, KY, USA + 3 more

More locations: Nashville, TN, USA | Washington, DC, USA | Chicago, IL, USA

Hybrid

Candidates must live within a reasonable commuting distance to support a hybrid work arrangement, which typically requires approximately three days per week onsite.

Category
Finance & Banking (1)
Required Skills
Machine Learning
Risk Management
Data Analysis
Requirements
  • Bachelor’s Degree in Accounting, Business Risk Management, Data Analytics, Information Systems or related field.
  • Advanced certification such as CIA, CPA, CISA, CRMA or equivalent required.
  • Minimum 12 years in progressive internal audit, risk management, or audit strategy experience with at least 5 years in a senior leadership role.
  • Strong background in technology enablement, data analytics, and use of AI in audit or risk environments.
  • Proven ability to lead strategic transformation efforts and manage outsourced relationships.
  • Demonstrated experience preparing and presenting to executive and board-level stakeholder.
  • Experience in the healthcare or similarly complex, regulated industry.
  • Familiarity with leading GRC tools and data platforms.
  • Able to challenge the status quo constructively and positively, leading relevant strategies.
  • Strong written and verbal communication skills, with ability to read and understand regulatory communications, able to effectively articulate compelling arguments, positions, strategy and vision.
  • Strong enterprise mindset, financial acumen, and customer centricity to navigate complexity and support the broader growth aspirations of the business, leverage strategic analysis of data to inform business making decisions.
  • Demonstrated ability to transition between strategic and operational aspects to deliver on growth, driving innovation/change to improve the business model.
  • Demonstrated critical thinker that can offer innovative solutions.
  • Seasoned people leader with ability to recruit, retain, develop, and motivate a team.
  • Exceptional written, oral, interpersonal, and presentation/communication skills and the ability to effectively interface with senior management and team members.
  • Strong process improvement skills and demonstrated ability to influence and optimize processes to drive, business synergies and productivity.
  • Excellent judgment and creative problem-solving skills including negotiations and conflict resolution skills.
Responsibilities
  • Partner with the CARO, senior leaders and outsourced partner to define and execute a multi-year strategy to mature the audit and risk functions.
  • Working alongside the VP Internal Audit and VP Enterprise risk.
  • Drive innovation across audit methodology, risk management practices, and assurance services, enabling proactive risk detection and response.
  • Identify and implement cutting-edge tools, AI-enabled solutions, and automation to streamline audit workflows and generate actionable insights.
  • Lead strategic initiatives that promote agility, risk coverage, data-driven auditing, and value-added assurance.
  • Own the internal audit and risk methodology, ensuring alignment with Institute of Internal Auditors Global Standards, COSO Frameworks, and industry best practices for best-in-class Risk and Internal Audit organizations, and regulatory expectations.
  • Drive continuous improvement of audit and risk processes.
  • Embed risk-based, data-enabled, and stakeholder-focused approaches.
  • Champion a risk-based, agile, and technology-enabled approach to audit and assurance execution.
  • Lead the development and adoption of a data-first mindset across the audit and risk teams.
  • Oversee integration of AI/machine learning tools for risk sensing, control testing, issue trend analysis, and predictive analytics.
  • Provide strategic leadership for the selection, implementation, and governance of GRC platforms and other enabling technologies.
  • Drive automation of repetitive tasks and standard reporting.
  • Evaluate emerging technologies to improve audit precision, coverage and stakeholder experience.
  • Partner with IT to modernize tools and platforms that increase efficiency and insight generation.
  • Build and execute a future-ready learning strategy focused on innovation, data literacy, critical thinking and technology fluency.
  • Develop robust onboarding and continuous development programs to foster a culture of continuous learning and adaptability.
  • Serve as a change agent for transformation initiatives, equipping teams with skills and mindsets required for digital evolution.
  • Oversee the Quality Assurance and Improvement Program within Internal Audit, including internal and external assessments.
  • Implement internal benchmarking and maturity assessments to track progress and guide enhancements.
  • Develop and monitor key performance and risk indicators for the audit and risk leadership team to track progress towards strategic goals.
  • Serve as a thought leader and trusted advisor on audit transformation, innovation and the future of assurance functions.
  • Lead development of high-quality, impactful reporting for the Enterprise Risk Management Committee, Executive Leadership Team, Audit Committee and other governance bodies.
  • Translate complex risk and audit data into concise dashboards, metrics, and narratives that support strategic decision-making.
  • Ensure reporting provides transparency on risk exposure, audit performance, emerging trends, and transformational progress.
Desired Qualifications
  • Preferred location for this role is Humana Inc.’s Louisville, KY office; however, candidates residing in other locations may also be considered.
  • Preferred locations are: Washington, D.C. metropolitan area, Louisville, KY metropolitan area, Chicago, IL metropolitan area, Nashville, TN metropolitan area.

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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