Public policy Jobs in Indianapolis, IN

Policy Governance Lead

Become a part of our caring community and help us put health first. The Policy Governance Lead is responsible for overseeing the development, implementation, and management of utilization management policies and related quality reporting activities. Additionally, this role supports utilization management governance by collaborating with leadership and committees to ensure program operations align with regulatory requirements, internal standards, and continuous improvement objectives. The Lead coordinates with relevant stakeholders to facilitate policy review, compliance monitoring, quality reporting, and effective communication of program changes and outcomes.

Responsibilities include :

• Overseeing the development, review, and maintenance of utilization management policies and procedures, ensuring alignment with regulatory and enterprise standards.
• Supporting utilization management governance by collaborating with leadership and committees to ensure program operations meet internal and external requirements.
• Coordinating and managing the collection, analysis, and submission of quality reporting data relevant to utilization management, ensuring accuracy and timeliness.
• Serving as a resource for reporting and escalation of suspected policy violations, working in accordance with documented procedures.
• Facilitating training and communication related to utilization management policy requirements, governance processes, quality reporting, and compliance protocols.
• Supporting audit activities, including maintaining records of policy lifecycle events, quality metrics, exceptions, and resolutions.
• Monitoring regulatory and enterprise policy changes, translating requirements into updated utilization management governance and reporting practices.

Required Qualifications :

Preferred Qualifications :

Humana offers a variety of benefits to promote the best health and well-being of our employees and their families. We design competitive and flexible packages to give our employees a sense of financial securityboth today and in the future, including :

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. Humana values personal identity protection. Please be aware that applicants may be asked to provide their Social Security Number, if it is not already on file. When required, an email will be sent from Humana@myworkday.com with instructions on how to add the information into your official application on Humana's secure website.

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 : $115,200 - $158,400 per year

This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and / or individual performance.

Application Deadline : 01-14-2026

Humana Inc. 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.

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.