Lead Decision Intelligence Engineer - NBA

CenterWell Primary Care$129K — $177K *
US-AnywhereRemote in United States
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree in computer science or related field
  • 8+ years of software engineering experience in large-scale production systems
  • 3+ years implementing reinforcement learning or deep learning systems
  • Familiarity with the Bellman equation, reward shaping, and constraints in RL systems
  • Proficiency in Python 3.x including PyTorch or TensorFlow
  • Experience with Ray RLlib for distributed RL training
  • Experience with Databricks, PySpark, and MLflow for large-scale ML pipelines

Responsibilities

  • Design and implement RL algorithms for healthcare decisioning
  • Maintain member state representation and action space
  • Apply the Bellman equation and reward shaping for clinical constraints
  • Build simulation environments for policy evaluation
  • Diagnose and remediate RL failure modes in production
  • Manage Databricks training workflow and feature engineering
  • Collaborate with teams to ensure clean model integration into decisioning systems

Benefits

  • Medical, dental and vision benefits
  • 401(k) retirement savings plan
  • Paid time off, including parental and caregiver leave
  • Short-term and long-term disability insurance
  • Life insurance and additional wellness opportunities
Full Job Description
Become a part of our caring community

Become a part of our caring community and help us put health first.We are seeking a skilled Decision Intelligence Engineer to design, train, and continuously improve the reinforcement learning policy at the heart of Humana's Next Best Action platform. In this role you will own the full RL development lifecycle from feature engineering and reward design through distributed training, evaluation, and production deployment ensuring that every decision the platform makes for our 8 million members is informed by a policy that learns and improves with every interaction. You will work at the intersection of healthcare outcomes and decision engineering, translating member journey data into durable, explainable, and auditable decisioning intelligence.

This role is hands-on and research-oriented: you will implement and evaluate RL algorithms, instrument training pipelines, collaborate closely with data and platform engineers, and ensure the model operates correctly within the constraints of clinical eligibility rules and program-specific reward structures.

Key Responsibilities

Reinforcement Learning Model Development

  • Design, implement, and evaluate RL algorithms suited to long-horizon, sparse-reward healthcare decisioning, including policy gradient methods (PPO, A3C), value-based approaches (DQN, Q-learning), and offline RL methods (CQL, Decision Transformer).

  • Define and maintain the member state representation and action space, evolving both as new programs and data sources are onboarded.

  • Apply the Bellman equation, reward shaping, and constraint mapping to encode clinical eligibility, suppression rules, and program-specific objectives directly into the learning objective.

  • Manage exploration-exploitation tradeoffs appropriate for a production healthcare environment where poorly explored actions have real member impact.

Model Evaluation and Production Safety

  • Build simulation and backtesting environments to evaluate policy quality before production promotion, using historical member journey data.

  • Diagnose and remediate common RL failure modes: policy collapse, credit assignment errors across long member journeys, and distributional shift between training and serving populations.

  • Define reward threshold criteria and automated evaluation gates within the nightly Databricks training workflow; block promotion of underperforming policies to MLflow production.

  • Instrument training runs with MLflow tracking hyperparameters, reward curves, action distribution, and feature importance for every training cycle.

Training Pipeline Engineering

  • Own the nightly Databricks training workflow: feature engineering from Gold Activity History and Gold Patient Profile, state vector normalization, distributed RL training via Ray RLlib, and batch scoring of all 8M eligible members.

  • Collaborate with the Data Engineering team (Decisioning Team 2) to ensure training inputs are correctly joined, reward signals are accurately computed from disposition outcomes, and the feature pipeline is reproducible and auditable.

  • Write production-quality PySpark feature engineering jobs; maintain data lineage through Databricks Unity Catalog.

  • Manage model artifacts, versioning, and lifecycle in the MLflow Model Registry; ensure rollback capability is maintained at all times.

Multi-Agent and Constraint-Aware Decisioning

  • Apply multi-agent RL concepts (MARL via PettingZoo) where member household or population-level coordination is required.

  • Implement constraint mapping to enforce hard business rules — member caps, cooldown periods, clinical eligibility — as constraints within the RL objective rather than downstream filters.

  • Collaborate with the Rules Engine team to ensure Drools eligibility guards and RL policy priorities are correctly aligned and do not conflict.

Collaboration and Governance

  • Partner with Decisioning Team 1 (Decision Engine, Rules Engine) to ensure model outputs integrate cleanly with the real-time decisioning hot path and that scored recommendations cached in Redis are correctly structured and interpreted.

  • Collaborate with platform architects to define feedback loop contracts: how disposition outcomes flow from Kafka back through Databricks Delta Live Tables into the next training cycle.

  • Document model behavior, known limitations, and failure modes for clinical and compliance stakeholders; support explainability requirements for member-facing decisions.

  • Utilize AI-assisted engineering tools for scaffolding, testing, and documentation; ensure all core model logic and reward design remain human-authored and subject to rigorous peer review.


Use your skills to make an impact

Required Qualifications

  • Bachelor's degree in computer science or related field

  • 8+ years of software engineering experience building and operating large-scale production systems, with emphasis on data-intensive platforms, recommendation systems, or optimization engines serving millions of users.

  • 3+ years of hands-on experience implementing reinforcement learning or deep learning systems in production policy gradient methods (PPO, A3C), value-based approaches (DQN, Q-learning), or offline RL algorithms (CQL, Decision Transformer).

  • Deep familiarity with the Bellman equation, reward shaping, exploration-exploitation tradeoff, and constraint mapping in real-world RL systems.

  • Demonstrated ability to diagnose RL-specific failure modes: policy collapse, credit assignment issues, and distributional shift across large populations.

  • Proficiency in Python 3.x; experience with PyTorch or TensorFlow for policy network implementation.

  • Experience with Ray RLlib for distributed RL training at scale.

  • Experience with Databricks, PySpark, and Delta Lake for large-scale ML pipelines processing tens of millions of records.

  • Experience with MLflow for experiment tracking, model registry, and artifact management.

  • Track record of shipping ML systems that operate reliably under production load — not just research or prototype work.

Preferred Qualifications

  • Experience with multi-agent RL frameworks (PettingZoo or equivalent).

  • Familiarity with probabilistic modeling, Markov Decision Processes, and linear programming for constraint-aware action selection.

  • Experience operating RL systems in regulated domains — healthcare, finance, or insurance — where member safety, auditability, and explainability are requirements.

  • Experience with Gymnasium for simulation environment development and backtesting.

  • Familiarity with Kafka-based feedback loops and how disposition signals feed RL retraining pipelines.

  • OpenTelemetry instrumentation experience for ML training pipeline observability.

Additional Information

This role is not eligible for work visa sponsorship.

Work Style: Remote/Hybrid - Preferably Boston, MA. Occasional travel to Humana's offices for training or meetings may be required.

Work Hours: Typical business hours are Monday-Friday, 8 hours/day, 5 days/week-- some flexibility might be possible, depending on business needs.

Very minimal travel might be required for training, meetings, and/or conferences

Interview Format

As part of our hiring process, we will be using on-demand technology provided by Hire Vue, a third-party vendor. This technology provides our team of recruiters and hiring managers with an enhanced method for decision-making through on-demand candidate assessments.

If you are selected to move forward from your application prescreen, you will receive correspondence inviting you to participate in an on-demand assessment with pre-determined questions. You should anticipate the assessment to take approximately 10-15 minutes.

Your on-demand assessment will be reviewed, and you will subsequently be informed if you will be moving forward to next round of interviews.

SSN Task via Workday

Should you be extended a formal employment offer you will receive a request to enter your SSN into our Workday system to scan for duplicate profiles.

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees92 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. In certain roles, the minimum recommended internet speed required by Humana may not be sufficient for business needs. Humana reserves the right to require associates to upgrade their internet service if necessary. 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.


$129,300 - $177,800 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, 9cHumana9d) 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, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

Application Deadline: 09-29-2026

About CenterWell Primary Care

CenterWell Primary Care Careers

Joining CenterWell Primary Care presents an unparalleled opportunity to advance one's career in a leading healthcare organization that is dedicated to innovation and quality care. CenterWell Primary Care is actively seeking professionals who are passionate about making a difference in the healthcare industry.

Explore Job Opportunities

CenterWell Primary Care offers a variety of job opportunities that enable professionals to grow their careers in an environment that values leadership and diversity. The company is committed to fostering a culture where innovation thrives and leadership skills are honed.

Professional Growth and Development

At CenterWell Primary Care, career growth is a priority. The company supports professional development through comprehensive training programs and opportunities for advancement. Employees are encouraged to expand their skills and knowledge, positioning themselves as leaders in the healthcare sector.

Diversity and Inclusion

CenterWell Primary Care is dedicated to creating a diverse and inclusive workplace. The company believes that diversity training and an inclusive culture are key to innovation and the delivery of exceptional care. Employees from various backgrounds bring unique perspectives that enhance the team's performance and patient outcomes.

Benefits and Culture

Employees at CenterWell Primary Care enjoy a range of benefits designed to support their professional and personal lives. The company's culture is centered on teamwork, respect, and integrity, providing a solid foundation for personal growth and job satisfaction.

Internship Programs

For those starting their career, CenterWell Primary Care offers internship programs that provide hands-on experience in the healthcare field. Interns gain valuable insights and skills, which are crucial for building a successful career in healthcare.

Hiring Process

The hiring process at CenterWell Primary Care is designed to identify candidates who are not only skilled but also passionate about making a difference in healthcare. Prospective employees can expect a thorough interview process where they can showcase their skills and learn more about the company's mission and values.

Networking and Professional Opportunities

CenterWell Primary Care encourages its team to engage in networking opportunities within and beyond the company. This engagement fosters professional connections and collaborative opportunities that can lead to innovative solutions and enhanced patient care.

Join the Team

CenterWell Primary Care is looking for curious, creative, and solution-driven team players. Search open positions that match your skills and interests on the CenterWell Primary Care Jobs page. Tailor your resume to reflect your expertise and prepare for a career that promises both professional and personal growth.

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Explore Careers at CenterWell Primary Care

Discover the rewarding opportunities awaiting at CenterWell Primary Care. With a commitment to employee growth, a diverse culture, and a drive for innovation, CenterWell Primary Care is the perfect place to advance your career in healthcare.
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