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JH
Associate Nurse Manager, Emergency Department, Full Time, Days
Jackson Health
Miami, FL
- Full-time
Strategic Vision: The Associate Nurse Manager works closely with the Nurse Manager and nursing leadership team to understand and support the mission, vision, values and strategic…
Added 1 min ago
Education Lending Origination Coordinator
Harvard University
Cambridge, MA
…that support the effective delivery of the education lending program. The ideal candidate is self-directed, detail-oriented, communicates clearly, exercises sound judgement, and…
Added 1 min ago
W
Pharmacy Customer Service Associate
Walgreens
MAPLE VALLEY, WA
- $18.13 to $21.5 USD / hour
…in relation to pharmacy errors and the Quality Improvement Program. Reviews and complies with the Walgreen Co. Pharmacy Code of…
Added 1 min ago
W
Pharmacy Customer Service Associate
Walgreens
HOUSTON, TX
- $16 to $20 USD / hour
…in relation to pharmacy errors and the Quality Improvement Program. Reviews and complies with the Walgreen Co. Pharmacy Code of…
Added 1 min ago
SK
Mentor Recruitment & Retention Specialist PT
SOUTHWEST KEY PROGRAMS
Dallas, TX
- $22 USD / hour
Bachelor's Degree and/or Associate's degree with 1-2 years of experience in recruitment, training, volunteer management, and social services or combination equivalent of education and…
Added 1 min ago
MDA Test Analyst
Mobius
Huntsville, AL
…responsibility for pre-mission activities, element integration, mission management and execution of all MDA flight tests or the Director of Test Resources (DTR) who has overall…
Added 2 mins ago
FF
Fresh Cut Clerk I (Part-Time)
Festival Foods
Onalaska, WI
- Part-time
The associate must have full range of upper body motion in order to lift product · Must possess functional sensory abilities in order to visually monitor the store, create attractive displays, and to operate equipment
Added 2 mins ago
Meat Clerk
Festival Foods
Onalaska, WI
…including 3 weeks of paid parental leave, a fitness reimbursement program offering savings off of fitness membership fees; our EAP (Employee Assistance Program) and LEAPCare Care Coaches,…
Added 2 mins ago
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Pharmacy Customer Service Associate
Walgreens
FAYETTEVILLE, TN
- $16 to $20 USD / hour
…in relation to pharmacy errors and the Quality Improvement Program. Reviews and complies with the Walgreen Co. Pharmacy Code of…
Added 2 mins ago
Senior Field Sales Associate | Urology - Urologic Cancer | Boston, MA
Boston Scientific
Boston, MA · Boston
Must reside within the assigned territory
Added 2 mins ago
Field Sales Associate | Urology - Endourology | Harrisburg, PA
Boston Scientific
Harrisburg, PA · Harrisburg
Boston Scientific’s Field Sales Associate is designed to provide support to accounts as directed by the Region Sales Manager; reporting directly to the Region Sales Manager and close…
Added 2 mins ago
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Pharmacy Customer Service Associate
Walgreens
CHARLESTON, SC
- $16 to $20 USD / hour
…in relation to pharmacy errors and the Quality Improvement Program. Reviews and complies with the Walgreen Co. Pharmacy Code of…
Added 2 mins ago
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Pharmacy Customer Service Associate
Walgreens
CARTHAGE, NC
- $16 to $20 USD / hour
…in relation to pharmacy errors and the Quality Improvement Program. Reviews and complies with the Walgreen Co. Pharmacy Code of…
Added 2 mins ago
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Inventory Specialist
Walgreens
ALBUQUERQUE, NM
- $17.5 to $22.5 USD / hour
…including both front end and pharmacy. Supports pharmacy inventory management activities, including receiving, counting, ordering, and facilitating returns. Champions On-Shelf Availability…
Added 2 mins ago
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Pharmacy Customer Service Associate
Walgreens
ALBUQUERQUE, NM
- $16 to $20 USD / hour
…in relation to pharmacy errors and the Quality Improvement Program. Reviews and complies with the Walgreen Co. Pharmacy Code of…
Added 2 mins ago
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Pharmacy Customer Service Associate
Walgreens
VAUXHALL, NJ
- $16.92 to $21.5 USD / hour
…in relation to pharmacy errors and the Quality Improvement Program. Reviews and complies with the Walgreen Co. Pharmacy Code of…
Added 2 mins ago
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Pharmacy Customer Service Associate
Walgreens
LEE, NH
- $16 to $20 USD / hour
…in relation to pharmacy errors and the Quality Improvement Program. Reviews and complies with the Walgreen Co. Pharmacy Code of…
Added 2 mins ago
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Pharmacy Customer Service Associate
Walgreens
SAINT CHARLES, MO
- $16 to $20 USD / hour
…in relation to pharmacy errors and the Quality Improvement Program. Reviews and complies with the Walgreen Co. Pharmacy Code of…
Added 2 mins ago
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Pharmacy Customer Service Associate
Walgreens
SAINT LOUIS, MO
- $19.75 to $27.5 USD / hour
…in relation to pharmacy errors and the Quality Improvement Program. Reviews and complies with the Walgreen Co. Pharmacy Code of…
Added 2 mins ago
Associate Director of Dining Services Protem
Brookdale Senior Living Inc.
Brentwood, TN · Denver, CO · Santa Rosa, CA
Must have a valid driver license and access to a private vehicle for business use
Added 2 mins ago
Registered Nurse (RN) - Abdominal Transplant 6DCT
Duke Careers
Durham, NC
Licensure and Certification Required:
Added 3 mins ago
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Library Technician
Pinal County
Florence, AZ
- $21.58 to $29.13 USD / hour
Qualified Employer - Public Service Loan Forgiveness Program - Department of Education
Added 3 mins ago
NT
Supervisor RN, Chronic Care - Full Time Days - Non-Exempt
North Texas Medical Center
Gainesville, TX
- Full-time
Current American Heart Association Basic Life Support (BLS) certification required upon hire
Added 3 mins ago
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Pharmacy Customer Service Associate
Walgreens
HOLYOKE, MA
- $16 to $20 USD / hour
…in relation to pharmacy errors and the Quality Improvement Program. Reviews and complies with the Walgreen Co. Pharmacy Code of…
Added 3 mins ago
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Pharmacy Customer Service Associate
Walgreens
NAPERVILLE, IL
- $16 to $20 USD / hour
…in relation to pharmacy errors and the Quality Improvement Program. Reviews and complies with the Walgreen Co. Pharmacy Code of…

Humana Inc.

Directed Payment Programs Manager

Oklahoma City, OK, United States

$93,600 - $128,700 per year

Apply on careers.humana.com About employer

Applications open in a new tab.

Job details

Pay: $93,600 - $128,700 per year
Experience: Minimum 5 years of progressive experience in finance, accounting, analytics, healthcare operations, or related business functions.
Working hours: 40 hours per week
Posting language: English
Posted: Nov 13, 2026

Original job description

Become a part of our caring community

Bring your financial and analytical expertise to a role that supports the success of Humana's Oklahoma Medicaid programs and provider network. As the Directed Payment Programs Manager, you'll use financial and healthcare data to help ensure accurate payments, strengthen program performance, and support regulatory compliance. Reporting to the Director, Financial Planning & Analysis, you'll collaborate across teams to solve complex problems and turn data into insights that inform business decisions.

Directed Payment Program Administration

Manage key activities supporting Oklahoma Medicaid Directed Payment Programs.
Monitor program activity and compliance with OHCA, CMS, and contractual requirements.
Validate provider payment calculations and methodologies.
Coordinate quarterly payments, reporting, and financial reconciliations.

Analytics & Data Management

Analyze data and support payment validation, reporting, and financial oversight.
Analyze claims, encounters, provider, and membership data to identify trends and data issues.
Develop recurring and ad hoc reports for leadership and external stakeholders.
Investigate and resolve discrepancies across systems and data sources.

Financial Analysis & Reconciliation

Perform reconciliations for directed payments, provider incentives, and Medicaid funding.
Support monthly and quarterly financial close activities.
Analyze budget-to-actual variances and communicate findings to leadership.
Assess financial impacts of payment adjustments, operational changes, and regulatory updates.

Stakeholder Collaboration

Serve as a key contact for providers, state agencies, and internal stakeholders.
Lead cross-functional coordination across Finance, Network, Operations, Actuarial, Compliance, and Technology.
Translate complex financial and analytical findings into clear business insights.
Build effective relationships with providers, OHCA, and internal partners.

Compliance & Audit Support

Ensure payment and reporting activities meet regulatory, contractual, and corporate requirements.
Support internal and external audits through analysis and documentation.
Maintain process documentation and standard operating procedures.

Use your skills to make an impact

Required Qualifications

Bachelor's degree in finance, accounting, economics, healthcare administration, information systems, data analytics, or related field.
Minimum 5 years of progressive experience in finance, accounting, analytics, healthcare operations, or related business functions.
Advanced Excel skills, including financial modeling and data analysis.
Experience performing reconciliations, variance analysis, and financial reporting.

Preferred Qualifications

Master's degree (MBA, MHA, MS Analytics, Accounting, Finance, or related field).
Healthcare or Medicaid managed care experience.
Experience with Medicaid Directed Payment Programs, provider incentives, value-based payment programs, or supplemental payment programs.
Knowledge of healthcare claims, encounters, membership, and provider data.
Experience using Power BI, Tableau, SAS, Snowflake, Oracle, or other enterprise analytics platforms.
CPA, CMA, or other relevant professional certification preferred.

Additional Information

Work Style: Hybrid Office - 2-3 days per week in Humana's Oklahoma City office.
Typical Schedule: Monday - Friday, 8:00 AM - 5:00 PM CST
Travel: up to 10%.

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.

$93,600 - $128,700 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, “Humana”) 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.

About Us

About Humana: Humana Inc. (NYSE: HUM) is a leading U.S. healthcare company. Through our Humana insurance services and our 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 and Medicaid, families, individuals, military service personnel, and communities at large. Learn more about what we offer at Humana.com and at CenterWell.com.

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. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Apply on careers.humana.com About employer

More about this job

Skills

Regulatory compliance
Financial planning
CMS
Reporting
Account reconciliation
Financial jurisdiction
Leadership
Financial analysis
Documentation
Data analysis
Microsoft Excel
Financial modelling
Financial reporting
Microsoft Power BI
Tableau
SAS
Snowflake
Oracle
CPA
CMA

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Work requirements

Jobs in the United States