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Added 1 min ago
Associate Director, Clinical Science
Natera
Remote, United States
Join Natera as the Associate Director, Clinical Scientist in Oncology. You will execute clinical development strategies for our early cancer detection and cell-free DNA (cfDNA) In Vitro…
Added 3 mins ago
CG
FOOD SERVICE UTILITY (PART TIME)
Compass Group, North America
Winfield, KS
- $11 to $12 USD / hour
- Part-time
…our core values, work life balance, and ongoing training and development opportunities. This, along with our rapid growth, means accelerated promotion opportunities for every motivated…
Added 3 mins ago
Investments & M&A Associate - Corporate Development
Indeed
Kansas City, KS
We are looking for an Associate to work on strategic investments and M&A in Indeed's Corporate Development team. The team shapes long-term strategy by examining the comparative landscape…
Added 3 mins ago
DINING SERVICES DIRECTOR
Compass Group, North America
Wichita, KS
…client relationships, profitability of the account, and talent…
Added 3 mins ago
Lead, Organic Risk Adjustment
Humana
Topeka, KS
The role will partner closely with clinical, operational, analytical, and business leaders across the enterprise to improve program performance and build sustainable capabilities that drive…
Added 7 mins ago
VH
Registered Nurse - Regional Nursing Officer
Veterans Health Administration
Little Rock, AR · North Little Rock, AR · Fayetteville, AR · Biloxi, MS · Jackson, MS · Muskogee, OK · Shreveport, LA · Alexandria, LA · Houston, TX · New Orleans, LA · Oklahoma City, OK
- $143,988 to $228,000 USD / year
Provides professional nursing oversight and support for performance appraisal review, development and revision of functional statements, and evaluation of practice.
Added 9 mins ago
Project Specialist, EH&S Operations - Shared Services
CECONY
NY · Astoria, NY
Lead EH&S program and project implementation for the Learning Center (TLC), coordinating with TLC leadership and program stakeholders to integrate EH&S requirements into training…
Added 10 mins ago
VH
Supervisory Healthcare Engineer (Recruitment/Relocation Incentive)
Veterans Health Administration
San Antonio, TX
- $133,769 to $173,902 USD / year
Supervisory Facility Planning & Activations Engineer (Section Chief) is a key advisor reporting directly to the Associate Director for Operations. The incumbent is a responsible leader for…
Added 11 mins ago
Practice Administrator - Remote - Nationwide
Vituity
Sacramento, CA
Associate or Bachelor’s degree in Business Administration, Human Resources or related field strongly preferred.
Added 22 mins ago
VH
Registered Nurse Women's Health Care Coordinator
Veterans Health Administration
San Diego, CA
- $103,980 to $188,494 USD / year
…by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on…
Added 25 mins ago
HF
Retail Stocking Supervisor
Harbor Freight Tools
Auburn, NY
- $19.75 USD / hour
Clear path to promotion & continuous leadership development
Added 26 mins ago
Supervisor, Laboratory Medicine Westchester
Memorial Sloan Kettering Cancer Center
BRONX, NY
…Physicians/Director, patient care staff/clinicians, reference labs and other business partners to optimize workflow while maintaining accreditation and licensure. * Personnel development,…
Added 26 mins ago
Commercial Sales Associate II (Brooklyn, NY)
TD Bank
Brooklyn, NY
…opportunities to all colleagues. Growth opportunities and skill development are defining features of the colleague experience at TD. Our compensation policies and practices have been…
Added 26 mins ago
Software Systems Field Support Engineer/Representative
Huntington Ingalls Industries
Syracuse, NY
This opportunity resides with Warfare Systems (WS), a business group within HII’s Mission Technologies division. Warfare Systems comprises cyber and mission IT; electronic warfare; and…
Added 26 mins ago
HH
Executive Administrative Assistant & Payroll Administrator
Hope House, Inc.
Albany, NY
- Up to $28.85 USD / hour
Associate degree at a minimum in business administration, office administration, or a related field preferred; equivalent relevant work experience may be considered in lieu of a degree.
Added 26 mins ago
Specialty/Senior Specialty Representative - Bone Health - Rochester/Buffalo, NY (Overlay)
Amgen
Rochester, NY
Provide feedback on marketing strategy, analyze business effectiveness of sales activities and territory analysis, and develop territory plans with the District Manager
Added 27 mins ago
VH
Associate Chief of Staff for Social Work (Social Work Program Manager)
Veterans Health Administration
Dallas, TX
- $207,636 to $228,000 USD / year
The Associate Chief of Staff (ACOS) for Social Work is the senior social work executive and the highest-level professional position responsible for the practice of social work throughout…
Added 27 mins ago
Specialty/Senior Specialty Representative - Bone Health - Spring Valley/Westchester, NY (Overlay)
Amgen
New York, NY
Provide feedback on marketing strategy, analyze business effectiveness of sales activities and territory analysis, and develop territory plans with the District Manager
Added 27 mins ago
Confidential Executive Associate - Office of the Dean (Excluded)
CUNY
New York, NY
…success as the Sophie Davis Biomedical Education undergraduate program, the school transitioned to the CUNY School of Medicine in 2016. CUNY Med offers an accelerated BS/MD (7- year…
Added 36 mins ago
IO
Actuary (Health)
Immediate Office of the Assistant Secretary for Management
Washington, DC
- $121,785 to $187,093 USD / year
Must have obtained one of the following actuarial credentials from the Society of Actuaries (SOA): Associate of the Society of Actuaries (ASA) or Fellow of the Society of Actuaries (FSA),…
Added 39 mins ago
UM
MARINE MART MANAGER NF3 (RFT)
U.S. Marine Corps
Kaneohe, HI
- $24 to $38 USD / hour
…corporate initiatives to achieve both operational excellence and business results. Follows up consistently with store leadership to ensure accountability to execution of plans. Monitors and…
Added 44 mins ago
VH
Health System Specialist - Temporary Promotion NTE 120 Days
Veterans Health Administration
Hines, IL
- $100,059 to $130,080 USD / year
The primary purpose of the position is to provide management and program analysis support to the Deputy Associate Director of Patient Care Services (DADPCS), Associate Director of Patient…
Added 55 mins ago
Innosight Consulting Senior Associate, Strategy & Operations
SVCS Huron Consulting Services LLC
Remote, United States
Contribute to business development activities, proposal development, thought leadership, and internal firm initiatives.
Added 58 mins ago
VH
Health System Specialist
Veterans Health Administration
Baltimore, MD
- $70,623 to $111,087 USD / year
Analyzes summaries and communicates results to AECCC, Business Manager, and Associate Chief of Staff and others as indicated
Added 58 mins ago
VH
Supervisory Health Technician (Ophthalmology)
Veterans Health Administration
West Haven, CT
- $80,099 to $104,123 USD / year
Ability to communicate effectively in order to meet program objectives. This may include

Humana

Lead, Organic Risk Adjustment

Helena, MT, United States

$115,200 - $158,400 per year

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Job details

Pay: $115,200 - $158,400 per year
Working hours: 40 hours per week
Posting language: English
Posted: Oct 28, 2026

Original job description

Become a part of our caring community

We are seeking a Lead, Organic Risk Adjustment to build, operationalize, and scale Humana's Organic Risk Adjustment (ORA) program.

This is not a role focused on maintaining existing processes or operating from the sidelines. We are looking for a builder and change agent who enjoys creating structure where it does not exist, solving complex business challenges, and turning ideas into measurable results. The ideal candidate is equally comfortable developing strategy, leading large-scale initiatives, influencing senior leaders, and driving day-to-day execution.

Success in this role requires the ability to navigate ambiguity, challenge traditional ways of working, and bring together diverse stakeholders to deliver meaningful outcomes. This individual will play a key role in shaping and evolving the Organic Risk Adjustment program while helping the organization rethink how risk adjustment opportunities are identified, prioritized, and embedded within routine provider workflows.

The role will partner closely with clinical, operational, analytical, and business leaders across the enterprise to improve program performance and build sustainable capabilities that drive long-term impact.

Key Responsibilities

Program Development & Execution

Build and operationalize programs that improve Organic Risk Adjustment performance.
Design and implement workflows, playbooks, provider engagement approaches, and reporting processes from the ground up.
Identify opportunities, develop action plans, and drive execution through completion.
Manage multiple initiatives simultaneously while ensuring measurable business outcomes.
Serve as the point person for day-to-day execution of key Organic Risk Adjustment initiatives.
Create structure, processes, and operating models in areas where established solutions do not yet exist.
Translate strategic priorities into executable work plans and deliverables.

Enterprise Leadership & Transformation

Lead complex, cross-functional initiatives involving clinical, operational, analytical, and business partners.
Partner with senior leaders to identify opportunities, align priorities, and remove barriers to execution.
Challenge existing processes and traditional approaches to create more effective, scalable, and sustainable solutions.
Influence decisions and drive action across stakeholders without direct authority.
Help shape the future direction and operating model of Organic Risk Adjustment as the program evolves.
Foster a culture of innovation, continuous improvement, and accountability.

Provider & Operational Partnership

Partner with providers, practice leaders, operations teams, and clinical stakeholders to improve performance and outcomes.
Develop practical solutions that fit within existing provider and operational workflows.
Facilitate meetings, maintain alignment, and ensure follow through on commitments and action plans.
Build strong working relationships across a diverse set of stakeholders and business partners.

Analytics & Performance Improvement

Analyze data to identify performance improvement opportunities and operational insights.
Translate findings into actionable recommendations and implementation plans.
Monitor program outcomes and adjust strategies based on results.
Develop reporting approaches that support decision-making, accountability, and continuous improvement.

Required Qualifications

Demonstrated success leading large-scale, cross-functional initiatives from concept through implementation.
Experience in Medicare Advantage, value-based care, population health, healthcare operations, quality improvement, risk adjustment, or related healthcare performance programs.
Experience partnering with senior leaders to drive organizational change and operational improvement.
Proven ability to influence stakeholders across clinical, operational, analytical, and business teams.
Strong problem-solving skills with the ability to navigate ambiguity and create structure in evolving environments.
Ability to analyze data trends, identify opportunities, and translate insights into operational action plans.
Strong communication, facilitation, and stakeholder management skills.

Preferred Qualifications

Experience leading enterprise-wide transformation, performance improvement, or strategic business initiatives.
Experience building new programs, operating models, capabilities, or processes from the ground up.
Prior people leadership or matrixed team leadership experience.
Demonstrated track record of challenging conventional approaches and developing innovative solutions to complex business problems.

Use your skills to make an impact

This role is not eligible for work visa sponsorship.

Work at Home Requirements: To ensure Home or Hybrid Home/Office employees’ 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

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.

$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.

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.

Application Deadline: 11-02-2026

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.

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.

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Skills

Reporting
Process improvement
Decision making
Problem solving
Communication skills
Stakeholder management
Leadership
Team leadership

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