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Added 2 mins ago
DO
INTELLIGENCE SPECIALIST
Department of the Air Force
Langley AFB, VA
- $150,144 to $195,190 USD / year
The primary purpose of this position is to advise ACC/A2 Intelligence Tradecraft Division leadership, staff, and subordinate units on intelligence analysis, targeting, collection, and other…
Added 2 mins ago
VH
Registered Nurse - Assistant Manager (Mental Health)
Veterans Health Administration
East Orange, NJ
- $99,128 to $166,495 USD / year
The Registered Nurse (RN) - Assistant Nurse Manager (ANM) partners with the Nurse Manager to provide leadership and operational oversight for the 24/7 operations of the unit, promoting…
Added 2 mins ago
VH
Supervisory Public Affairs Specialist
Veterans Health Administration
Atlanta, GA
- $112,556 to $146,325 USD / year
…understanding among audiences with varying levels of literacy; advising leadership on the development of communication plans and strategies and delivering clear, persuasive oral…
Added 2 mins ago
CA
Supervisory Budget Analyst
Customs and Border Protection
Aliso Viejo, CA · Washington, DC · Indianapolis, IN
- $125,776 to $163,514 USD / year
Integrates program planning, budget planning, and budget execution to support operations.
Added 2 mins ago
VH
Registered Nurse - Vascular Access (Intermittent)
Veterans Health Administration
Portland, OR
- $96,237 to $161,801 USD / year
Demonstrates leadership in delivering and improving holistic care through collaborative strategies with others.
Added 2 mins ago
OA
Federal Project Director
Other Agencies and Independent Organizations
Upton, NY
- $148,222 to $197,200 USD / year
The Brookhaven Site Office in Upton, New York. BNL is one of ten Office of Science Laboratories and is a multi-program laboratory with a primary mission on delivering breakthrough science…
Added 2 mins ago
OA
Federal Project Director
Other Agencies and Independent Organizations
Upton, NY
- $148,222 to $197,200 USD / year
The Brookhaven Site Office in Upton, New York. BNL is one of ten Office of Science Laboratories and is a multi-program laboratory with a primary mission on delivering breakthrough science…
Added 4 mins ago
FE
Emergency Management Specialist
Federal Emergency Management Agency
Washington, DC
- $102,415 to $133,142 USD / year
Â· Preparing analytical products, briefings, and decision-support materials to support program operations and leadership decision-making.
Added 4 mins ago
VH
Registered Nurse
Veterans Health Administration
Goldsboro, NC
- $87,200 to $145,373 USD / year
…Nurse (RN) executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex primary care. This nurse provides sex-specific direct…
Added 4 mins ago
US
MARITIME OPERATIONS CENTER TRAINING ANALYST (IAMD)
United States Fleet Forces Command
Naval Base, Norfolk, VA
- $127,646 to $165,945 USD / year
You will serve as a Maritime Operations Center Training Analyst (IAMD) in the Training, Exercises, and Wargaming (N7) Department, Maritime Operations Center (MOC) Training and Exercise…
Added 4 mins ago
VH
Registered Nurse (Pathway to Excellence and Magnet Recognition Coordinator)
Veterans Health Administration
Dallas, TX
- $78,714 to $181,738 USD / year
…organizational Pathway to Excellence and Magnet/Recognition program, and reports to the Clinical Emergency Operations Nurse…
Added 8 mins ago
VH
Informaticist Registered Nurse
Veterans Health Administration
Albuquerque, NM
- $75,834 to $136,857 USD / year
The Informaticist Registered Nurse (RN) exercises leadership in the assessment, planning, implementation and evaluation of hardware and software applications integrated with the electronic…
Added 8 mins ago
VH
Registered Nurse 5A
Veterans Health Administration
Albuquerque, NM
- $75,834 to $136,857 USD / year
The Inpatient Staff Registered Nurse (RN) executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex patient care.…
Added 8 mins ago
VH
Advanced Practical Nurse Wound Ostomy
Veterans Health Administration
Albuquerque, NM
- $129,105 to $187,156 USD / year
…The NP has prescriptive authority for a panel of patients or program as indicated by their…
Added 8 mins ago
VH
Chief Physician (Psychiatrist)
Veterans Health Administration
Gilbert, AZ
- $260,000 to $315,000 USD / year
…settings: inpatient units, ambulatory programs, residential program for substance abuse, residential program for PTSD, emergency department, medical-surgical ward psychiatric consultation…
Added 8 mins ago
VH
Physician (Physical Medicine & Rehabilitation - Physiatrist)
Veterans Health Administration
Tucson, AZ
- $275,000 to $300,000 USD / year
Clinical oversight and program leadership for Veterans with traumatic brain injury and polytrauma
Added 8 mins ago
NI
Supervisory Grants Management Specialist (Policy)
National Institutes of Health
Bethesda, MD
- $169,279 to $197,200 USD / year
…regulations to determine the impact on NIH research grants programs, operations, and management. | Identify and define major issues and provide management direction and oversight in areas…
Added 10 mins ago
Service Manager
Anuvu
Houston, TX
Serve as the airline’s single point of contact for all technical matters, including operations and maintenance support, product support, technical training, reporting, network support,…
Added 11 mins ago
Assistant Director, Special Education (475A)[235]
Cobb County School District
GA
3. Coordinates and facilitates the development, implementation, and monitoring of special education services, and program action plans as they relate to District and State level performance…
Added 12 mins ago
US
PROGRAM ANALYST
United States Fleet Forces Command
Fort Meade Naval Facilities, MD
- $131,841 to $180,186 USD / year
You will serve as the PROGRAM ANALYST in the FIRES BRANCH (N38), OPERATIONS DIRECTORATE, OFFICE OF THE COMMANDER, U.S. FLEET CYBER COMMAND(USFLTCYBERCOM) in Fort Meade, Maryland. | You will…
Added 12 mins ago
VH
Supervisory Pharmacy Technician (HSA 5.3 Clinical Contact Center)
Veterans Health Administration
Albuquerque, NM · Loma Linda, CA · Tucson, AZ · Los Angeles, CA · San Diego, CA · Prescott, AZ · Long Beach, CA · Phoenix, AZ
- $85,945 to $111,735 USD / year
Participates in meetings, conferences, and training programs relevant to the development and maintenance of the VISN CCC Pharmacy Service.
Added 12 mins ago
AN
TITLE 32 SUPV ITSPEC (SYSADMIN) (MI G6)
Army National Guard Units
Lansing, MI
- $98,729 to $128,350 USD / year
Provides executive leadership, guidance, and direction to ensure acquisition, development, and retention of a professional, highly capable workforce to accomplish assigned missions.…
Added 13 mins ago
J
Operational Risk, Senior Associate
Jobgether
Remote, United States
- $123,000 to $141,375 USD / year
…will collaborate with business, engineering, compliance, and operations teams to conduct risk assessments, evaluate new products and third-party relationships, and improve internal…
Added 13 mins ago
J
Manager, Publishing Operations
Jobgether
Remote, United States
- $126,000 to $148,500 USD / year
We are seeking an experienced Publishing Operations Manager to lead project management activities and oversee the successful delivery of publishing initiatives within a creative and…
Added 29 mins ago
A
Part Sales Manager – Full Time
AutoZone
Woodstock, VA · Strasburg, VA · Edinburg, VA · New Market, VA · Luray, VA
- Full-time
…exceptional customer service. Managers and MITs play a key leadership role, expected to Live The Pledge and deliver WOW! Customer Service while executing store operations with excellence.…

Closed listing

Humana

Lead, Organic Risk Adjustment

Santa Fe, NM, United States

$115,200 - $158,400 per year

This opening has closed.

The original listing is kept below for reference.

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About employer

Job details

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

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Original job description

Archived listing. The details below describe a past opening.

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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