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Added 1 min ago
VH
Registered Nurse - Outpatient Case Management
Veterans Health Administration
Los Angeles, CA
- $111,502 to $190,737 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 1 min ago
VH
Supervisory Health Technician (Telehealth Clinical)
Veterans Health Administration
Fort Dodge, IA · Knoxville, IA · Marshalltown, IA · Mason City, IA · Carroll, IA · Des Moines, IA
- $61,722 to $80,895 USD / year
Working with the Facility Virtual Health Coordinator to develop assignments for team members in order to facilitate all operations of the facility's telehealth program.
Added 1 min ago
VH
Nurse Manager
Veterans Health Administration
Gainesville, FL
- $106,784 to $138,383 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 4 mins ago
VH
Registered Nurse - Critical Care
Veterans Health Administration
Wilkes Barre, PA
- $64,058 to $119,679 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 4 mins ago
VH
Registered Nurse - Neurology - Specialty Care - PADRECC
Veterans Health Administration
Los Angeles, CA
- $111,502 to $190,737 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 4 mins ago
VH
Registered Nurse - Clinic/Procedural
Veterans Health Administration
Omaha, NE
- $65,500 to $140,292 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 4 mins ago
VH
Advanced Health Technician (Telehealth Clinical) - Radiology
Veterans Health Administration
Prescott, AZ
- $50,460 to $65,599 USD / year
Added 4 mins ago
VH
Registered Nurse - Nurse Educator
Veterans Health Administration
Temple, TX
- $79,295 to $139,966 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 6 mins ago
VH
Staff Psychologist - PCMHI
Veterans Health Administration
Chula Vista, CA
- $105,262 to $195,037 USD / year
This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in…
Added 6 mins ago
VH
Health Technician (Optometry)
Veterans Health Administration
Brunswick, GA · Savannah, GA · Goose Creek, SC · Charleston, SC · Myrtle Beach, SC
- $50,460 to $65,599 USD / year
…technician/assistant or health technician (optometry)/assistant or associate degree, or completion of an independent study course in an optometry related technician or assistant field; OR…
Added 6 mins ago
VH
Registered Nurse - Mental Health (1 West)
Veterans Health Administration
Tucson, AZ
- $87,530 to $158,422 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 6 mins ago
VH
Registered Nurse - CLC (Memory Care)
Veterans Health Administration
Tucson, AZ
- $87,530 to $158,422 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 6 mins ago
VH
Registered Nurse - Patient Safety Manager
Veterans Health Administration
Houston, TX
- $85,564 to $162,157 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 6 mins ago
VH
Registered Nurse (RN) - Staff Outpatient Primary Care (PACT)
Veterans Health Administration
Indianapolis, IN
- $68,714 to $120,511 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 6 mins ago
VH
Physical Therapy Assistant
Veterans Health Administration
Hines, IL
- $62,470 to $81,208 USD / year
Associate degree from an accredited community college, junior college, college or university in a physical therapy assistant education program accredited by the Commission on Accreditation…
Added 6 mins ago
VH
Physical Therapy Assistant
Veterans Health Administration
Hines, IL
- $62,470 to $81,208 USD / year
Associate degree from an accredited community college, junior college, college or university in a physical therapy assistant education program accredited by the Commission on Accreditation…
Added 6 mins ago
VH
Registered Nurse - GEC CLC
Veterans Health Administration
Milwaukee, WI
- $80,229 to $139,849 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 8 mins ago
VH
Registered Nurse - Inpatient Mental Health
Veterans Health Administration
Topeka, KS
- $74,590 to $137,636 USD / year
This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific eligibility requirements per VHA policy and…
Added 8 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 8 mins ago
VH
Registered Nurse- Revenue Utilization Review
Veterans Health Administration
Asheville, NC
- $76,438 to $150,613 USD / year
…ANM. The RUR nurse is an active member of the revenue cycle program and functions within the scope of the Consolidated Patient Accounting Centers (CPAC) for revenue reimbursement. The RUR…
Added 10 mins ago
A
Optical Technician
Actalent
Hopewell Junction, NY
- $21 to $23 USD / hour
Associate's Degree in Engineering Technology, Electronics, Manufacturing Technology, or related field
Added 10 mins ago
ES
Store Manager
Extra Space Storage
Harriman, NY
- $20 to $22 USD / hour
The Store Manager oversees the daily operations of one or more self-storage locations with limited direct supervision. This role ensures the facility meets high cleanliness standards,…
Added 10 mins ago
Associate Personal Banker Mount Kisco Commons
Wells Fargo
MOUNT KISCO, NY
Wells Fargo is seeking an Associate Personal Banker (SAFE) to join our National Branch. In this frontline role, you will build relationships with customers by supporting everyday banking…
Added 10 mins ago
C
Maintenance Technician
CBRE
Fishkill, NY
- $64,771.2 to $66,185.6 USD / year
…join our global network of professionals supporting client operations across CBRE. Looking for growth and career advancement? We offer opportunities for advancement after successful…
Added 10 mins ago
CG
FOOD SERVICE WORKER (FULL TIME AND PART TIME)
Compass Group, North America
FORT DRUM, NY
- $18.75 USD / hour
- Full-time
- Part-time
Full-time and part-time positions offer the following benefits to associates: Retirement Plan, Associate Shopping Program, Health and Wellness Programs, Discount Marketplace, Identity Theft…

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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