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Added just now
Office Management Staff Officer - TS/SCI
ENS Solutions, LLC
Aiea, HI
Process Improvement: Identify administrative issues and assist in the analysis and development of improved business processes, checklists, or Standard Operating Procedures (SOPs). Assist in…
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HI
Director of Operations (DOO)
Holiday Inn Express & Suites Independence Kansas City
Independence, MO
- $45,000 USD / year
Come join our team in an always changing and fast paced position as a Director of Operations.
Added 1 min ago
VH
Registered Nurse - Community Care (Referral Coordination Team)
Veterans Health Administration
Tucson, AZ
- $87,530 to $158,422 USD / year
…safe and supportive environment conducive to the professional development of healthcare professionals. Contributes professional nursing perspective in discussions with the interdisciplinary…
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VH
Supervisory Acquisition Utilization Specialist
Veterans Health Administration
Prescott, AZ
- $89,508 to $116,362 USD / year
Directs, maintains, and carries out management duties involving many separate and distinct phases of operations within the Business and Procurement Planning and Purchasing sector in the…
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VH
Registered Nurse - Primary Care PACT Community Based Outpatient Clinic (CBOC)
Veterans Health Administration
Jay, OK
- $72,303 to $148,932 USD / year
…Nurse (RN) executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex primary…
Added 1 min ago
OA
Strategic Resource Integration Officer (SRIO)
Other Agencies and Independent Organizations
Remote, United States
- $89,508 to $172,980 USD / year
Working closely with HART leadership, the selectee will help develop an emerging strategic resource integration capability that connects information across traditional organizational…
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VH
Registered Nurse - Float IMC Primary Care
Veterans Health Administration
San Antonio, TX
- $85,610 to $173,974 USD / year
Participates in daily huddles, pre-planning activities, and ongoing team communication to support access, continuity, quality, patient experience, and efficient clinic operations.
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DIRECTOR CIVILIAN HUMAN RESOURCES
Office of Naval Research
Arlington, VA
- $141,620 to $197,200 USD / year
…oversight of automated personnel information systems, or employee development; ensuring compliance with governing laws and regulations; developing, interpreting, and/or advising senior…
Added 3 mins ago
Geospatial Area Business Class Leader
HDR
Pittsburgh, PA · Philadelphia, PA · Mechanicsburg, PA · Plymouth Meeting, PA
…platform implementation, system integration, data management, and program or project…
Added 4 mins ago
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INTELLIGENCE SPECIALIST
Department of the Air Force
Scott AFB, IL
- $128,967 to $167,663 USD / year
…organizations and mission/functions, inter-relationships and operations, and ability to leverage IC capabilities in support of customer requirements. Extensive knowledge of the acquisition…
Added 4 mins ago
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Supervisory Instructional Systems Specialist (Wildland Fire)
Office of the Secretary of the Interior
Boise, ID
- $112,824 to $146,671 USD / year
Serves as an advisor to leadership on training effectiveness, human performance assessment and improvement, curriculum priorities, and instructional systems program development and…
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Transportation Security Manager
Transportation Security Administration
San Francisco, CA
- $111,896 to $145,468 USD / year
Monitoring individual performance and providing frequent communication in order to promote screener development.
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AIRCRAFT MECHANIC SUPERVISOR
Air National Guard Units
Meridian, MS
- $38 to $44 USD / hour
(1) Planning: Plans weekly or monthly work schedules and sequence of operations. Establishes deadlines and priorities based on established general schedules, methods and policies.…
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Human Resources Officer - Detail (NTE 1 Year)
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Location Negotiable After Selection
- $126,384 to $164,301 USD / year
…management concepts, practices, and innovations in day-to-day operations. Responsible for the operating budget and oversight of all major program activities to ensure conformance with OPM,…
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Registered Nurse - Assistant Nurse Manager
Veterans Health Administration
Gainesville, FL · Smyrna, GA · Minneapolis, MN
- $96,623 to $145,221 USD / year
The National Tele-Critical Care Program is recruiting for a Assistant Nurse Manager (ANM) position. The selected ANM will provide critical care support through the tele-critical care…
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Registered Nurse (Oncology/Hematology)
Veterans Health Administration
Murfreesboro, TN
- $87,353 to $149,419 USD / year
…education based on insights gained from oncology professional development activities and acquiring specialized skills in oncology-specific areas, including chemotherapy administration,…
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Registered Nurse (Endoscopy)
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Nashville, TN
- $87,769 to $150,126 USD / year
…safe and supportive environment conducive to the professional development of health care professionals. Evaluates outcomes of evidence-based decisions and practice changes for individuals,…
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Registered Nurse- Ambulatory Surgery SDS/PACU - Intermittent
Veterans Health Administration
Indianapolis, IN
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Executes position responsibilities that demonstrate leadership, experience, and creative approaches to management of complex client care.
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Registered Nurse - Clinical Nurse Consultant
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Jefferson Barracks, MO
- $75,487 to $153,842 USD / year
The Clinical Consultant RN supports Community Living Center nursing leadership in facilitating patient care through implementation of evidence-based practices and evaluation of…
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Astronaut Candidate
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Houston, TX
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…required to be an astronaut - from spacewalking and robotics to leadership and teamwork skills. Upon completing training, they will join the active astronaut corps and become eligible for…
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Geospatial Area Business Class Leader
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…platform implementation, system integration, data management, and program or project…
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Senior Product Manager, Patient Engagement & AI
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We are seeking an experienced Senior Product Manager to lead the development of innovative AI-powered patient engagement experiences within a virtual healthcare environment. In this role,…
Added 6 mins ago
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Part Sales Manager – Full Time
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Decatur, GA
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…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.…
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Part Sales Manager – Part Time
AutoZone
Decatur, GA
- Part-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.…
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2026 Public Works Operations Manager (Streets)
City of Oregon City
Oregon City, OR
- $42.61 to $53.2 USD / hour
The City of Oregon City is excited to accept applications for a Public Works Operations Manager position which will lead the Streets Division in Public Works. The position is responsible…

Closed listing

Humana

Lead, Organic Risk Adjustment

Charleston, WV, 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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