Jobs in the United States

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Added 2 mins ago
Operations Team Leader
NBT Bancorp Inc.
Canajoharie, NY
Must have a positive attitude and willingness to work in a team environment
Added 2 mins ago
Operations Specialist
NBT Bancorp Inc.
Norwich, NY
Whether you’re just starting your career or serve in a senior leadership role, your growth and development are our priority. NBT provides a wide variety of development programs and tools…
Added 3 mins ago
Senior Financial Analyst, Office of the CFO
Ensemble RCM LLC
Remote, United States
Growth – We invest in your professional development. Each associate will earn a professional certification relevant to the
Added 3 mins ago
Senior Director, Patient Access (Onsite)
Ensemble RCM LLC
Atlanta, GA
…the team and providing impactful feedback, instruction, and development (coaching the coach) of their associates. Plans and supports the growth of individual skills and abilities in…
Added 3 mins ago
Senior Coding Compliance Auditor - Inpatient
Ensemble RCM LLC
Remote, United States
The Senior Coding Compliance Auditor will assist with the development and execution of the Annual Compliance Workplan including the Auditing and Monitoring Workplans. They will lead &…
Added 5 mins ago
Senior Underwriting Specialist (AL, AR, LA, OK, MS, TX)
SCI Summit Consulting, LLC
TX · LA · AL · MS · AR
…participatory role in decisions regarding talent selection, development, and performance management for direct…
Added 7 mins ago
Associate Director, Technology
Financial Industry Regulatory Authority, Inc.
Rockville, MD · Tysons, VA
The Technology Manager is generally autonomous in their oversight and active management for Technology project(s) and most often reports directly to a Director or Senior Director.
Added 8 mins ago
GC
Activity Security Representative III
gTANGIBLE Corporation
Arlington, VA
- $129,000 to $131,000 USD / year
…of Government contracting professionals. gTANGIBLE is in the process of identifying candidates for the following…
Added 10 mins ago
Project Manager I
Wesco
Forest Park, GA
2 years required, 4 years experience preferred of directing work in a project management capacity, including all aspects of process development and execution
Added 10 mins ago
STAFF SPECIALIST HEALTHCARE (Ambulatory Care Services)
University of Michigan
Ann Arbor, MI
The individual must have the skill set and experience to enable them to work with wide discretion and independent judgment
Added 11 mins ago
Administrative Coordinator - Office of the Vice Provost for Student Success - UTK
University of Tennessee
Knoxville, TN
The administrative coordinator will work closely with the SVPSS Chief of Staff to identify and support the development and execution of unit strategic priorities and initiatives. Assists in…
Added 12 mins ago
Human Resources (HR) Generalist
Southern Healthcare Management
Wilmington, NC
…enjoy managing various HR functions and collaborating with senior leadership? If you're looking for a multifaceted role in benefits administration, employee relations, payroll, and…
Added 16 mins ago
A
Senior Construction Admin
Actalent
Miami, FL
- $30 to $35 USD / hour
Job Title: Senior Construction AdminJob DescriptionThe Senior Construction Admin provides comprehensive administrative support for large wastewater treatment plant construction projects,…
Added 17 mins ago
UO
Director for Arts & Humanities in Health Care Program (Open Rank-Instructor, Sr.
University of Colorado Denver
Aurora, CO
- $48,500 to $75,000 USD / year
Hybrid - this role is eligible for a hybrid schedule of 3 days per week on campus and as needed for in-person meetings
Added 17 mins ago
UO
Clinical Research Coordinator (Open-Rank) - POEMS Team
University of Colorado Denver
Aurora, CO
- $49,899 USD / year
…human disease, therapeutic interventions, clinical trials, or development of new technologies. Clinical Science Professionals may also assist with epidemiologic and behavioral studies…
Added 17 mins ago
UO
Director of Teaching Scholars Program (TSP)
University of Colorado Denver
Aurora, CO
- $31,533 USD / year
Applicants must have permission from their clinic or department to assume role
Added 20 mins ago
Continuous Improvement Specialist II
BNH
Arnold AFB, TN
The successful candidate will perform Continuous Process Improvement (CPI) functions in support of multiple TOS and Government organizations. These activities include using Lean Six Sigma…
Added 20 mins ago
Continuous Improvement Specialist I
BNH
Arnold AFB, TN
Job Family Code: T – Software and Systems Development
Added 20 mins ago
Construction Site Superintendent
Acts Retirement-Life Communities
Vero Beach, FL
Must possess and maintain a valid driver’s license
Added 25 mins ago
Associate Manager, Enterprise Expense Optimization
Prudential Ins Co of America
Newark, NJ
Work/Life Resources to help support topics such as parenting, housing, senior care, finances, pets, legal matters, education, emotional and mental health, and career development.
Added 27 mins ago
Media Director
The Shipyard
Remote, United States
Serve as the strategic mentor for Associate Media Directors and Supervisors - actively guiding their strategy development, reviewing and sharpening their strategic recommendations, and…
Added 28 mins ago
Sr. Brand Manager
Flowers Foods
Tallahassee, FL · Albany, GA · Valdosta, GA · Thomasville, GA
The Senior Brand Manager is responsible for leading the development and execution of strategic brand plans to drive profitable growth, strengthen brand equity, and increase market share…
Added 28 mins ago
Sr Cybersecurity Engineer
MSC Industrial Supply Co.
Davidson, NC
The Senior Cybersecurity Engineer is a senior technical contributor responsible for designing, implementing, operating, and continuously improving enterprise cybersecurity controls across…
Added 28 mins ago
Automation Engineer II - Automation Systems Administration
Novo Nordisk
Clayton, NC
Own self development & initiative to understand the site process control systems
Added 28 mins ago
Manufacturing Support Lead
polyvantis
Mount Vernon, IN
…will also be asked to support administrative tasks for the Senior PV leaders based in Mount…

Closed listing

Humana

Lead, Organic Risk Adjustment

Oklahoma City, OK, 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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Jobs in the United States