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Added 1 min ago
Associate Director, Study Management
Precision Medicine Group
Frederick, MD
Collaborate with senior scientific and operational leadership to provide continuous development/improvement of business processes to support cross-functional teams and to ensure that work…
Added 1 min ago
CM
Enterprise Schedule Analyst
CASE Management Consulting, LLC
Springfield, VA · Chantilly, VA
- $129,000 to $141,000 USD / year
The Senior Enterprise Schedule Analyst will work closely with systems engineers and program, project, and segment managers to provide leadership across schedule development and management…
Added 2 mins ago
Associate Marketing Director, New CVRM Franchise
AstraZeneca
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Key areas of leadership within this role include developing and leading advocacy strategy, peer-to-peer programs, speaker bureau and scientific educational content development, congress…
Added 5 mins ago
Maintenance Supervisor - Second Shift
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Create and foster a team environment that demonstrates genuine concern for personal and professional development of all employees by providing team members opportunity for development to…
Added 5 mins ago
Maintenance Supervisor - Days
Michael Foods Inc.
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Create and foster a team environment that demonstrates genuine concern for personal and professional development of all employees by providing team members opportunity for development to…
Added 6 mins ago
Industrial Electrician
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Pregis is committed to employee development through hands-on training, mentorship, and career advancement opportunities. Team members are encouraged to expand their technical expertise…
Added 11 mins ago
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Sr. Quality Evaluator (Onsite)
Concentrix CVG Customer Management Group Inc.
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- $19.5 USD / hour
…within! That’s why we offer a range of no-cost learning and leadership development programs designed to set you on your way to the kind of career you’ve always…
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Retail Sales Associate (Brand Ambassador)-WATTERS CREEK
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Career Development | Fun Stores | Free Product | 40% Discount
Added 16 mins ago
Head of AI Security Governance and Data Security
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Demonstrated ability managing large technology development efforts within a major line of business
Added 16 mins ago
Weekend Shift Production Supervisor
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Provides training, motivation, and support to employees regarding company procedures, development opportunities, and departmental processes.
Added 16 mins ago
3rd Shift - Shift Production Supervisor
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Provides training, motivation, and support to employees regarding company procedures, development opportunities, and departmental processes.
Added 19 mins ago
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Golf Operations Manager
Troon
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- $60,000 to $65,000 USD / year
Assists in the development and day-to-day tracking of the budget and business plan. Helps to control expenses in relation to revenues.
Added 19 mins ago
Community Engagement Coordinator (Statewide Position) – Various Home Office Locations in CA, Job ID 89798
University of California Agriculture and Natural Resources
CA
…programs with statewide reach. The Coordinator will analyze program content and delivery needs to determine effectiveness of current programs and identify underrepresented constituencies in…
Added 20 mins ago
Assistant Project Manager Intern (Summer 2027) - Broken Arrow, OK
Interstates
Broken Arrow, OK · Tulsa, OK
Education: Pursuing a Bachelor's or associate's degree in Construction Engineering, Business Administration, Construction technology or Construction Management
Added 21 mins ago
Center Operations Director
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Coordinate and prepare material for Center Leadership Team (CLT) meetings with the goal of improving quality, patient safety, and outlier management. Ensure ongoing development to achieve…
Added 21 mins ago
Learning Business Partner
Mars IS US
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This role owns the end-to-end learning value chain - from strategic business relationship management and performance consulting to learning needs analysis, high-level learning solution…
Added 21 mins ago
Production Shift Manager - Nights
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United States
…safety, quality, continuous improvement, performance management, associate development, team engagement, and operating results for the night shift through hands-on leadership of our…
Added 21 mins ago
Associate Director, Study Management
Precision for Medicine
Frederick, MD
Collaborate with senior scientific and operational leadership to provide continuous development/improvement of business processes to support cross-functional teams and to ensure that work…
Added 22 mins ago
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Merchandising ASM
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Syracuse, NY
- $62,000 to $104,000 USD / year
The Merchandising Assistant Store Manager collaborates with peers on the store leadership team as well as the District Manager and Area support staff to assess the needs of our customers…
Added 22 mins ago
LU
Assistant Professor of Business-Strategic Management
Linfield University
McMinnville, OR
- $85,000 USD / year
Linfield University invites applications for a full-time, tenure-track Assistant or Associate Professor of Strategic Management in the School of Business. We are seeking an enthusiastic and…
Added 23 mins ago
XDT Market Supervisor
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Career Development: If you're ready to advance into a leadership role and build your path to career advancement, we'll be with you every step of the way. We encourage you to learn and grow…
Added 23 mins ago
RN Clinical Coordinator
University of Massachusetts Medical School
Westborough, MA
Under the general direction of the Associate Director, or designee, the Clinical Coordinator is responsible to develop, prioritize, and oversee staff activities specifically designed to…
Added 23 mins ago
Learning Business Partner
Mars IS US
United States
This role owns the end-to-end learning value chain - from strategic business relationship management and performance consulting to learning needs analysis, high-level learning solution…
Added 23 mins ago
Production Shift Manager - Nights
Royal Canin USA Inc
United States
…safety, quality, continuous improvement, performance management, associate development, team engagement, and operating results for the night shift through hands-on leadership of our…
Added 26 mins ago
System Administrator (IT Operations) - Secret Clearance Required
GD Information Technology, Inc.
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…security of IT services. We also actively contribute to the development of knowledge bases, documentation, and training materials to improve overall support effectivenessThe IT Operations…

Closed listing

Humana

Lead, Organic Risk Adjustment

Jefferson City, MO, 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.

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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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