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HOME PHOTO ELEC/ASST DEPT LEADER
The Kroger Co.
Wasilla, AK
…department. Support the day-to-day functions of the department operations. Embrace the Customer 1st strategy and encourage associates to deliver excellent customer service. Demonstrate the…
Added 2 mins ago
Assistant Branch Manager II - Bilingual Preferred (English/Spanish)
SiteOne Landscape Supply
Carpinteria, CA
…Branch Manager in achieving excellence in all facets of branch operations including inventory management, team development, customer value, and overall financial performance and…
Added 4 mins ago
Technical Support Analyst, Information Systems Specialist 5 (Pendleton/Madras) Multiple Positions
Department of Corrections
United States
An associate’s degree in computer science or information technology, OR completion of a two (2) year accredited vocational training program in information technology AND two (2) years of…
Added 5 mins ago
PREMIUM CONCESSIONS ASSISTANT MANAGER-CRYPTO.COM ARENA
Compass Group
Los Angeles, CA
Summary: Manages the operations of concession stands and performs a variety of concessions duties while providing a pleasant guest experience.
Added 5 mins ago
CG
FOOD PRODUCTION MANAGER (FOOD MANUFACTURING)
Compass Group
LONGVIEW, TX
- $70,000 to $80,000 USD / year
…for planning, directing, and coordinating daily production operations within a food manufacturing facility. This role ensures the efficient preparation and timely delivery of high-quality…
Added 5 mins ago
Manufacturing Technician
SEDAA
Sylmar, CA
Job Description Title MES Associate 1 (OPS/MF/OPS1/13083/073)
Added 9 mins ago
HOME PHOTO ELEC/ASST DEPT LEADER
The Kroger Co.
Eagle River, AK
…department. Support the day-to-day functions of the department operations. Embrace the Customer 1st strategy and encourage associates to deliver excellent customer service. Demonstrate the…
Added 9 mins ago
GARDEN CTR/DEPT LEADER
The Kroger Co.
Beaverton, OR
…department. Support the day-to-day functions of the department operations. Embrace the Customer 1st strategy and encourage associates to deliver excellent customer service. Demonstrate the…
Added 9 mins ago
TC
Full Time Administrative Coordinator
TJX Companies
Boardman, OH
- $14.5 to $15 USD / hour
- Full-time
Benefits include: Associate discount; EAP; smoking cessation; bereavement; 401(k) Associate contributions; child care & cell phone discounts; pet & legal insurance; credit union; referral…
Added 10 mins ago
PRODUCE/LEAD CLERK
The Kroger Co.
Kent, WA
…department. Support the day-to-day functions of the Produce operations. Embrace the Customer 1st strategy and encourage associates to deliver excellent customer service. Demonstrate the…
Added 11 mins ago
Assistant Category Manager, Snacking
The Kroger Co.
Cincinnati, OH
- 2+ years of experience with replenishment buying/procurement, merchandising, store assistant leader, operations or brand management
Added 11 mins ago
Nurse Practitioner
The Kroger Co.
Louisville, KY
Manage the clinic's inventory and order supplies to maintain cost effective clinical operations
Added 11 mins ago
Contract manager
Rolls-Royce
United States
Advising procurement and program teams on flow-down of U.S. government prime contract clauses into subcontracts and purchase orders.
Added 11 mins ago
Nurse Practitioner
The Kroger Co.
Louisville, KY
Manage the clinic's inventory and order supplies to maintain cost effective clinical operations
Added 11 mins ago
Physician Assistant
The Kroger Co.
Charlestown, IN
Manage the clinic's inventory and order supplies to maintain cost effective clinical operations
Added 11 mins ago
Nurse Practitioner
The Kroger Co.
Charlestown, IN
Manage the clinic's inventory and order supplies to maintain cost effective clinical operations
Added 11 mins ago
VC
Environmental Health Specialist I/II/III - Community Services
Ventura County
Ventura, CA
- $29.02 to $53.72 USD / hour
Educational Incentive - An educational incentive of 2.5% for completion of an associate's degree, 3.5% for completion of a bachelor's degree, OR 5% for completion of a graduate's degree.
Added 14 mins ago
AB
Sales Associate – Optical - Part Time
America's Best
Holland, OH
- Part-time
As a Sales Associate, you’ll play a key role in delivering an exceptional experience for our customers while supporting store operations and sales goals.
Added 14 mins ago
Maintenance Technician Job
Arkema
Ashland, OH
Support Plant Operations to minimize production impacts and enhance reliability.
Added 14 mins ago
W
USA) Optician, Licensed – Sam’s Club. Full-Time. Reynoldsburg, OH. $29.00+ USD Hourly
Walmart
REYNOLDSBURG, OH
- $29 to $37 USD / hour
- Full-time
…repairs. As applicable and under guidance of the contracted or associate Optometrist, schedules patient appointments, performs pre-testing, and records results. Embraces the utilization of…
Added 14 mins ago
W
(USA) Optician, Dual-Licensed – Sam’s Club (OH & SC only). Full-Time. Reynoldsburg, OH. $31.00+ USD Hourly
Walmart
REYNOLDSBURG, OH
- $31 to $39 USD / hour
- Full-time
…repairs. As applicable and under guidance of the contracted or associate Optometrist, schedules patient appointments, performs pre-testing, and records results. Embraces the utilization of…
Added 14 mins ago
W
(USA) Lead, Operations (All Distribution/Fulfillment Centers) - Logistics
Walmart
Groveport, OH
- $26.95 to $30.45 USD / hour
Supports associate engagement by providing learning opportunities building relationships providing crosstraining opportunities and consistently encouraging teamwork with other areas Ensures…
Added 14 mins ago
A
Hiring Immediately- Production Associate
Aerotek
Grove City, OH
- $21.5 USD / hour
…training effectiveness, and cross-training efforts to keep operations running smoothly and…
Added 14 mins ago
RN Clinical Lead - Intermediate Care (Mansfield)
OhioHealth
Mansfield, OH
…the design, development, implementation and evaluation of the program services within area of responsibility. The RN Clinical Leader assures quality, service, and satisfaction goals are…
Added 14 mins ago
Associate Business Analyst
Marathon Petroleum Corporation
Findlay, OH
…associated governance processes that support critical business operations across the enterprise. This role is responsible for ensuring the accuracy, integrity, consistency, and…

Closed listing

Humana

Process Improvement Lead

United States

Remote

$94,900 - $130,500 per year

This opening has closed.

The original listing is kept below for reference.

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About employer

Job details

Pay: $94,900 - $130,500 per year
Workplace: Remote
Working hours: 40 hours per week
Posting language: English
Posted: Nov 3, 2026

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Original job description

Archived listing. The details below describe a past opening.

Become a part of our caring community

This is a remote position.

You will serve as a strategic partner to encounter leadership, translating priorities into decisions, action, and measurable results. You will organize complex work, build relationships across teams, and present clear recommendations to C-suite executives. Using data and stakeholder input, you will establish governance, anticipate risks, clarify accountability, and improve Medicaid encounter submission performance. You will report to the Director, Encounter Data Management.

Key Responsibilities

Partner with encounter leadership to set priorities, prepare decisions, and drive follow-through on strategic initiatives.
Organize multiple priorities, meetings, decisions, owners, and timelines to keep complex work moving.
Build trusted relationships across operations, technology, compliance, markets, vendors, providers, and regulatory partners.
Prepare and present concise updates, risks, options, and recommendations to C-suite executives and other senior leaders.
Lead governance forums focused on performance, risks, dependencies, decisions, and regulatory readiness.
Translate complex encounter processes and business needs into clear workflows, dashboards, insights, and decision points.
Anticipate regulatory, platform, volume, and data quality risks before they affect encounter submissions.
Drive cross-functional issues from root cause analysis through solution development, executive communication, and resolution.
Create and maintain processes and documentation for Medicaid contract compliance and risk oversight.
Use data to challenge assumptions, recommend priorities, and improve inefficient processes respectfully and constructively.
Demonstrated experience preparing and presenting business risks, results, or recommendations to C-suite executives or equivalent senior leaders.

Use your skills to make an impact

This role is not eligible for work visa sponsorship.

Required Qualifications

Bachelor's degree.
5+ years of experience in process improvement, business operations, strategy, or program leadership.
2+ years of experience leading cross-functional projects or enterprise initiatives.
2+ years of experience processing medical claims and/or encounter submissions.
Demonstrated experience organizing multiple priorities, stakeholders, decisions, and deadlines.
Demonstrated experience building relationships and influencing across functions without direct authority.

Preferred Qualifications

Experience with Medicaid or Medicare encounter data.
Experience with healthcare claims processing.
Experience with governance, regulatory readiness, dashboards, or corrective action planning.

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

40 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.

$94,900 - $130,500 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: 11-06-2026

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.

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