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Added 1 min ago
Merchandise Manager
Ulta Beauty, Inc.
Mebane, NC
Support all aspects of associate professional development, including training, providing individualized competency-based feedback and coaching, succession planning, and individual…
Added 1 min ago
UB
Sales Manager
Ulta Beauty, Inc.
Skillman, NJ
- $28 to $35 USD / hour
…leads a team of Beauty Advisors, Prestige Beauty Advisors, and Lead Cashiers and is accountable for all aspects of the retail business with the exception of boutiques, including sales,…
Added 1 min ago
UB
Operations Manager
Ulta Beauty, Inc.
San Jose, CA
- $28 to $35 USD / hour
Support all aspects of manager and associate professional development, including training, providing individualized competency-based feedback and coaching, performance reviews, succession…
Added 13 mins ago
CS
Lead Tutoring Program Coordinator - Part Time
COMMUNITY SERVICES FOUNDATION
WASHINGTON, DC
- $20 to $22 USD / hour
- Part-time
The Lead Tutoring Program Coordinator is responsible for planning, coordinating, and implementing a variety of community-based programs and events for children, youth, and teens. This…
Added 19 mins ago
UO
Professional Assistant
University of Colorado Denver
Boulder, CO
- $47,900 to $52,000 USD / year
…has responsibility in directing administrative functions and planning for the CDH Director and Associate…
Added 19 mins ago
UO
Director of Strategic Initiatives
University of Colorado Denver
Boulder, CO
- $99,700 to $115,000 USD / year
Lead the project management, coordination and overall process for Leeds' AACSB accreditation process, in close partnership with the Associate Dean for Research and Academics, who provides…
Added 39 mins ago
Assistant Nurse Manager
Veterans Affairs, Veterans Health Administration
Seattle, WA
Added 50 mins ago
HR Coordinator
E11EVEN Club Hotel & Residences
Miami, FL
…expert guidance through all stages of the property cycle, from planning and development through recapitalization or disposition. Highgate continues to demonstrate success in developing a…
Added 55 mins ago
Safety & Training Specialist
HX5, LLC
US-OH-Cleveland, OH
…safety/consensus standards. SHE compliance is assessed using program procedures that are developed and verified through audits and workplace evaluations. The Safety and Training Specialist…
Added 59 mins ago
Registered Nurse (Nephrology)
Veterans Affairs, Veterans Health Administration
Mather AFB, CA
Added 1 hour ago
AC
Supply Chain Planner
Aston Carter
Torrance, CA
- $35 to $45 USD / hour
Two (2) or more years of related experience in roles such as Material Planner, Production Planner, Buyer, Program Manager, Operations Lead, or similar supply chain functions.
Added 1 hour ago
Social Services Assistant
Veterans Affairs, Veterans Health Administration
San Diego, CA
Added 1 hour ago
UO
Part-Time Temporary Project Coordinator
University of Colorado Denver
Boulder, CO
- $34,986 USD / year
- Part-time
…Education and supports the development and launch of a non-credit program designed to prepare individuals to sit for the International Coaching Federation's Associate Certified Coach (ACC)…
Added 1 hour ago
UO
Lead Teacher/ Infant Program Supervisor - Posted Internal Only
University of Colorado Denver
Boulder, CO
- $34,986 USD / year
The Children's Center at CU Boulder welcomes applications for the Lead Teacher/Infant Program Supervisor position! This role provides childcare for children of families affiliated with the…
Added 1 hour ago
D
Supervisor, Inventory
DSV
Fort Worth, TX
- $70,000 to $80,000 USD / year
…inventory accuracy through the administration of the cycle count program and the thorough analysis and response to miscellaneous issues and receipts. The Inventory Supervisor is also…
Added 2 hours ago
Nurse (VA Liaison for Healthcare)
Veterans Affairs, Veterans Health Administration
Fort Drum, NY
…health care facility. The VA Liaison is accountable for clinical program effectiveness and modification of service patterns. Responsibilities There is a nationally recognized initiative to…
Added 2 hours ago
Registered Nurse - Supervisory Assistant Nurse Manager
Veterans Affairs, Veterans Health Administration
Bronx, NY
Added 3 hours ago
BP
Associate Director, Media Planning
Bully Pulpit International
Remote, United States
- $100,000 to $110,000 USD / year
In this position as an Associate Director, Media Planning, you will act as a core contributor to team priorities, effectively communicating the strategic value and "why" behind specific…
Added 3 hours ago
BC
Director of Housing Services
Brilliant Corners
San Francisco, CA
- $130,000 to $145,000 USD / year
…streams, and service models and is accountable for overall program performance, fiscal stewardship, contract compliance, and high-quality service delivery. The Director leads through two…
Added 3 hours ago
Associate Director, Development (Regional Portfolio)
Braven
Remote, United States
In order to achieve its ambition of serving 80,000-100,000 Fellows over the next decade, Braven is hiring an Associate Director, Development (Regional Portfolio) who will drive the strategy…
Added 3 hours ago
Associate Director, People Strategy & Systems
Braven
Remote, United States
Lead the planning and logistics of People team stepbacks
Added 3 hours ago
Associate Director, Program Operations
Braven
Remote, United States
In order to achieve its ambition of serving 80,000–100,000 Fellows over the next decade, Braven is hiring an Associate Director, Program Operations – Post Accelerator, to lead the design,…
Added 3 hours ago
Associate Director, Program Operations
Braven
Remote, United States
In order to achieve its ambition of serving 80,000–100,000 Fellows over the next decade, Braven is hiring an Associate Director, Program Operations – Post Accelerator, to lead the design,…
Added 3 hours ago
Associate Director, Program Operations
Braven
Remote, United States
In order to achieve its ambition of serving 80,000–100,000 Fellows over the next decade, Braven is hiring an Associate Director, Program Operations – Post Accelerator, to lead the design,…
Added 3 hours ago
Associate Director, Higher Education Partnerships
Braven
Remote, United States
Lead the internal strategy, planning, and coordination of MOU renewals across your portfolio, partnering with Regional Senior Directors who own the institutional relationship and with…

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.

About employer

More about this job

Skills

Process improvement
Leadership
Data management
Regulatory compliance
Root cause analysis
Communication skills
Manage processes
Documentation
Relationship building
Claims processing

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