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Added 3 mins ago
Federal Business Development Representative
GovSignals
Washington, DC
We're the only startup managing government contract data with AI in both FedRAMP High and DoW Impact Level 5 environments. Our platform monitors 5,000+ live government data sources,…
Added 12 mins ago
Embedded Payments Product Solutions Architect-Executive Director
JPMC page
Chicago, IL · Jersey City, NJ · New York, NY · NY
…experiences for clients and their counterparties. EF&S serves as a platform orchestration layer across Payments- and firm-wide capabilities, driving growth through how those capabilities…
Added 14 mins ago
P
Enterprise SDR Manager
Pulley
New York City, NY
- $130,000 to $180,000 USD / year
We support rollout programs for brands like J.Crew, Solidcore, and Hibbett Sports, as well as major data center buildouts, EV charging networks, and other commercial projects. Our platform…
Added 15 mins ago
Epic Payer Platform Lead
Accenture
Bentonville, AR
Depending on the client engagement, the Epic Payer Platform Lead will be responsible for overseeing the collaboration of multiple team with Accenture team. This person needs hands-on build…
Added 15 mins ago
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Public Service - Higher Education Management Consulting Senior Manager – Transformation Lead
Accenture
Bentonville, AR
- $132,500 to $338,300 USD / year
…Engineering, and Talent, with advanced capabilities in AI and Data, Industry and Process, and Technology. We serve approximately 9,000 clients and generated approximately $70 billion in…
Added 15 mins ago
Technology Delivery Lead - Energy
Accenture
Bentonville, AR
You have implemented scalable platform engineering, enterprise integrations, and modern data ecosystems (e.g., OSDU).
Added 15 mins ago
A
Google Senior Data Engineer
Accenture
Bentonville, AR
- $94,400 to $266,300 USD / year
Accenture is a premier Google Cloud partner helping organizations modernize data ecosystems, build real-time analytics capabilities, and responsibly scale AI. As part of Accenture Cloud…
Added 15 mins ago
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Google Data Specialist
Accenture
Bentonville, AR
- $70,350 to $196,000 USD / year
Accenture is a premier Google Cloud partner helping organizations modernize data ecosystems, build real-time analytics capabilities, and responsibly scale AI. As part of Accenture Cloud…
Added 15 mins ago
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OD Software Sales Representative- Federal Civilian
Oracle
Little Rock, AR
- $76,800 to $122,900 USD / year
…you’ll help customers understand how Oracle’s infrastructure and platform software can address their business and mission needs. You’ll own your account plans and sales goals while…
Added 38 mins ago
Mid-Market Account Executive (Specialty Contractor)
Clearstory
Remote, United States
Strategically Expand Territory – Develop and execute data-driven prospecting plans to build a strong pipeline, establish credibility, and create new business opportunities.
Added 38 mins ago
Mid-Market Account Executive (General Contractor)
Clearstory
Remote, United States
Strategically Expand Territory – Develop and execute data-driven prospecting plans to build a strong pipeline, establish credibility, and create new business opportunities.
Added 39 mins ago
Senior Automation Engineer
Clear Labs
San Carlos, CA
Clear Labs builds an end-to-end, FDA-cleared next-generation sequencing (NGS) diagnostics platform. Our system, Clear Dx, combines automated sample-to-report workflows with an assay menu…
Added 39 mins ago
Senior / Staff Scientist, Assay Automation
Clear Labs
San Carlos, CA
…Illumina-based sequencing assays, from wet lab execution through data interpretation. The work directly determines assay reliability in clinical use and is foundational to scaling our…
Added 40 mins ago
Commercial Contracts Manager
Nominal
NY · WA
Nominal is building the Hardware Intelligence Platform that gives engineers increased visibility into complex physical systems, helps them make better decisions, and ultimately gets their…
Added 40 mins ago
Legal Counsel
Nominal
NY · WA
Nominal is building the Hardware Intelligence Platform that gives engineers increased visibility into complex physical systems, helps them make better decisions, and ultimately gets their…
Added 41 mins ago
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Epic Payer Platform Lead
Accenture
Oklahoma City, OK
- $94,400 to $266,300 USD / year
Depending on the client engagement, the Epic Payer Platform Lead will be responsible for overseeing the collaboration of multiple team with Accenture team. This person needs hands-on build…
Added 41 mins ago
Technology Delivery Lead - Energy
Accenture
Oklahoma City, OK
You have implemented scalable platform engineering, enterprise integrations, and modern data ecosystems (e.g., OSDU).
Added 41 mins ago
A
Google Data Specialist
Accenture
Oklahoma City, OK
- $70,350 to $196,000 USD / year
Accenture is a premier Google Cloud partner helping organizations modernize data ecosystems, build real-time analytics capabilities, and responsibly scale AI. As part of Accenture Cloud…
Added 41 mins ago
A
Google Senior Data Engineer
Accenture
Oklahoma City, OK
- $94,400 to $266,300 USD / year
Accenture is a premier Google Cloud partner helping organizations modernize data ecosystems, build real-time analytics capabilities, and responsibly scale AI. As part of Accenture Cloud…
Added 42 mins ago
Product Solutions-Tokenization, Reporting & Vault API's-Payments-Vice President
JPMC page
Tampa, FL · Chicago, IL · Plano, TX
…focus on credential management, reporting experiences, and developer-friendly integrations. If you enjoy partnering across product, engineering, sales, and marketing to deliver outcomes…
Added 51 mins ago
Associate Director - Third Party Risk Management
Deloitte
Saint Louis, MO
…Director will translate priorities into actionable plans, leverage data and digital tools to improve performance, advise senior stakeholders, and lead a high-performing…
Added 51 mins ago
Associate Director - Third Party Risk Management
Deloitte
Kansas City, MO
…Director will translate priorities into actionable plans, leverage data and digital tools to improve performance, advise senior stakeholders, and lead a high-performing…
Added 1 hour ago
Director of Engineering, Solution Engineering and Support
Claritas Rx
Remote, United States
…high-quality support once customers are live on the Ascend platform. You will partner closely with the Director of Implementations, Product, Sales, Customer Success, and Platform…
Added 1 hour ago
CR
Business Analyst
Claritas Rx
Remote, United States
- $115,000 to $125,000 USD / year
Our Ascend® platform represents the next generation of our delivery capability - a standardized, scalable implementation model that enables faster, higher-quality client onboarding across…
Added 1 hour ago
CR
Associate Business Analyst
Claritas Rx
Remote, United States
- $60,000 to $70,000 USD / year
Our Ascend® platform represents the next generation of our delivery capability - a standardized, scalable implementation model that enables faster, higher-quality client onboarding across…

Humana

Process Improvement Lead

Indianapolis, IN, United States

Remote

$94,900 - $130,500 per year

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Job details

Pay: $94,900 - $130,500 per year
Workplace: Remote
Working hours: 40 hours per week
Posting language: English
Posted: Nov 4, 2026

Original job description

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

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.

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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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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