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Added 4 mins ago
Senior Operations Technician (Fermentation)
Merck
De Soto, KS
This Fermentation Senior Operations Technician position is available within our Antigen Manufacturing Team, at our Company's Animal Health (AH) facility in Desoto Kansas, located near the…
Added 4 mins ago
Package Assembly Production Coordinator (Olathe, Kansas (KS), US, 66061)
SPX
Olathe, KS
As part of HVAC Cooling, SPX Cooling Technologies is a leader in high quality industrial HVAC equipment used to cool large facilities like hospitals, data centers, and power plants. With…
Added 9 mins ago
UO
Open Rank- Assistant Professor, Associate Professor of Clinical Practice
University of Colorado Denver
Aurora, CO
- $40,123 USD / year
The Department of Neurosurgery currently seeks a Neurosurgeon at the Assistant or Associate Professor of Clinical Practice level to join the Neurosurgery Spine Team. This is a full-time…
Added 9 mins ago
UO
Family Physician - CU Medicine Family Medicine - Park Meadows Clinic Open Rank:
University of Colorado Denver
Aurora, CO
- $195,000 to $242,000 USD / year
…Medicine Family Medicine - Park Meadows clinic location as a full-time clinician.This position will provide high quality medical…
Added 9 mins ago
UO
Family Physician - UCHealth Family Medicine - Boulder Clinic - Open Rank: Senior
University of Colorado Denver
Aurora, CO
- $195,000 to $242,000 USD / year
…be considered. If the candidate has additional experience, Associate Professor or Professor will be…
Added 9 mins ago
UO
Pediatric Psychologist in Physical Medicine & Rehabilitation- Open Rank Assistan
University of Colorado Denver
Aurora, CO
- $113,000 to $125,000 USD / year
Job Title: Open Rank: Assistant Professor to Associate Professor
Added 9 mins ago
UO
Open Rank Hospital Dermatologist (Assistant Professor, Associate Professor) 0.5F
University of Colorado Denver
Aurora, CO
- $281,819 to $331,819 USD / year
Part-time (0.5FTE) (limited to in-patient services) or full-time (up to 1.0FTE)(inclusive of outpatient services) role available.
Added 9 mins ago
UO
Open Rank General Dermatologist with Interest in Developing Clinical Niche (Assi
University of Colorado Denver
Aurora, CO
- $263,638 to $324,748 USD / year
Part-time (limited to in-patient services) or full-time (inclusive of outpatient services) role available.
Added 14 mins ago
BP
Practice Manager - Collierville
Banfield Pet Hospital
Collierville, TN
- $62,450 to $90,205 USD / year
In partnership with the chief of staff, the Practice Manager plays a vital role in the hospital, managing day-to-day operations so the medical team can devote their time to delivering the…
Added 14 mins ago
Same Day Surgery Nurse Manager
HCA Healthcare
Hermitage, TN
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Added 14 mins ago
Regional Manager/Director
Bell Partners
Nashville, TN
…fullest potential. We rise above industry standards when every associate embraces their unique role and seizes the opportunity to make an…
Added 14 mins ago
W
(USA) Meat Lead
Walmart
Nashville, TN
- $24 to $32 USD / hour
…adhering to policies and being an advocate for the member the associate and the company working collaboratively with other team leaders to ensure the total club is meeting the members…
Added 14 mins ago
Senior Solution Architect
HCA Healthcare
Nashville, TN
…a uniquely purpose-driven company in the IT industry. As a part of that, we exist to Raise the bar, Unlock possibilities, and Care like…
Added 28 mins ago
Retail Warehouse Associate
Best Buy
Nashua, NH
…your LOA depends on your situation, where you live, your full-time or part-time employment status, and federal and state regulations. Intermittent or reduced-schedule leave is also…
Added 28 mins ago
File Maintenance Clerk
Albertsons Companies
LEWISTON, ID · Lewiston, ID
…and enjoys working independently to promote successful store operations and overall customer…
Added 28 mins ago
Baker
Albertsons Companies
OAKLEY, CA · Oakley, CA
…bakery team members to plan daily production needs and keep operations running…
Added 31 mins ago
Clinical Care Nurse (RN)
CenterWell
Morrow, GA
Support clinic operations through provider collaboration, care coordination, and community education initiatives.
Added 31 mins ago
Seasonal Cafe Associate (Plant Hatch) (GA, Baxley)
Five Star Breaktime Solutions
Baxley, GA
…Dining Services team. In this role, you’ll play an important part in creating an enjoyable experience for every guest by preparing and serving food items, maintaining cleanliness, and…
Added 31 mins ago
AB
Sales Associate – Optical – Part Time – Bilingual Spanish
America's Best
Canton, GA
- 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 31 mins ago
Assembly Associate - 1st Shift
Butler America
Kennesaw, GA
The Assembly Associate completes simple repetitive assembly operations of large or medium-sized components without use of machinery.
Added 31 mins ago
B
Retail Shortage Control - Part Time
Burlington
AUGUSTA, GA
- $13 USD / hour
- Part-time
You will enjoy a competitive wage, flexible hours, and an associate discount. Part-time associates, based on hours worked, may be eligible for Burlington's benefits package which includes…
Added 31 mins ago
Senior Insider Threat Engineer
Humana
Atlanta, GA
…mitigate insider risks. The position partners with Security Operations, HR, Legal, Compliance, and enterprise business partners to safeguard company assets, sensitive data, and workforce…
Added 48 mins ago
S
OnSite Specialist - St. Louis, MO
Stryker
Saint Louis, MO
- $21.58 to $29.2 USD / hour
+ Bachelor's or Associate's degree, or equivalent certifications.
Added 50 mins ago
Section Manager Maintenance
Northshore Mining Company
Silver Bay, MN
Manage the process of break-in work prioritization and decision making in each maintenance work group and coordinate this process with the Operations Section Manager and Supervisors.
Added 51 mins ago
GS
Customer Service Associate - St. Cloud, MN - (Part-Time)
Goodwill-Easter Seals of Minnesota
Waite Park, MN
- $11.41 to $20.01 USD / hour
- Part-time
A typical part-time schedule is up to 20 hours per week.

Closed listing

Humana

Process Improvement Lead

Nashville, TN, 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 4, 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

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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