Jobs in the United States

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Added 3 mins ago
Senior Operations Technician (Fermentation)
Merck
De Soto, KS
…Kansas City metropolitan area. The Animal Health facility is part of the global Animal Health Manufacturing Division network and a key contributor to the manufacturing of animal health…
Added 13 mins ago
Sales Associate, Trauma (Johnson City, TN) - Johnson & Johnson MedTech, Orthopaedics
J&J Family of Companies
Johnson City, TN
We are searching for the best talent for Sales Associate to be in Johnson City, TN.
Added 14 mins ago
W
(USA) Freight Flow Associate
Walmart
MURFREESBORO, TN
- $20 to $28 USD / hour
…ensuring prominent display of promotional and seasonal merchandise processing defective merchandise following company and regulatory policies and procedures for sanitation and food safety…
Added 14 mins ago
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(USA) Meat Lead
Walmart
Nashville, TN
- $24 to $32 USD / hour
Live Better U is a company paid education benefit program for full-time and part-time
Added 27 mins ago
Deli Clerk
Albertsons Companies
DOVER, NH · Dover, NH
Organization & Time Management: Managing multiple tasks while maintaining workflow and service speed
Added 27 mins ago
Front End Entry Level
Albertsons Companies
AUDUBON, NJ · Audubon, NJ
Another part of the role is keeping the front end organized, clean, and running consistently throughout the day. You’ll rotate between tasks like handling transactions, collecting carts,…
Added 31 mins ago
W
.com Systems Operator S4
Walmart
LITHIA SPRINGS, GA
- $24.6 to $28.1 USD / hour
Live Better U is a company paid education benefit program for full-time and part-time associates in Walmart and Sam's Club facilities. Programs range from high school completion to…
Added 31 mins ago
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Freight Flow Associate-1
Walmart
MCDONOUGH, GA
- $19 to $27 USD / hour
…ensuring prominent display of promotional and seasonal merchandise processing defective merchandise following company and regulatory policies and procedures for sanitation and food safety…
Added 48 mins ago
S
OnSite Specialist - St. Louis, MO
Stryker
Saint Louis, MO
- $21.58 to $29.2 USD / hour
+ Collaborate with surgeons, operating room personnel, central processing, biomedical staff, and other clinical partners to deliver excellent service and build strong working relationships.
Added 50 mins ago
Renewal and Reporting Analyst
CVS Health
Remote, United States
…prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a…
Added 50 mins ago
HIM Assistant I
North Memorial Health Care
Robbinsdale, MN
As North Memorial Health is a non-profit organization you are eligible for the Public Student Loan Forgiveness program. Most part-time and all full-time positions are eligible for benefits.
Added 51 mins ago
Customer Service Associate - Closing Shift
Raising Cane's
Coon Rapids, MN
As an important part of our team, Customer Service Associates impact all areas of the customer experience. As the name suggests, your main priority is to provide great customer service. In…
Added 51 mins ago
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(USA) Freight Flow Associate - PT
Walmart
SHAKOPEE, MN
- $21 to $29 USD / hour
…ensuring prominent display of promotional and seasonal merchandise processing defective merchandise following company and regulatory policies and procedures for sanitation and food safety…
Added 51 mins ago
W
(USA) Freight Flow Associate
Walmart
WOODBURY, MN
- $21 to $29 USD / hour
…ensuring prominent display of promotional and seasonal merchandise processing defective merchandise following company and regulatory policies and procedures for sanitation and food safety…
Added 51 mins ago
W
(USA) Freight Flow Associate
Walmart
WOODBURY, MN
- $21 to $29 USD / hour
…ensuring prominent display of promotional and seasonal merchandise processing defective merchandise following company and regulatory policies and procedures for sanitation and food safety…
Added 51 mins ago
SO
Provider Eligibility and Compliance Specialist / Human Services Program Specialist 1
State of Minnesota
St. Paul, MN
- $23.98 to $34.69 USD / hour
Associate degree in related field and 1 year advanced administrative support, paraprofessional, or technical experience
Added 51 mins ago
Customer Service Associate - Morning Shift
Raising Cane's
Brooklyn Park, MN
As an important part of our team, Customer Service Associates impact all areas of the customer experience. As the name suggests, your main priority is to provide great customer service. In…
Added 51 mins ago
RC
Restaurant Crewmember - Late Night Shift (part-time)
Raising Cane's
Brooklyn Park, MN
- Part-time
…Cane’s hat) while working hard and having fun as a critical part of the Restaurant team. We are hiring immediately for Restaurant Crew to work all shifts: opening shifts, closing shifts and…
Added 51 mins ago
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Freight Flow Associate-3
Walmart
Saint Cloud, MN
- $19 to $27 USD / hour
…ensuring prominent display of promotional and seasonal merchandise processing defective merchandise following company and regulatory policies and procedures for sanitation and food safety…
Added 51 mins ago
W
Freight Flow Associate-5
Walmart
Saint Cloud, MN
- $19 to $27 USD / hour
…ensuring prominent display of promotional and seasonal merchandise processing defective merchandise following company and regulatory policies and procedures for sanitation and food safety…
Added 51 mins ago
Warehouse & Logistics Associate
Stratasys
Plymouth, MN
The Warehouse & Logistics Associate is responsible for a variety of critical tasks, including shipping, receiving, storing, and distributing products, materials, and supplies. You'll play a…
Added 51 mins ago
Customer Service Associate - Nights/Weekends
Raising Cane's
Shoreview, MN
As an important part of our team, Customer Service Associates impact all areas of the customer experience. As the name suggests, your main priority is to provide great customer service. In…
Added 1 hour ago
Front End Entry Level
Albertsons Companies
ASHLAND, MA · Ashland, MA
Another part of the role is keeping the front end organized, clean, and running consistently throughout the day. You’ll rotate between tasks like handling transactions, collecting carts,…
Added 1 hour ago
Deli Clerk
Albertsons Companies
CENTER CONWAY, NH · Center Conway, NH
Organization & Time Management: Managing multiple tasks while maintaining workflow and service speed
Added 1 hour ago
Oncology Sales Representative - Salt Lake City, UT / Las Vegas, NV
Merck
Jefferson City, MO
+ Review and evaluate patterns for products purchased and prescribed (outpatient vs in-patient infusion, as part of hospital or GPO contract, etc.)

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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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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