Jobs in the United States

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Added 6 mins ago
Deli Clerk
Albertsons Companies
CANTON, MA · Canton, MA
Cash Handling: Processing transactions and making accurate change using register systems (varies by location)
Added 6 mins ago
Front End Entry Level
Albertsons Companies
DARTMOUTH, MA · Dartmouth, MA
Transaction Handling: Processing purchases accurately, including cash, card, and digital payments
Added 6 mins ago
Front End Entry Level
Albertsons Companies
BOSTON, MA · Boston, MA
Transaction Handling: Processing purchases accurately, including cash, card, and digital payments
Added 6 mins ago
Fuel Station Attendant
Albertsons Companies
MANSFIELD, TX · Mansfield, TX
Transaction Handling: Processing purchases accurately using cash registers and payment systems
Added 9 mins ago
Associate Banker, 20 Hours, Saint Helens, OR - St Helens Branch
JPMorgan Chase
Saint Helens, OR
As an Associate Banker within Chase, you will represent our brand and culture with the utmost hospitality, using the latest banking solutions and cutting-edge financial technology combined…
Added 9 mins ago
JC
Part-Time (30 Hours) Associate Banker, Brookings Branch, Brookings, OR
JPMorgan Chase
Brookings, OR
- Part-time
As an Associate Banker within Chase, you will represent our brand and culture with the utmost hospitality, using the latest banking solutions and cutting-edge financial technology combined…
Added 9 mins ago
Renewal and Reporting Analyst
CVS Health
Remote, United States
Provides plan benefit review, interpretation, and systematic setup, essential for online viewing and processing, related to customer service, claims, enrollment, billing, and reporting, in…
Added 9 mins ago
W
(USA) Pharmacy Manager-$30K Sign On Bonus
Walmart
Mcminnville, OR
- $112,000 to $197,000 USD / year
Provides comprehensive patient care to customers by processing and accurately dispensing prescription orders administering immunizations and administering other programs developed by…
Added 9 mins ago
Model Development & Decision Science Director
Columbia Bank
Lake Oswego, OR
Added 9 mins ago
UO
Operations Coordinator
University of Oregon
Eugene, OR
- $19.94 to $29.62 USD / hour
Two (2) years of general clerical experience. One year of which included typing, word processing, or other experience generating documents; OR
Added 9 mins ago
UO
Office Generalist
University of Oregon
Eugene, OR
- $19.94 to $29.62 USD / hour
CAS is organized into six Academic Support Units (ASUs), each housing staff, managers, and an associate director, who provide undergraduate and graduate academic support, as well as faculty…
Added 9 mins ago
JC
Part Time (20-Hours) Associate Banker, Bethany Village Branch, Portland, OR
JPMorgan Chase
Portland, OR
- Part-time
As an Associate Banker within Chase, you will represent our brand and culture with the utmost hospitality, using the latest banking solutions and cutting-edge financial technology combined…
Added 9 mins ago
Asset Management - J.P. Morgan Natural Capital - Forest Planning Associate
JPMorgan Chase
Portland, OR
Asset Management - J.P. Morgan Natural Capital – Forest Planning Associate
Added 9 mins ago
Personal Banker Silicon Forest
Wells Fargo
PORTLAND, OR
Wells Fargo is seeking an Associate Personal Banker (SAFE) to join our National Branch. In this frontline role, you will build relationships with customers by supporting everyday banking…
Added 9 mins ago
Associate Personal Banker Salem Main
Wells Fargo
SALEM, OR
Wells Fargo is seeking an Associate Personal Banker (SAFE) to join our National Branch. In this frontline role, you will build relationships with customers by supporting everyday banking…
Added 9 mins ago
Process Improvement Lead
Humana
Salem, OR
2+ years of experience processing medical claims and/or encounter submissions.
Added 9 mins ago
GA
Sr Staff Applications Operations Engineer – Engineering Tools Automation & AI Ops
GE Aerospace
Salem, OR
- $131,000 to $174,000 USD / year
Responsible for supporting and maintaining critical applications and related data processing platforms and services. Ensure the team has the facilities, tools, resources and skills they…
Added 13 mins ago
Receiving/Processing Associate
Shoppers World LTD Inc
Wethersfield, CT
We are looking for a friendly and detail-oriented receiving/processing associate to join our team in the retail industry. As a receiving/processing associate, you will play a crucial role…
Added 17 mins ago
Retail Team Leader
Ollie's Bargain Outlet
Pottstown, PA
Ensure proper scheduling and staffing for effective unload/processing of merchandise to the sales floor while driving associate productivity, daily task assignment, and customer service…
Added 18 mins ago
Senior Operations Technician (Fermentation)
Merck
De Soto, KS
Responsible for large scale antigen production and processing in accordance with GMP (Good Manufacturing Practices)
Added 18 mins ago
Accounting Specialist
University of Kansas
Lawrence, KS
Process daily deposits and payments for the university. Utilize dual control for opening secured drop boxes, processing deposits, payments made in person, transitioning couriered funds and…
Added 25 mins ago
Survey CAD Technician
GPAC
Pittsburgh, PA
Associate's degree, technical certification, or relevant experience in CAD, surveying, geomatics, or civil engineering.
Added 28 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 28 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 28 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…

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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