Jobs in the United States

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Added 4 mins ago
Fresh Cut Produce Clerk
Albertsons Companies
BOSTON, MA · Boston, MA
· Multitasking & Time Management: Capable of juggling multiple tasks efficiently in a fast-paced environment.
Added 4 mins ago
Front End Entry Level
Albertsons Companies
DARTMOUTH, MA · Dartmouth, 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 4 mins ago
Retail Sales and Store Support
Albertsons Companies
MESA, AZ · Mesa, AZ
As a Retail Sales and Store Support team member, your day is focused on keeping the store clean, organized, and easy to shop. You help customers locate what they need, answer questions, and…
Added 4 mins ago
Front End Entry Level
Albertsons Companies
BOSTON, MA · Boston, 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 4 mins ago
Fresh Cut Produce Clerk
Albertsons Companies
DARTMOUTH, MA · Dartmouth, MA
· Multitasking & Time Management: Capable of juggling multiple tasks efficiently in a fast-paced environment.
Added 8 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 8 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 8 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 8 mins ago
W
(USA) Pharmacy Manager-$30K Sign On Bonus
Walmart
Mcminnville, OR
- $112,000 to $197,000 USD / year
…and Federal guidelines Manages Pharmacy Operations Conducts Associate meetings to identify and respond to their needs concerns and issues related to pharmacy products or services and to…
Added 8 mins ago
Associate Claim Representative - Auto Damage
Travelers Insurance Company
Lake Oswego, OR
…experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash…
Added 8 mins ago
HR Manager
Compass Group, North America
Corvallis, OR
Levy is seeking a dynamic and people-focused Human Resources Manager to support our team at Oregon State University in Corvallis, OR. This role is an exciting opportunity for an HR…
Added 8 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 8 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 8 mins ago
Senior Product Owner/Manager, Next Best Action Configuration
Humana
Salem, OR
To help deliver on this mission, we are seeking a Product Owner to support the continued expansion of Humana's enterprise Next Best Action (NBA) decisioning capability. As part of the NBA…
Added 8 mins ago
Lead Service Designer
Humana
Salem, OR
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal…
Added 8 mins ago
Lead Product Manager, Channels
Humana
Salem, OR
Translate channel needs into clear business, functional, and technical requirements that support NBA integration and adoption.
Added 8 mins ago
Senior Product Owner
Humana
Salem, OR
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal…
Added 8 mins ago
Configuration Lead, Compensation
Humana
Salem, OR
…implement, and optimize scalable compensation solutions that support business objectives, regulatory requirements, and the associate experience. The Lead provides strategic guidance on…
Added 8 mins ago
Lead Product Owner
Humana
Salem, OR
Support the testing and validation of business rules and product capabilities prior to implementation.
Added 8 mins ago
Process Improvement Lead
Humana
Salem, OR
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal…
Added 8 mins ago
Senior Contract Tools, Education, Processes Professional
Humana
Salem, OR
Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal…
Added 8 mins ago
GA
Principal Technical Product Manager, Data & Platform
GE Aerospace
Salem, OR
- $152,000 to $222,000 USD / year
As part of the GE Aerospace Digital Technology organization supporting the Defense & Systems (D&S) business, the Principal Technical Product Manager, Data & Platform owns the D&S Palantir…
Added 8 mins ago
GA
Sr Staff Applications Operations Engineer – Engineering Tools Automation & AI Ops
GE Aerospace
Salem, OR
- $131,000 to $174,000 USD / year
…Operational owner maintaining incident management, change controls, support coverage, and provisioning…
Added 9 mins ago
Sales Associate - PT
GNC Holdings LLC
Henrietta, NY
At GNC, we celebrate the fact that everyone's journey to living well is unique. As a Sales Associate, you have a passion for discovering customers' needs and goals and creates a unique…
Added 9 mins ago
IL
Part Time Before/After School Site Director - Parker, CO Area
Innovation Learning, LLC.
Parker, CO
- $25 to $29 USD / hour
- Part-time
Schedule: Part-Time (Before & After School, School Breaks, and Summer Programs)

Humana

Process Improvement Lead

Salem, OR, 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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