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Added 2 mins ago
Director of Learning and Development
Plymouth Housing Group
Seattle, WA
As the Director of Learning and Development, you’ll shape how more than 500 employees across Housing Operations, Quality, Innovation and Health (QIH), Real Estate, Finance, and…
Added 6 mins ago
PR
General Manager in Training
Pizza Ranch Waukee
Waukee, IA
- $50,000 to $100,000 USD / year
…opportunity where our guests receive a legendary experience through quality food and service; and where we take a positive leadership position in the communities we serve and equip our…
Added 9 mins ago
EO
Network Operations Manager
Effortless Office
Remote, United States
- $100,000 to $120,000 USD / year
…depth to earn the respect of senior engineers, and has the leadership skills to develop them. You set a high standard, communicate clearly, take ownership, and care about the customer…
Added 13 mins ago
Senior Automation Controls Engineer
La-Z-Boy Incorporated
Monroe, MI
This position is responsible for the design, development, implementation, and optimization of automated manufacturing systems across La-Z-Boy operations. This role provides technical…
Added 15 mins ago
T
Associate Manager Full-time
Tumi
Brea, CA
- Full-time
Retail Store Associates may be eligible to participate in the quarterly sales bonus program. Store bonus payout eligibility is determined by performance to the quarterly sales plan which…
Added 15 mins ago
Assistant Manager
Tumi
Brea, CA
Retail Store Associates may be eligible to participate in the quarterly sales bonus program. Store bonus payout eligibility is determined by performance to the quarterly sales plan which…
Added 15 mins ago
Associate Manager PT under 20 hours - Roseville
Tumi
United States
This position may be eligible to participate in a company incentive program.
Added 18 mins ago
UO
Director or Senior Director, Impact Research and External Relations with PhET In
University of Colorado Denver
Boulder, CO
- $100,000 to $135,000 USD / year
PhET is a global, research-based program that has created more than 170 free, interactive simulations for science and math learning, reaching about 50 million users each year in more than…
Added 18 mins ago
UO
Public Health Program Director
University of Colorado Denver
Boulder, CO
- $75,000 to $84,000 USD / year
CU Boulder encourages applications for a Public Health Program Director! This role provides leadership and expertise for employee public health initiatives. The position develops,…
Added 18 mins ago
UO
Specialty Director of the Psychiatric Mental Health Nurse Practitioner Programs/
University of Colorado Denver
Aurora, CO
- $98,000 to $115,000 USD / year
Program. The ideal candidate would be qualified to hold a full-time (1.00 FTE) faculty appointment within the Instructional Faculty Series (rank will depend on the candidate's…
Added 26 mins ago
Operations Manager
Pennsylvania CVS Pharmacy, L.L.C.
Drexel Hill, PA
…position is not part of the CVS/pharmacy Retail Management Development Program. Operations Managers are not eligible for direct promotion to Store Manager. Candidates with a short-term goal…
Added 26 mins ago
Operations Manager
Oklahoma CVS Pharmacy, L.L.C.
Tulsa, OK
…position is not part of the CVS/pharmacy Retail Management Development Program. Operations Managers are not eligible for direct promotion to Store Manager. Candidates with a short-term goal…
Added 26 mins ago
Operations Manager
CVS Albany, L.L.C.
NY
…position is not part of the CVS/pharmacy Retail Management Development Program. Operations Managers are not eligible for direct promotion to Store Manager. Candidates with a short-term goal…
Added 26 mins ago
Operations Manager
North Carolina CVS Pharmacy, L.L.C.
Wilson, NC
…position is not part of the CVS/pharmacy Retail Management Development Program. Operations Managers are not eligible for direct promotion to Store Manager. Candidates with a short-term goal…
Added 26 mins ago
Operations Manager
Alabama CVS Pharmacy, L.L.C.
Oxford, AL
…position is not part of the CVS/pharmacy Retail Management Development Program. Operations Managers are not eligible for direct promotion to Store Manager. Candidates with a short-term goal…
Added 27 mins ago
Program Director, Space Electromagnetic Warfare
GRVTY
Sterling, VA
Align engineering, manufacturing, contracts, finance, quality, mission assurance, security, and business development behind program priorities.
Added 31 mins ago
Environmental Health & Safety Manager
Texas Children\'s
Houston, TX
…healthcare environment. In this role, you’ll provide operational leadership for environmental health and safety programs while partnering with leaders across the organization to strengthen…
Added 33 mins ago
Center Director for Preschool
Goddard School
Wilmington, DE
…position. A bachelor's degree in Early Childhood Education, Child Development or Elementary Education, and at least 2 years of experience as a director in a preschool setting is strongly…
Added 33 mins ago
UO
Part Time Graduate Program Support Assistant, College of Education & Human Development
University of Delaware
Newark, DE
- Part-time
The College of Education and Human Development has two academic departments, the School of Education and the Department of Human Development and Family Sciences and supports the Master of…
Added 33 mins ago
GH
Registered Nurse – RN
Genesis Healthcare
Seaford, DE
- $42 to $45 USD / hour
We are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in…
Added 34 mins ago
GH
Accounts Payable and Receivable Bookkeeper
Genesis Healthcare
Seaford, DE
- $22 to $24 USD / hour
We are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in…
Added 34 mins ago
Manager, Talent & Organizational Development
Chemours
Wilmington, DE
…performance management, talent reviews, succession planning, leadership development, career growth, and a organizational design. Partnering with the Director of Talent, HR Business Partners…
Added 34 mins ago
GH
Licensed Practical Nurse - LPN
Genesis Healthcare
Seaford, DE
- $30 to $33 USD / hour
We are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in…
Added 34 mins ago
GH
Registered Nurse – RN
Genesis Healthcare
Seaford, DE
- $42 to $45 USD / hour
We are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in…
Added 34 mins ago
GH
Accounts Payable and Receivable Bookkeeper
Genesis Healthcare
Milford, DE
- $22 to $24 USD / hour
We are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in…

Closed listing

Humana

Process Improvement Lead

Dover, DE, 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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