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Added 2 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 2 mins ago
SPS Resource Associate
Hartford HealthCare
New Britain, CT
…expiration checks and par level management. * Help assist Sterile Processing by completing various tasks around the department, as well as support the Operating Rooms * High school graduate…
Added 2 mins ago
GA
Sr Staff Applications Operations Engineer – Engineering Tools Automation & AI Ops
GE Aerospace
Norwalk, CT
- $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 2 mins ago
Process Improvement Lead
Humana
Hartford, CT
2+ years of experience processing medical claims and/or encounter submissions.
Added 6 mins ago
Front End Entry Level
Albertsons Companies
GOLETA, CA · Goleta, CA
Transaction Handling: Processing purchases accurately, including cash, card, and digital payments
Added 6 mins ago
Front End Entry Level
Albertsons Companies
WINDSOR, CO · Windsor, CO
Transaction Handling: Processing purchases accurately, including cash, card, and digital payments
Added 6 mins ago
Deli Clerk
Albertsons Companies
GUERNEVILLE, CA · Guerneville, CA
Cash Handling: Processing transactions and making accurate change using register systems (varies by location)
Added 6 mins ago
Deli Clerk
Albertsons Companies
SAN DIEGO, CA · San Diego, CA
Cash Handling: Processing transactions and making accurate change using register systems (varies by location)
Added 6 mins ago
Front End Entry Level
Albertsons Companies
ROCKLIN, CA · Rocklin, CA
Transaction Handling: Processing purchases accurately, including cash, card, and digital payments
Added 6 mins ago
Front End Entry Level
Albertsons Companies
CARVER, MA · Carver, MA
Transaction Handling: Processing purchases accurately, including cash, card, and digital payments
Added 6 mins ago
Deli Clerk
Albertsons Companies
OLYMPIA, WA · Olympia, WA
Cash Handling: Processing transactions and making accurate change using register systems (varies by location)
Added 6 mins ago
Fuel Station Attendant
Albertsons Companies
OLYMPIA, WA · Olympia, WA
Transaction Handling: Processing purchases accurately using cash registers and payment systems
Added 10 mins ago
W
(USA) Senior Meat Cutter
Walmart
Norman, OK
- $19 to $27 USD / hour
…and backroom operations providing meat products to members by processing meat according to specifications for example cutting slicing grinding and wrapping meat products ensuring compliance…
Added 11 mins ago
Parts Warehouse Assoc I
Warren Equipment Company
Oklahoma City, OK
The Parts Warehouse Associate I plays a critical role in supporting warehouse operations, inventory accuracy, customer satisfaction, and overall operational efficiency within the parts…
Added 19 mins ago
SE
Freight Flow Associate
Sam's East, Inc.
Austin, TX
- $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 19 mins ago
SE
(USA) Freight Flow Associate
Sam's East, Inc.
Albuquerque, NM
- $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 22 mins ago
Child Welfare Family Support Specialist
LINCOLN COUNTY
MERRILL, WI
Added 22 mins ago
W
(USA) Freight Flow Associate
Walmart
ONALASKA, WI
- $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 22 mins ago
Sales Associate II
COACH INC
PLEASANT PRAIRIE, WI
Added 22 mins ago
Customer Service Senior Assistant
Smurfit Westrock
Pleasant Prairie, WI
Manage accounts through processing incoming orders, and/or inquiries, by scheduling demand on machines, and managing orders to ensure customer's delivery requirements are met.
Added 22 mins ago
AC
Administrative Assistant/ Accounting Associate
Aston Carter
Fond Du Lac, WI
- $22 to $25 USD / hour
Join our team as an Administrative Assistant/Accounting Associate, where you will provide front office and administrative support, assist with project management tasks, and offer accounting…
Added 23 mins ago
Outbound Campaign Administrator
APEX SYSTEMS INC
GREEN BAY, WI
Added 23 mins ago
A
Sample Processing Associate - 3rd Shift
Abbott
Madison, WI
- $14.85 to $29.65 USD / hour
The Clinical Lab Associate I, Specimen Processing is responsible for performing the day-to-day operations of the Specimen Processing Department including, but not limited to, lab…
Added 23 mins ago
A
Clinical Lab Associate IV - 2nd Shift
Abbott
Madison, WI
- $22.45 to $44.85 USD / hour
The Clinical Lab Associate IV is responsible for supporting the Specimen Processing Supervisor in leading the day-to-day operations of the Specimen Processing Department; including, but not…
Added 23 mins ago
LAS Operations Training Specialist
Abbott
Madison, WI
Bachelor’s Degree in Engineering (e.g., mechanical, electrical, industrial) or a related technical field; or an Associate’s Degree and 2 years of relevant technical experience as outlined…

Closed listing

Humana

Process Improvement Lead

Oklahoma City, OK, 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.

About employer

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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