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Added 6 mins ago
Lead Product Manager, Channels
Humana
Jefferson City, MO
…integrated healthcare services, innovative technology, and data-driven…
Added 6 mins ago
Lead Product Owner
Humana
Jefferson City, MO
This role partners closely with business, compliance, operations, and technology teams to translate complex regulatory, operational, and business requirements into product capabilities,…
Added 6 mins ago
Process Improvement Lead
Humana
Jefferson City, MO
…present clear recommendations to C-suite executives. Using data and stakeholder input, you will establish governance, anticipate risks, clarify accountability, and improve Medicaid…
Added 6 mins ago
Senior Contract Tools, Education, Processes Professional
Humana
Jefferson City, MO
…complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable…
Added 6 mins ago
GA
Principal Technical Product Manager, Data & Platform
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Kansas City, MO · Saint Louis, MO
- $152,000 to $222,000 USD / year
…Systems (D&S) business, the Principal Technical Product Manager, Data & Platform owns the D&S Palantir Foundry environment and leads delivery across the technical teams that build on it and…
Added 6 mins ago
Lead Field Service Technician
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Coordinate with cross-functional teams to optimize field service operations and improve customer satisfaction.
Added 6 mins ago
GA
Sr Staff Applications Operations Engineer – Engineering Tools Automation & AI Ops
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Saint Louis, MO · Kansas City, MO
- $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 25 mins ago
Sr. Associate Strategic Planning & Operations
Amgen
Washington D.C., DC
Senior Associate, Strategic Planning and Operations (SPO), Engineering
Added 25 mins ago
Senior Insider Threat Engineer
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…mitigate insider risks. The position partners with Security Operations, HR, Legal, Compliance, and enterprise business partners to safeguard company assets, sensitive data, and workforce…
Added 25 mins ago
Cybersecurity, Privacy and Forensics - Palo Alto Networks XSIAM Engineer
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As a Senior Associate, you will leverage your skills to build meaningful client connections and navigate complex situations. You will anticipate the needs of your teams and clients,…
Added 25 mins ago
Lead Product Manager, Channels
Humana
Washington, DC
…integrated healthcare services, innovative technology, and data-driven…
Added 25 mins ago
Lead Product Owner
Humana
Washington, DC
This role partners closely with business, compliance, operations, and technology teams to translate complex regulatory, operational, and business requirements into product capabilities,…
Added 25 mins ago
Process Improvement Lead
Humana
Washington, DC
…present clear recommendations to C-suite executives. Using data and stakeholder input, you will establish governance, anticipate risks, clarify accountability, and improve Medicaid…
Added 25 mins ago
Senior Contract Tools, Education, Processes Professional
Humana
Washington, DC
…complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable…
Added 25 mins ago
Healthcare Financial Advisory Services Associate
Huron Consulting Group
Washington, DC
…changing healthcare environment and optimize existing business operations, improve clinical outcomes, create a more consumer-centric healthcare experience, and drive physician, patient and…
Added 25 mins ago
CG
FOOD SERVICE WORKER/CASHIER (FULL TIME)
Compass Group, North America
WASHINGTON, DC
- $23.3 USD / hour
- Full-time
Added 25 mins ago
Senior Threat Hunter
SOS International LLC
Washington, DC
…customer. This role is responsible for conducting threat hunting operations, analyzing data from multiple sources to identify malicious activity, supporting detection and response efforts,…
Added 33 mins ago
PH
CNC Machine Operator 3
Parker Hannifin Corporation
Danville, KY
- $18.55 to $30.95 USD / hour
Electronically document in-process data to maintain QA and production system requirements.
Added 33 mins ago
PH
CNC Machine Operator 3 - Carbon
Parker Hannifin Corporation
Danville, KY
- $18.55 to $30.95 USD / hour
Electronically document in-process data to maintain QA and production system requirements.
Added 33 mins ago
Buildings & Systems Engineering Admin Assistant
UPS
LOUISVILLE, KY
This role provides facility maintenance support for emergency facility issues for the UPS operations teams. Complete work order management for all non-emergency repairs, facility related…
Added 33 mins ago
BH
Business Support Analyst Associate
Baptist Health
Louisville, KY
- $7.25 USD / hour
Baptist Health is looking for a Business Support Analyst Associate to join our team! This is a remote work position that requires residency in KY or IN
Added 33 mins ago
P
Lead Water Restoration Technician
PeopleReady
Louisville, KY
- $23 to $27 USD / hour
As a PeopleReady associate you'll benefit from:
Added 37 mins ago
LC
PT Sales Associate
LOVESAC COMPANY
Newport News, VA
- $15 to $16.65 USD / hour
Support daily store operations, opening/closing, inventory, visual standards, and promotions, while upholding brand standards and using store systems and data to prioritize work and drive…
Added 59 mins ago
FF
Part-Time Sales Associate - Famous Footwear
Famous Footwear
KENNETT SQUARE, PA
- Part-time
As a Famous Footwear Sales Associate, you are passionate about providing the best shoe store experience for every customer. You do this by creating a welcoming environment and in-store…
Added 1 hour ago
A
Warehouse Worker
Aerotek
Phoenix, AZ
- $19 USD / hour
Job Title: Warehouse WorkerJob DescriptionThe Warehouse Worker supports daily warehouse operations by safely handling materials, building and moving pallets, and ensuring accurate and…

Humana

Process Improvement Lead

Washington, DC, 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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