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Added 7 mins ago
Registered Nurse - PRN - Night Shift
ProCare- TECC
Pearland, TX
16. Reviews discharge instructions with the patient and, as needed, provides patient education and training including wound care, crutch training, use of nebulizers or inhalers, and other…
Added 7 mins ago
PT
Registered Nurse - Full-time - Night Shift
ProCare- TECC
Pearland, TX
- Full-time
16. Reviews discharge instructions with the patient and, as needed, provides patient education and training including wound care, crutch training, use of nebulizers or inhalers, and other…
Added 33 mins ago
UO
Instructor of Clinical Practice - PED
University of Colorado Denver
Aurora, CO
- $189,000 to $250,000 USD / year
…practitioner and the Section Head or Colorado Springs ED Medical…
Added 33 mins ago
UO
Adjoint Senior Instructor - Adjoint Assistant Professor (Open Rank)
University of Colorado Denver
Aurora, CO
- $98,000 to $112,000 USD / year
…time and effort will be subject to the determination of the Program…
Added 33 mins ago
UO
Psychiatric Nurse Practitioner
University of Colorado Denver
Aurora, CO
- $104,000 USD / year
…adult population. The position reports to the Assistant Medical Director and is co-supervised by the ARTS Manager of Mental Health Services. The position will provide psychiatric care to…
Added 33 mins ago
UO
OCRST Finance Manager
University of Colorado Denver
Aurora, CO
- $70,814 to $90,076 USD / year
…for assigned projects. This position will assist the OCRST Program Director in forecasting and financial reporting, identifying, creating and managing guidelines, policies, and best…
Added 33 mins ago
UO
Assistant Professor, Associate Professor, or Professor (Clinical Teaching Track)
University of Colorado Denver
Aurora, CO
- $31,533 USD / year
…residents and pre-doctoral dental students; and service as course director for assigned pre-doctoral and resident…
Added 43 mins ago
Care Partner
SSM Health
Saint Louis, MO
Added 43 mins ago
Continuous Improvement Director
Guarantee Electrical Company
Saint Louis, MO
JOB SUMMARY The Manufacturing Continuous Improvement (CI) Director provides strategic leadership for manufacturing excellence, standardization, operational performance, and continuous…
Added 1 hour ago
Executive Assistant
Veterans Benefits Administration
Washington, DC
Summary Executive Assistant to the Director and Deputy Directors of Compensation Service (CS) in the Veterans Benefits Administration (VBA). Responsible for the coordination of…
Added 1 hour ago
HR Manager - DC (Bowling Green)
Dollar General
Bowling Green, KY
Ensures timely use of available developmental programs: DLD, Train the Trainer, Leadership Development Program and all other development programs developed by the DCs. Create DC Learning…
Added 1 hour ago
Associate Provost for Faculty and Academic Excellence (Internal Search)
Western Kentucky University
Bowling Green, KY
…Faculty Orientation and academic administrators' professional development opportunities, including new chair/director and new dean…
Added 1 hour ago
BH
Director, Real Estate and Project Management
Baptist Health
Louisville, KY
- $7.25 USD / hour
The System Director, Real Estate & Property Management will direct the property management operations to ensure alignment with the mission, values, and objectives of Baptist Health System,…
Added 1 hour ago
LS
Lead Teacher
LITTLE SCHOLARS OF DETROIT
Detroit, MI
- $14 to $21 USD / hour
Reports To - Program Director / Site Director
Added 1 hour ago
Lead GSRP Teacher
LITTLE SCHOLARS OF DETROIT
Detroit, MI
…evaluating a developmentally appropriate, play-based learning program. The teacher will work closely with the Associate Teacher, classroom aides, families, the Director of GSRP, and the…
Added 1 hour ago
RL
Residential Manager
RISE Life Services, An Aid to The Developmentally
Greenport, NY
- $67,800 USD / year
Under the direct supervision of the Assistant Director and/or Program Coordinator, the Residential Manager will oversee and maintain successful operation of the Individualized Residential…
Added 1 hour ago
Medical Social Worker
Best Home Health Providers, Inc.
Remote, United States
Partner with the Executive Director on the annual department budget and resource planning
Added 1 hour ago
Medical Social Worker
Best Home Health Providers, Inc.
Remote, United States
Partner with the Executive Director on the annual department budget and resource planning
Added 1 hour ago
Medical Social Worker
Best Home Health Providers, Inc.
Remote, United States
Partner with the Executive Director on the annual department budget and resource planning
Added 1 hour ago
Medical Social Worker
Best Home Health Providers, Inc.
Remote, United States
Partner with the Executive Director on the annual department budget and resource planning
Added 1 hour ago
Medical Social Worker
Best Home Health Providers, Inc.
Remote, United States
Partner with the Executive Director on the annual department budget and resource planning
Added 1 hour ago
Medical Social Worker
Best Home Health Providers, Inc.
Remote, United States
Partner with the Executive Director on the annual department budget and resource planning
Added 1 hour ago
Medical Social Worker
Best Home Health Providers, Inc.
Remote, United States
Partner with the Executive Director on the annual department budget and resource planning
Added 1 hour ago
Clinical Director-LCSW
Win
Staten Island, NY
The Clinical Director partners with the AVP to lead the implementation of clinical services across Win’s transitional housing programs. This role advances initiatives that strengthen and…
Added 1 hour ago
Clinical Director-LCSW
Win
Brooklyn, NY
The Clinical Director partners with the AVP to lead the implementation of clinical services across Win’s transitional housing programs. This role advances initiatives that strengthen and…

Closed listing

Humana

Process Improvement Lead

Little Rock, AR, 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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