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Added 1 min ago
Store Team Leader - Retail Operations - Huntsville AL
L.L.Bean Inc.
Huntsville, AL
Join our team in Huntsville! Our Bridge Street Town Centre store is looking for a Year-Round, Full-Time Store Team Leader of Operations.
Added 2 mins ago
Regional Manager/Director
Bell Apartment LLC
Nashville, TN
…fullest potential. We rise above industry standards when every associate embraces their unique role and seizes the opportunity to make an…
Added 3 mins ago
CH
Associate Infant Teacher | The Learning Center | Full Time | Day
Concord Hospital Inc.
Concord, NH
- Full-time
…appropriate care; observes and documents children's learning and development; supervises classroom operations in the absence of the Lead Teacher; communicates effectively with children, all…
Added 3 mins ago
AI
Associate Vice President of Residential & Community Living
Acenda, Inc.
United States
- $100,000 USD / year
The Associate Vice President of Residential & Community Living provides strategic and operational leadership for Acenda's residential, supportive housing and community-living portfolio. The…
Added 3 mins ago
UO
Mental Health Technician - Children's of Mississippi Adolescent Behavioral Health - 2 Circle - Full Time
University of Mississippi Medical Center
Jackson, MS
- Full-time
Degree (Bachelor or Associate) in psychology or mental health or High School Diploma/GED and two (2) years of direct patient care experience in a mental health facility.
Added 3 mins ago
UO
Mental Health Technician - Children's Behavioral Health Unit - 3 Circle - Full Time
University of Mississippi Medical Center
Jackson, MS
- Full-time
Degree (Bachelor or Associate) in psychology or mental health or High School Diploma/GED and two (2) years of direct patient care experience in a mental health facility.
Added 4 mins ago
Associate Director, Supply Chain Integration - Hybrid
Cedars-Sinai Medical Center
Los Angeles, CA
The Associate Director, Supply Chain Integration is an internal management consultative leader responsible for leading the implementation and ongoing support of the Cedars-Sinai Oracle…
Added 4 mins ago
Product Manager I, Data Platform
Memorial Sloan Kettering Cancer Center
NY
Support the development of data products and platform capabilities, understanding upstream and downstream dependencies to help guide effective product delivery.
Added 4 mins ago
Assistant Store Manager
USA-PVH RETAIL STORES LLC
Retail CK Camarillo, CA
Key Holder & Leader on Duty: As an Assistant Manager, you will lead store operations, including opening and closing procedures, managing day-to-day performance, coaching associates, and…
Added 5 mins ago
Assistant Nurse Manager - Medical Acute Care
Northeast Georgia Medical Center, Inc.
Gainesville, GA
…experienced Assistant Nurse Manager (ANM) to support the day-to-day operations of our Medical/Surgical unit while helping lead a high-performing team committed to exceptional patient…
Added 5 mins ago
Program Director
State of Indiana
Indianapolis, IN
…the QCEW team in the areas of productivity, data accuracy, associate development, and innovation. The responsibilities range from business planning, training and operations management. The…
Added 6 mins ago
CONTRACT COORDINATOR I - 55010379
State of Florida
CAPE CORAL, FL
Contract Coordinator I - District One/District Maintenance/Fort Myers Operations Center
Added 6 mins ago
Associate Director for Assessment
Princeton University
Princeton, NJ
The Associate Director for Assessment will play a key role in organizing the College’s structures and processes for collecting, interpreting, and narrating the academic experience in the…
Added 6 mins ago
Quality Assurance Supervisor
BENTELER
Shreveport, LA
Benefits: United States : 401(k) Match || United States : Dental || United States : Development || United States : Educational Assistance || United States : Flexible Work Schedules ||…
Added 6 mins ago
Systems Administrator 1
Wake County Public School System
Remote, United States
Supports the infrastructure and server administration operations of the Wake County Public School System (WCPSS). Assists in the development, implementation, and maintenance of monitoring…
Added 7 mins ago
Sous Chef St Martins University
Compass Group
Lacey, WA
The dining program encompasses a dynamic mix of residential dining, retail operations, convenience services, and a thriving catering program. The operation includes a full-service dining…
Added 7 mins ago
District Manager II- Minneapolis, MN
Compass Group
Minneapolis, MN
…District Manager overseeing multiple dining and food service operations. This highly visible leadership role is responsible for driving operational excellence, financial performance, client…
Added 7 mins ago
CO
Water Instrument Technician (Electrical) - Water & Sewer
City of Greeley
Greeley, CO
- $35.37 to $51.29 USD / hour
…their work by encouraging excellence and investing in employee development and recognition. This philosophy is grounded in fiscal responsibility, organizational effectiveness, and employee…
Added 7 mins ago
Associate Field Support Technician
ChenMed, LLC
United States
The Field Support Technician is responsible for moderately complex tasks typically relating to network monitoring, operations, installation and/or maintenance for local, off-site and/or…
Added 7 mins ago
N
Supervisor (Distribution Design), Electric Operations
natgridProd
Queensbury, NY
- $99,000 to $116,000 USD / year
National Grid is hiring a Distribution Design Supervisor for our Electric Operations department in Queensbury, NY
Added 7 mins ago
Senior Detection Engineer
Nightwing Intelligence Solutions, LLC
Arlington, VA
Nightwing provides technically advanced full-spectrum cyber, data operations, systems integration and intelligence mission support services to meet our customers’ most demanding challenges.…
Added 8 mins ago
Information Security Engineer
Nebraska Methodist Health System
Omaha, NE
…information security events. Provides assistance and support in the development and maintenance of information security protocols for the…
Added 8 mins ago
IT Infrastructure Specialist
Chemours
New Johnsonville, TN
…equipment and processes that enable safe, effective business…
Added 8 mins ago
Intern - Corporate Training
BHE
Urbandale, IA · Des Moines, IA
MidAmerican Energy Company is seeking a student currently pursuing an associate or bachelor's degree in human resources, business administration, information systems, or a related field,…
Added 8 mins ago
Operator, Plant
BHE
Yerington, NV
…maintenance and repairs of plant equipment. Assists in the development, defining, and training of overall operations policies and procedures. Operates and monitors turbines, generators,…

Humana

Process Improvement Lead

Trenton, NJ, 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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