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Added 3 mins ago
Director, Software Engineering
VIOC
Remote, United States
A central expectation of this role is to shape Valvoline's future Store platform in collaboration with Enterprise Architecture, Digital Product, Infrastructure, and Security leaders.…
Added 3 mins ago
SSD Mfg NPI Product Engineer, Nitro SSD
Amazon Data Services, Inc.
Seattle, WA · Cupertino, CA
…professionals to help build the world’s premier cloud computing platform. We are looking for Manufacturing Engineers who are capable of operating in a fast paced, ever changing,…
Added 3 mins ago
UO
Communications and Outreach Manager
University of Colorado Denver
Boulder, CO
- $82,000 to $90,000 USD / year
Develop audience-centered communications approaches and content calendars that consider purpose, timing, voice, platform, accessibility, cultural context, and desired outcomes.
Added 8 mins ago
CI
Data Operations Specialist (Contractor)
Curinos Inc
Waltham, MA · NY · Chicago, IL
- $18 to $20 USD / hour
…commercial teams by providing access to a digital content and data platform and by delivering insight reports and…
Added 16 mins ago
Senior Construction Manager
IREN
Childress, TX
IREN is a vertically integrated AI Cloud provider, delivering large-scale data centers and GPU clusters for AI training and inference. IREN’s platform is underpinned by its expansive…
Added 18 mins ago
Principal AI translation architect 200 languages
Travoom
Remote, United States
…leading the architecture of a next-generation conversational AI platform that replaces traditional search with intelligent dialogue. This role owns the systems that understand user intent,…
Added 18 mins ago
Senior Payments Infrastructure Engineer - Crypto, Wallets & Blockchain
Travoom
Remote, United States
OleOle is building a global social network and messaging platform for football fans. Our mission is to create a single global community where supporters can follow their club and country,…
Added 18 mins ago
Principal AI Architect - OleOle
Travoom
Remote, United States
OleOle is building a global social network and messaging platform for football fans. Our mission is to create a single global community where supporters can follow their club and country,…
Added 24 mins ago
Director of US Marketing
Chrono24
New York City
…relevant US marketing budgets and agency relationships; and use data and insights to continually improve marketing effectiveness and resource…
Added 25 mins ago
Strategic Partnerships Leader
SmartFinancial
Remote, United States
SmartFinancial is a leading insurance technology platform transforming how consumers connect with insurance providers. Our marketplace intelligently matches high-intent shoppers with the…
Added 25 mins ago
S
Senior Full Stack Ruby on Rails Engineer
SmartFinancial
Remote, United States
- $150,000 to $170,000 USD / year
As a leading insurance marketplace, we connect millions of shoppers with a broad ecosystem of insurance partners through modern, data-driven platforms.
Added 43 mins ago
CC
Senior Benefits and Wellness Manager
Consigli Construction
Remote, United States
- $150,000 to $170,000 USD / year
Partner with third party enrollment provider in updating online platform for the implementation of new plan year and conduct system testing.
Added 45 mins ago
CC
Senior Benefits and Wellness Manager
Consigli Construction
Remote, United States
- $150,000 to $170,000 USD / year
Partner with third party enrollment provider in updating online platform for the implementation of new plan year and conduct system testing.
Added 46 mins ago
CC
Senior Benefits and Wellness Manager
Consigli Construction
Remote, United States
- $150,000 to $170,000 USD / year
Partner with third party enrollment provider in updating online platform for the implementation of new plan year and conduct system testing.
Added 46 mins ago
CC
Senior Benefits and Wellness Manager
Consigli Construction
Remote, United States
- $150,000 to $170,000 USD / year
Partner with third party enrollment provider in updating online platform for the implementation of new plan year and conduct system testing.
Added 46 mins ago
CC
Senior Benefits and Wellness Manager
Consigli Construction
Remote, United States
- $150,000 to $170,000 USD / year
Partner with third party enrollment provider in updating online platform for the implementation of new plan year and conduct system testing.
Added 48 mins ago
C|
Sr. Talent Acquisition Specialist
Connexity | Skimlinks, a Taboola company
Remote, United States
- $135,000 to $150,000 USD / year
Connexity, a Taboola company, is a data-driven retail performance marketing and commerce platform that helps online retailers acquire new customers and drive incremental sales at a cost…
Added 48 mins ago
C|
Senior Software Engineer III, Backend
Connexity | Skimlinks, a Taboola company
Remote, United States
- $175,000 to $200,000 USD / year
Connexity, a Taboola company, is a data-driven retail performance marketing and commerce platform that helps online retailers acquire new customers and drive incremental sales at a cost…
Added 48 mins ago
C|
Director, Creator Growth - ShopYourLikes
Connexity | Skimlinks, a Taboola company
Remote, United States
- $130,000 to $195,000 USD / year
ShopYourLikes is Connexity's dynamic creator monetization platform and community. As the fastest-growing division within Connexity, we are aggressively investing in social commerce. Our…
Added 48 mins ago
C|
Director, Creator Growth - ShopYourLikes
Connexity | Skimlinks, a Taboola company
Remote, United States
- $130,000 to $195,000 USD / year
ShopYourLikes is Connexity's dynamic creator monetization platform and community. As the fastest-growing division within Connexity, we are aggressively investing in social commerce. Our…
Added 48 mins ago
Sales Director, Brand Partnerships SYL
Connexity | Skimlinks, a Taboola company
Remote, United States
…high-impact role requiring an individual who can strategically sell data-driven solutions and drive significant revenue by demonstrating how ShopYourLike’s technology and curated creator…
Added 1 hour ago
Customer Service Representative-OMNI-AFDM
Centex Technologies
Remote, United States
Lead stakeholder engagement, onboarding readiness, adoption and outreach for users of a secure, distributed Data Mesh Environment. Serve as a primary liaison for government stakeholders and…
Added 1 hour ago
Staff Software Engineer
Conga
Boston, MA · Houston, TX
…the Java services that power real-time pricing across Conga's platform. This position is responsible for designing and delivering cloud-native, microservices-based capabilities that are…
Added 1 hour ago
USG Contracts Manager
Nominal
NY · WA
Nominal is building the Hardware Intelligence Platform that gives engineers increased visibility into complex physical systems, helps them make better decisions, and ultimately gets their…
Added 1 hour ago
Software Engineer, Runtime Infrastructure
Nominal
NY
Nominal is building the Hardware Intelligence Platform that gives engineers increased visibility into complex physical systems, helps them make better decisions, and ultimately gets their…

Closed listing

Humana

Process Improvement Lead

Harrisburg, PA, 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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