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Added 5 mins ago
Retail Sales Associate- Seasonal
W2B Skechers USA Retail, LLC
San Clemente, CA
…innovation is at the core of everything we do, driving the development of stylish, high-quality products at a great value. From our diverse footwear collections to our expanding range of…
Added 5 mins ago
Retail Sales Associate
W2B Skechers USA Retail, LLC
Yuma, AZ
…innovation is at the core of everything we do, driving the development of stylish, high-quality products at a great value. From our diverse footwear collections to our expanding range of…
Added 6 mins ago
Sales Associate - Optical Specialist
National Vision
Indianapolis, IN
Educational Courses: Gain access to courses that support both your personal and professional development.
Added 6 mins ago
NV
Sales Associate - Optical - Part Time
National Vision
Little Rock, AR
- Part-time
Join our dynamic sales team at National Vision as a Sales Associate, where your passion for people and community comes to life through excellent customer service and expert guidance in…
Added 6 mins ago
Licensed Optician - Assistant Manager
National Vision
Lakeland, FL
Proven ability to lead, coach and build associate relationships.
Added 7 mins ago
Sales Associate - Optical Specialist
National Vision
Tempe, AZ
Educational Courses: Gain access to courses that support both your personal and professional development.
Added 8 mins ago
New Grad Registered Nurse General Medicine
Ascension
Panama City, FL
Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning
Added 8 mins ago
Patient Care Tech Observation
Ascension
Panama City, FL
Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning
Added 8 mins ago
Registered Nurse Clinical Lead Observation
Ascension
Panama City, FL
Provides input into hiring, training, directing, development and evaluation of staff.
Added 8 mins ago
Occupational Therapist Acute
Ascension
Panama City, FL
Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning
Added 8 mins ago
Unit Assistant General Medicine
Ascension
Panama City, FL
Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning
Added 17 mins ago
Associate Manufacturing - Nights
Amgen
West Greenwich, RI
Associate’s + 6 months of manufacturing or operations work experience OR
Added 17 mins ago
Actuary, Pricing - Individual MA
Humana
Providence, RI
…new plans, and benefit changes. You will also advise Product Development on the cost impact of new products and benefits while developing and maintaining tools for pricing both standard and…
Added 17 mins ago
Manufacturing Process Tech-Manufacturing Services Nights (D Shift)
Amgen
West Greenwich, RI
…towards retirement or other goals, work/life balance, and career development opportunities that may…
Added 17 mins ago
Manager Manufacturing, Purification - Nights
Amgen
West Greenwich, RI
…cross-functional partners in Quality, EHSS, F&E, and Process Development. The manager will be an active player in our OnePlant operating model, building reliability, agility, and efficiency…
Added 17 mins ago
Instrumentation Technician - Night
Amgen
West Greenwich, RI
Identify opportunities to learn new skills and actively participate in development that will improve overall team performance.
Added 17 mins ago
G
Coprorate M&A Associate
GPAC
Nashville, TN
- $200,000 to $350,000 USD / year
A top Tennessee law firm is seeking a Mid-Level Corporate M&A Associate to join its highly regarded Corporate practice group in Nashville. This is an excellent opportunity for an attorney…
Added 24 mins ago
M
Retail Cosmetics Sales Associate - Guerlain, Flushing - Full Time
Macy's
Flushing, NY
- Full-time
…holidays. Grow your career with continuous learning and leadership development. Plus, build community by joining one of our Colleague Resource Groups and make a difference through our…
Added 24 mins ago
M
Retail Merchandising Support Associate, Clackamas Town Center - Full Time
Macy's
Happy Valley, OR
- Full-time
…holidays. Grow your career with continuous learning and leadership development. Plus, build community by joining one of our Colleague Resource Groups and make a difference through our…
Added 24 mins ago
M
Administrative Support Team Associate, Century City - Part Time
Macy's
Los Angeles, CA
- Part-time
…holidays. Grow your career with continuous learning and leadership development. Plus, build community by joining one of our Colleague Resource Groups and make a difference through our…
Added 24 mins ago
M
Retail Support Associate - Shoe Expeditor, University Town Center - Part Time
Macy's
San Diego, CA
- Part-time
…holidays. Grow your career with continuous learning and leadership development. Plus, build community by joining one of our Colleague Resource Groups and make a difference through our…
Added 24 mins ago
M
Retail Fulfillment and Receiving Support Associate, Oakridge - Part Time
Macy's
San Jose, CA
- Part-time
…holidays. Grow your career with continuous learning and leadership development. Plus, build community by joining one of our Colleague Resource Groups and make a difference through our…
Added 24 mins ago
M
Retail Merchandising Support Associate, Ridgedale - Part Time
Macy's
Minnetonka, MN
- Part-time
…holidays. Grow your career with continuous learning and leadership development. Plus, build community by joining one of our Colleague Resource Groups and make a difference through our…
Added 24 mins ago
Seasonal Retail Sales Associate, Capitola
Macy's
Capitola, CA
…holidays. Grow your career with continuous learning and leadership development. Plus, build community by joining one of our Colleague Resource Groups and make a difference through our…
Added 24 mins ago
M
Seasonal Fulfillment Associate, Bailey Road - Part Time
Macy's
North Jackson, OH
- Part-time
…holidays. Grow your career with continuous learning and leadership development. Plus, build community by joining one of our Colleague Resource Groups and make a difference through our…

Closed listing

Humana

Process Improvement Lead

Providence, RI, 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.

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