Healthcare Operations Manager

817 Capital Care Resources, LLC; Raleigh (NC); Remote; USD 93,000 - 128,000; Full time

Job summary

Humana, Inc. is seeking an Operations Manager for CenterWell Home Health's preventive care program.

The role translates program requirements into reliable workflows, supports field clinicians, coordinates with partners, and manages the systems, devices, reporting, and issue resolution to deliver high-quality visits. The position is primarily remote, but candidates must reside in the Raleigh, NC area, with occasional local travel.

Qualifications

• Bachelor’s degree or equivalent experience in a healthcare/operations field.
• Experience in healthcare operations and leading or coordinating a clinical/operational team.
• Ability to manage multiple systems, trackers, and priorities while troubleshooting issues.
• Strong communication, training, organization, and problem-solving skills.
• Proficiency with learning portals, dashboards, and device workflows.
• Valid driver’s license and reliable transportation.

Responsibilities

• Own daily operations for the Preventive Health Visit program.
• Monitor queues and trackers to identify barriers and improve processes.
• Develop and maintain workflows, job aids, escalation paths, and standard work.
• Coordinate issue resolution involving eligibility, scheduling, documentation, and devices.
• Lead clinicians and operational staff with clear priorities and accountability.
• Manage PTO, time sheets, Workday tasks, workload, and staff questions.
• Partner with clinical leadership to ensure safe, patient-centered care.
• Track performance and provide updates to stakeholders.

Skills

Healthcare operations leadership

Team coordination

Project management

Communication

Problem-solving

Dashboards

Education

Bachelor’s degree in healthcare administration, business, operations, nursing, or related field

Tools

Workday

Athena

RetinaVue

Job description

Become a part of our caring community The Operations Manager is responsible for the day-to-day operational management of the in-home preventive care program. This role translates program requirements into reliable workflows, supports field clinicians, coordinates with internal and external partners, and manages the systems, devices, reporting, and issue resolution needed to deliver high-quality visits. The manager will help ensure eligible patients can access preventive services, including blood pressure checks, bone density scans, diabetic retinal eye exams, HbA1c and kidney health testing, colorectal cancer screening support, and other assigned gap-closure activities. The role combines people leadership, program operations, partner management, and continuous process improvement. This is a primarily remote role, but candidates must live in Raleigh, NC, or the surrounding area. Occasional local travel within the service territory will be required for clinician ride-alongs, team meetings, and other operational needs.

Key Responsibilities

• Own daily operations for the Preventive Health Visit program.
• Monitor operational work queues and trackers to identify barriers, aging items, incomplete steps, and opportunities to improve process.
• Develop and maintain practical workflows, job aids, escalation paths, and standard work as the program grows.
• Coordinate issue resolution involving member eligibility, demographic or address changes, scheduling, visit documentation, test-kit status, device reports, and other operational exceptions.
• Lead and support clinicians and operational staff assigned to the program, establishing clear priorities, service expectations, and accountability for assigned work.
• Manage paid time off approvals, time sheets, Workday tasks, workload coordination, and day-to-day staff questions.
• Partner with clinical leadership to reinforce safe and patient-centered care.
• Track operational performance and provide clear updates to stakeholders.
• Use your skills to make an impact

Required

• Bachelor’s degree in healthcare administration, business, operations, nursing, or a related field, or equivalent relevant experience.
• Experience in healthcare operations and leading or coordinating the work of a clinical or operational team.
• Ability to manage multiple systems, trackers, reports, and priorities while troubleshooting issues.
• Strong communication, training, organization, and problem-solving skills.
• Proficiency with learning healthcare portals, dashboards, and device workflows.
• Valid driver’s license, auto insurance and reliable transportation.

Preferred

• Home health, in-home care, population health, Medicare Advantage, or healthcare quality experience.
• Knowledge of CMS Stars, HEDIS measures, preventive care gap closure, Athena, Workday, RetinaVue, or similar healthcare technologies.
• Experience with process improvement, project management, vendors, test kits, medical devices, scheduling, or clinical documentation workflows.

Additional Information

TB Statement: This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB. Driving Statement: This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance. Individual must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher.

Scheduled Weekly Hours 40 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. $93,000 - $128,000 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.

About Us

About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.

About CenterWell, a Humana company: CenterWell is a leading healthcare services business focused on creating integrated and differentiated experiences that put our patients at the center of everything we do. The result is high-quality healthcare that is accessible, comprehensive and, most of all, personalized. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. CenterWell is part of Humana Inc. (NYSE: HUM). Learn more about what we offer atCenterWell.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.