Remote Clinical Operations Lead for Dual-Eligible Programs

Humana Inc; Columbus (OH); Remote; USD 104,000 - 143,000; Full time

Job summary

Humana Inc. is seeking a Clinical Business Lead in the United States to provide operational and team lead support for programs serving dual-eligible Medicare and Medicaid members.

You will coordinate daily workflows, staffing, and priorities while monitoring productivity and quality to ensure consistent execution. In this role, you will lead MI HIDE workflows and State/Regional workflows, align with operational priorities, escalate concerns, and ensure associates have guidance and tools to meet

Qualifications

• Bachelor's degree required.
• 3+ years of project leadership experience.
• Knowledge of Medicare/Medicaid programs an asset.

Responsibilities

• Provide operational oversight and team lead support for MI HIDE workflows.
• Coordinate daily workflows and staffing to meet priorities.
• Serve as liaison with state partners to address issues.
• Lead support for State/Regional workflows and escalate concerns as needed.

Skills

Medicare/Medicaid knowledge

Project leadership

Operations coordination

Education

Bachelor's degree

Job description

Humana Inc. is seeking a Clinical Business Lead in the United States to provide operational and team lead support for programs serving dual-eligible Medicare and Medicaid members.

You will coordinate daily workflows, staffing, and priorities while monitoring productivity and quality to ensure consistent execution. In this role, you will lead MI HIDE workflows and State/Regional workflows, align with operational priorities, escalate concerns, and ensure associates have guidance and tools to meet