Remote Clinical Ops Lead - Dual Eligible Programs

Humana Inc; Concord (NH); Remote; USD 104,000 - 143,000; Full time

Benefits offered by this job

Bonus incentive plan

Job summary

Humana Inc. seeks a Clinical Business Lead to oversee operations and provide team leadership for programs serving dual-eligible Medicare/Medicaid members. You will coordinate daily workflows, staffing, and monitor productivity while partnering with clinical and operational leaders to meet priorities.

This remote role requires a Bachelor's degree, 3+ years of project leadership, and 8+ years of technical experience; occasional travel up to 25% may be required.

Qualifications

• Bachelor's degree required.
• 3+ years project leadership experience.
• Working knowledge of Medicare, Medicaid, and/or programs serving dual-eligible populations.

Responsibilities

• Lead day-to-day operations, staffing and workload coordination.
• Monitor productivity and quality, identify performance trends and barriers, provide coaching and accountability.
• Escalate issues and collaborate with state partners to address workflow, staffing, and performance concerns.

Skills

Project leadership

Staffing coordination

Workflow management

Quality monitoring

Education

Bachelor's degree

Job description

Humana Inc. seeks a Clinical Business Lead to oversee operations and provide team leadership for programs serving dual-eligible Medicare/Medicaid members. You will coordinate daily workflows, staffing, and monitor productivity while partnering with clinical and operational leaders to meet priorities.

This remote role requires a Bachelor's degree, 3+ years of project leadership, and 8+ years of technical experience; occasional travel up to 25% may be required.