Remote Senior Risk Adjustment Coding Analyst

Humana, Inc.; Lansing (MI); Remote; USD 86,000 - 119,000; Full time

Benefits offered by this job

Bonus incentive plan

Competitive benefits

Job summary

Humana, Inc. is seeking a Senior Clinical Operations Professional to design and implement initiatives that optimize clinical operations and enhance care delivery across assigned areas.

The role involves tackling problems of moderate to substantial scope and requires independent judgment. You will identify improvement opportunities, set operational priorities, and develop standardized processes to support efficiency, quality, and regulatory alignment.

Qualifications

• Bachelor's degree required.
• 5+ years of technical experience.
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences.

Responsibilities

• Designs and implements initiatives that optimize clinical operations and enhance care delivery across aligned area(s) or the organization.
• Identifies strategic improvement opportunities, establishes operational priorities, and develops standardized processes to support clinical operational effectiveness.
• Advises executives to develop functional strategies and exercises independent judgment on complex issues, under minimal supervision.

Skills

5+ years of technical experience

Passionate about consumer experiences

Education

Bachelor's degree

Job description

Humana, Inc. is seeking a Senior Clinical Operations Professional to design and implement initiatives that optimize clinical operations and enhance care delivery across assigned areas.

The role involves tackling problems of moderate to substantial scope and requires independent judgment. You will identify improvement opportunities, set operational priorities, and develop standardized processes to support efficiency, quality, and regulatory alignment.