Remote Senior Risk Adjustment & Coding Operations Analyst

Humana, Inc.; Richmond (VA); Remote; USD 86,000 - 119,000; Full time

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 the organization.

This role involves identifying improvement opportunities, aligning processes with regulatory requirements, and advising executives on functional strategies. The position is remote with occasional travel to Humana offices, offers 40 hours per week, and a generous pay range with bonus eligibility.

Qualifications

• Bachelor's degree in a relevant field or equivalent.
• 5+ years of technical experience.
• Passion for 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 and establishes operational priorities to support clinical operational effectiveness.
• Advises executives to develop functional strategies and exercises independent judgment on complex issues.

Skills

Technical experience

Passion for consumer experience

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 the organization.

This role involves identifying improvement opportunities, aligning processes with regulatory requirements, and advising executives on functional strategies. The position is remote with occasional travel to Humana offices, offers 40 hours per week, and a generous pay range with bonus eligibility.