Remote Senior Risk Adjustment & Coding Operations Analyst

CenterWell; Santa Fe (NM); Remote; USD 86,000 - 119,000; Full time

Benefits offered by this job

Medical benefits

Dental benefits

Vision benefits

401(k)

Job summary

CenterWell seeks a Senior Clinical Operations Professional to design and implement initiatives that optimize clinical operations and enhance care delivery across aligned areas. The role involves identifying strategic opportunities, establishing priorities, and developing standardized processes that support operational effectiveness and regulatory compliance.

The position offers remote work with occasional travel to Humana offices for training or meetings.

Qualifications

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

Responsibilities

• Design and implement initiatives to optimize clinical operations across aligned areas or the organization.
• Identify strategic improvement opportunities, establish operational priorities, and develop standardized processes to support clinical operational effectiveness.
• Advise executives to develop functional strategies, exercise independent judgment on complex issues, and ensure alignment with regulatory requirements and industry best practices.

Skills

Technical experience

Consumer experience improvement

Education

Bachelor's degree

Job description

CenterWell seeks a Senior Clinical Operations Professional to design and implement initiatives that optimize clinical operations and enhance care delivery across aligned areas. The role involves identifying strategic opportunities, establishing priorities, and developing standardized processes that support operational effectiveness and regulatory compliance.

The position offers remote work with occasional travel to Humana offices for training or meetings.