Senior Risk Adjustment & Coding Operations Lead (Remote)

Humana, Inc.; Madison (WI); Remote; USD 86,000 - 119,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

401(k) retirement plan

Paid time off

Disability insurance

Life insurance

Job summary

Humana, Inc. (CenterWell Senior Primary Care) seeks a Senior Clinical Operations Professional to design and implement initiatives that optimize clinical operations and enhance care delivery across aligned areas.

The role tackles problems of moderate to substantial scope and requires independent judgment and alignment with organizational goals and regulatory requirements. You will identify strategic opportunities, establish priorities, and develop standardized practices to ensure efficiency,

Qualifications

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

Responsibilities

• Design and implement initiatives to optimize clinical operations.
• Identify strategic improvement opportunities and set operational priorities.
• Develop standardized processes to support clinical operational effectiveness and align with regulations and industry best practices.
• Advise executives on functional strategies and decisions and work under minimal supervision.

Skills

5+ years of technical experience

Passionate about improving consumer-ex

Education

Bachelor's degree

Job description

Humana, Inc. (CenterWell Senior Primary Care) seeks a Senior Clinical Operations Professional to design and implement initiatives that optimize clinical operations and enhance care delivery across aligned areas.

The role tackles problems of moderate to substantial scope and requires independent judgment and alignment with organizational goals and regulatory requirements. You will identify strategic opportunities, establish priorities, and develop standardized practices to ensure efficiency,