Senior Risk Adjustment Coding Pro — Remote Impact Leader

Humana Inc; Nashville (TN); Remote; USD 86,000 - 119,000; Full time

Benefits offered by this job

Bonus incentive plan

Remote position

Job summary

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

The role handles problems of varied scope and complexity, requiring independent judgment and minimal supervision. You will align processes with regulatory requirements and organizational goals, advise executives on strategic improvements, and develop standardized practices to enhance efficiency and sustainability.

Qualifications

• Bachelor's degree in a relevant field.
• 5+ years of technical experience in clinical operations or related field.
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences.

Responsibilities

• Design and implement initiatives to optimize clinical operations.
• Enhance care delivery across aligned areas.
• Advise executives on strategic improvements and operational priorities.
• Ensure compliance with regulatory requirements and industry best practices.

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 improve care delivery across assigned areas.

The role handles problems of varied scope and complexity, requiring independent judgment and minimal supervision. You will align processes with regulatory requirements and organizational goals, advise executives on strategic improvements, and develop standardized practices to enhance efficiency and sustainability.