# Strategic Partner, Encounter Leadership

**Company**: Humana Inc.
**Location**: Remote Nationwide
**Work arrangement**: remote
**Experience**: senior
**Job type**: full-time
**Salary**: $94,900 - $130,500 per year
**Category**: Healthcare
**Industry**: Healthcare

**Apply**: https://humana.wd5.myworkdayjobs.com/en-US/Humana_External_Career_Site/job/Remote-Nationwide/Process-Improvement-Lead_R-428341-1?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply
**Canonical**: https://yubhub.co/jobs/job_b9885f8c-f8a

## Description

You will serve as a strategic partner to encounter leadership, translating priorities into decisions, action, and measurable results. You will organize complex work, build relationships across teams, and present clear recommendations to C-suite executives. Using data and stakeholder input, you will establish governance, anticipate risks, clarify accountability, and improve Medicaid encounter submission performance.

**Key Responsibilities**

- Partner with encounter leadership to set priorities, prepare decisions, and drive follow-through on strategic initiatives.

- Organize multiple priorities, meetings, decisions, owners, and timelines to keep complex work moving.

- Build trusted relationships across operations, technology, compliance, markets, vendors, providers, and regulatory partners.

- Prepare and present concise updates, risks, options, and recommendations to C-suite executives and other senior leaders.

- Lead governance forums focused on performance, risks, dependencies, decisions, and regulatory readiness.

- Translate complex encounter processes and business needs into clear workflows, dashboards, insights, and decision points.

- Anticipate regulatory, platform, volume, and data quality risks before they affect encounter submissions.

- Drive cross-functional issues from root cause analysis through solution development, executive communication, and resolution.

- Create and maintain processes and documentation for Medicaid contract compliance and risk oversight.

- Use data to challenge assumptions, recommend priorities, and improve inefficient processes respectfully and constructively.

**Required Qualifications**

- Bachelor's degree.

- 5+ years of experience in process improvement, business operations, strategy, or program leadership.

- 2+ years of experience leading cross-functional projects or enterprise initiatives.

- 2+ years of experience processing medical claims and/or encounter submissions.

- Demonstrated experience organizing multiple priorities, stakeholders, decisions, and deadlines.

- Demonstrated experience building relationships and influencing across functions without direct authority.

**Preferred Qualifications**

- Experience with Medicaid or Medicare encounter data.

- Experience with healthcare claims processing.

- Experience with governance, regulatory readiness, dashboards, or corrective action planning.

**Work Arrangements**

- Remote position.

- Occasional travel to Humana's offices for training or meetings may be required.

**Scheduled Weekly Hours**

- 40 hours per week.

**Pay Range**

- $94,900 - $130,500 per year.

**Benefits**

- Medical, dental, and vision benefits.

- 401(k) retirement savings plan.

- Time off (including paid time off, company and personal holidays, paid parental and caregiver leave).

- Short-term and long-term disability.

- Life insurance.

## Skills

### Required
- process improvement
- business operations
- strategy
- program leadership
- cross-functional project management
- medical claims processing
- encounter submissions

### Nice to have
- Medicaid or Medicare encounter data
- healthcare claims processing
- governance
- regulatory readiness
- dashboards
- corrective action planning

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Source: [Apply at humana.wd5.myworkdayjobs.com](https://humana.wd5.myworkdayjobs.com/en-US/Humana_External_Career_Site/job/Remote-Nationwide/Process-Improvement-Lead_R-428341-1?utm_source=yubhub.co&utm_medium=jobs_feed&utm_campaign=apply)