Payment Integrity Lead

Humana

. Support implementation of senior level strategic initiatives and IT projects .

Posted 11/5/2026full-timeRemote • United StatesSenior💰 $94,900 - $130,500 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in project leadership, vendor management, and strategic initiative implementation while effectively communicating with stakeholders and executives. Proficient in data analysis and decision-making within a fast-paced operational environment.

Highest-signal resume keywords

Project Leadership ExperienceVendor Relationship ManagementData Analysis SkillsProject Management Professional (PMP) CertificationBilingual in Spanish and English

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Project ManagementData AnalysisRequirements GatheringUser Acceptance TestingFinancial Impact AssessmentProcess ImprovementMicrosoft Office ProgramsCISproCASMTV

Soft Skills

Excellent Written CommunicationExcellent Verbal CommunicationIndependent JudgmentDecision-Making AbilityAbility to Handle Multiple Priorities

Tools & Technologies

Microsoft Office WordMicrosoft Office PowerPointMicrosoft Office ExcelMicrosoft Office AccessMicrosoft Project

Certifications & Qualifications

Project Management Professional (PMP)

Industry Keywords

Financial RecoveryPHIHIPAAOperational SettingConsumer Experience Improvement

Tech Stack

Tools & technologies

PMP

About the role

Key responsibilities & impact

Support implementation of senior level strategic initiatives and IT projects
Assess and quantify financial impacts for process changes and new technology needs
Manage and cultivate vendor relationships
Collaborate with internal business and external stakeholders
Update leadership on roadmap initiatives, product progress, milestones, and transition progress
Oversee and develop a team of 6+ Product Owners and Project Managers
Lead requirements gathering, project management oversight, user acceptance testing, production support, training, and education
Create and present project status updates and financial impacts to senior-level executives
Manage and support leaders with multiple high-priority projects
Lead cross-functional initiatives
Use data from internal and external sources to provide insight to decision-makers
Advise executives on functional strategies and significant matters
Exercise independent judgment and decision-making on complex issues under minimal supervision

Requirements

What you’ll need

5 or more years work experience reading and interpreting claims
3 or more years of project leadership experience
Comprehensive knowledge of Microsoft Office Programs Word, PowerPoint, and Excel
Skilled in data and/or situational analysis
Excellent independent judgement and decision making ability for complex issues
Ability to handle multiple priorities
Capacity to maintain confidentiality
Excellent written and verbal communication skills
Passion for contributing to an organization focused on continuously improving consumer experiences
Bachelor's Degree (preferred)
Experience leading people and/or processes (preferred)
Experience in Financial Recovery (preferred)
Experience using CAS, MTV, CISpro and CIS (preferred)
Knowledge of Microsoft Office Programs Access and Project (preferred)
Experience in a fast paced, metric driven operational setting (preferred)
Project Management Professional (PMP) Certification (preferred)
Bilingual in Spanish and English (preferred)
Minimum 25 Mbps download speed and 10 Mbps upload speed for home internet
Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

Benefits

Comp & perks

Bonus incentive plan based upon company and/or individual performance
Medical, dental and vision benefits
401(k) retirement savings plan
Paid time off
Company holidays
Personal holidays
Paid parental leave
Paid caregiver leave
Short-term disability
Long-term disability
Life insurance
Internet expense payment for associates working from home in California, Illinois, Montana, or South Dakota
Telephone equipment provided for Home or Hybrid Home/Office associates
Remote work arrangement with occasional travel to Humana offices for training or meetings