The Operations Manager is responsible for the day-to-day operational management of the in-home preventive care program. This role translates program requirements into reliable workflows, supports field clinicians, coordinates with internal and external partners, and manages the systems, devices, reporting, and issue resolution needed to deliver high-quality visits.
The manager will help ensure eligible patients can access preventive services, including blood pressure checks, bone density scans, diabetic retinal eye exams, HbA1c and kidney health testing, colorectal cancer screening support, and other assigned gap-closure activities. The role combines people leadership, program operations, partner management, and continuous process improvement.
This role is primarily remote with occasional local travel within the service territory, typically on an as-needed basis. Local travel may include clinician ride-alongs, in-person team meetings, or other operational needs related to supporting the program.
Key Responsibilities- Own daily operations for the Preventive Health Visit program.
- Monitor operational work queues and trackers to identify barriers, aging items, incomplete steps, and opportunities to improve process.
- Develop and maintain practical workflows, job aids, escalation paths, and standard work as the program grows.
- Coordinate issue resolution involving member eligibility, demographic or address changes, scheduling, visit documentation, test-kit status, device reports, and other operational exceptions.
- Lead and support clinicians and operational staff assigned to the program, establishing clear priorities, service expectations, and accountability for assigned work.
- Manage paid time off approvals, time sheets, Workday tasks, workload coordination, and day-to-day staff questions.
- Partner with clinical leadership to reinforce safe and patient-centered care.
- Track operational performance and provide clear updates to stakeholders.
Use your skills to make an impact Required- Bachelor's degree in healthcare administration, business, operations, nursing, or a related field, or equivalent relevant experience.
- Experience in healthcare operations and leading or coordinating the work of a clinical or operational team.
- Ability to manage multiple systems, trackers, reports, and priorities while troubleshooting issues.
- Strong communication, training, organization, and problem-solving skills.
- Proficiency with learning healthcare portals, dashboards, and device workflows.
- Valid driver's license, auto insurance and reliable transportation.
Preferred- Home health, in-home care, population health, Medicare Advantage, or healthcare quality experience.
- Knowledge of CMS Stars, HEDIS measures, preventive care gap closure, Athena, Workday, RetinaVue, or similar healthcare technologies.
- Experience with process improvement, project management, vendors, test kits, medical devices, scheduling, or clinical documentation workflows.
Additional Information:TB Statement:
This role is considered patient facing and is part of Humana's Tuberculosis (TB) screening program. If selected for this role, you will be required to be screened for TB.
Driving Statement:
This role is part of Humana's driver safety program and therefore requires an individual to have a valid state driver's license and are expected to maintain personal vehicle liability insurance. Individual must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher.
Scheduled Weekly Hours40
Pay RangeThe compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.
$93,000 - $128,000 per year
This job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.
Description of BenefitsHumana, Inc. and its affiliated subsidiaries (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides 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 and many other opportunities.
