Clinical Business Lead

Humana

1d • $104,000 - $143,000 • Remote

About The Position

The Clinical Business Lead provides comprehensive, operational and team lead support for programs serving members who are dually eligible for Medicare and Medicaid. This role partners with clinical and operational leaders to coordinate daily workflows and staffing, monitor productivity and quality, identify and address barriers, reinforce accountability, and support consistent execution of operational priorities.
The Clinical Business Lead provides comprehensive team lead support for daily operations, including day-to-day workflow management, staffing coordination, daily dialer and manual list oversight, associate performance monitoring, productivity review, quality awareness, coaching support, and follow-through on operational priorities. You will also support consistent execution of team expectations by identifying performance trends, addressing barriers, reinforcing accountability, and partnering with leaders to ensure associates have the guidance, tools, and support needed to meet operational goals.
In this role, you will provide operational oversight and team lead support for MI HIDE workflows, ensuring work is monitored consistently, barriers are identified promptly, and issues requiring clarification, escalation, or leadership intervention are addressed appropriately. Serves as a liaison with state partners as needed.
Additionally, you will lead support for State/Regional workflows, ensuring alignment with operational priorities, timely follow-up on work activity, consistent communication of expectations, and escalation of workflow, staffing, quality, or performance concerns as needed. You will serve as a liaison with state partners as needed.

Requirements

• Bachelor's degree
• Working knowledge of Medicare, Medicaid, and/or programs serving dual-eligible populations
• 3 or more years of project leadership experience
• Demonstrated ability to lead daily operations, coordinate staffing and workloads, monitor associate productivity and quality, identify performance trends and barriers, provide coaching support, reinforce accountability, and escalate operational concerns appropriately

Nice To Haves

• 8 or more years technical experience

Responsibilities

• Provide comprehensive, operational and team lead support for programs serving members who are dually eligible for Medicare and Medicaid.
• Partner with clinical and operational leaders to coordinate daily workflows and staffing.
• Monitor productivity and quality.
• Identify and address barriers.
• Reinforce accountability.
• Support consistent execution of operational priorities.
• Manage day-to-day workflow.
• Coordinate staffing.
• Oversee daily dialer and manual lists.
• Monitor associate performance.
• Review productivity.
• Provide coaching support.
• Identify performance trends.
• Provide operational oversight and team lead support for MI HIDE workflows.
• Ensure work is monitored consistently.
• Identify barriers promptly.
• Address issues requiring clarification, escalation, or leadership intervention.
• Serve as a liaison with state partners.
• Lead support for State/Regional workflows.
• Ensure alignment with operational priorities.
• Ensure timely follow-up on work activity.
• Communicate expectations consistently.
• Escalate workflow, staffing, quality, or performance concerns as needed.

Benefits

• medical
• dental
• 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

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level