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In Home Eligibility Lead

Hospitality Full Benefits Career Growth
Company

Humana

Location

Columbus, United States

Posted

June 10, 2026

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About This Opportunity

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The Program Delivery Lead strategically identifies, develops, and implements programs that influence providers, members or market leadership towards value-based relationships and/or improved quality metrics. The Program Delivery Lead works on problems of diverse scope and complexity ranging from moderate to substantial.
The **IHWA In‑Home Eligibility Lead** is responsible for overseeing and managing eligibility strategy, execution, and data integrity for in‑home Quality Focused Visit (QFV) and related IHWA vendor programs. This role ensures accurate member targeting, consistent eligibility logic, and timely file delivery across multiple vendor partners, supporting high‑quality execution, Stars outcomes, and operational scalability.
The Eligibility Lead partners closely with IHWA operations, Stars, analytics, IT, and external vendors to design and maintain eligibility criteria, minimize overlap across in‑home programs, and proactively...