- University Health (Pleasanton, TX)
- …read carefully by all candidates. Responsible for providing analytical support for process improvement initiatives led by Population Health Management (PHM). ... expertise in clinical, computer, and information sciences to identify, collect, process , and manage data and information. Conducts workflow analysis and integrates… more
- USAA (Phoenix, AZ)
- …entry. 8 or more years of related experience in financial services operations to include process improvement and business analysis. 4 or more years direct team ... to achieve business outcomes. Identifies, develops, and executes detailed continuous improvement plans to achieve measurable process , productivity, and… more
- Unknown (Denver, CO)
- …in designing and scaling patient-centric clinical programs. Competence in process improvement , problem-solving, and integrating technology-enabled care delivery ... search of a Vice President of Care Navigation to lead the implementation of new partner integrations, with a...with a strong background in care management operations within Medicaid , Medicare Advantage, or ACO environments, and the ability… more
- Unknown (Mesa, AZ)
- …and Department of Aging and Disability Services regulations, and be adept at process analysis, improvement planning, and change management. Travel Percent Less ... Held About the Role The Company is seeking a Hospice Executive Director to lead and oversee all aspects of hospice operations. The successful candidate will be… more
- Humana (Tallahassee, FL)
- …and analyses of processes and/or systems, to meet contractual SLAs. + Utilize process improvement methodology to identify, design and execute initiatives to ... market governance structure in reviewing pertinent data, member feedback and identifying process improvement opportunities This position must reside in the state… more
- Elevance Health (Indianapolis, IN)
- …local provider network strategy. + Leads cross functional project initiatives and process improvement activities. **Minimum Requirements:** + Requires a BA/BS ... ** Medicaid Contract Implementation Management Director** **Location** : Indianapolis,...financial, legal, or other escalated issues. + Acts as lead to assigned shared services partners on behalf of… more
- Highmark Health (Pittsburgh, PA)
- …solutions with seamless omni-channel handoffs. As a key leader of the Medicaid Clinical organization, role is responsible for maximizing and optimizing value of ... operational excellence/administrative cost management. This requires the incumbent to lead their team through the implementation of alternative resourcing strategies… more
- Molina Healthcare (TX)
- **Job Summary** The Lead Analyst, Quality Analytics and Performance Improvement role will support Molina's Quality Reporting team. Designs and develops reporting ... for development team(s). *Identifies, defines and plans software engineering process improvements and verifies compliance. *Mentors and trains systems/programmer… more
- Humana (Washington, DC)
- …part of our caring community and help us put health first** The Procurement Process Excellence Lead drives continuous improvement and operational excellence ... Humana is seeking a Procurement Process Excellence Lead is responsible for driving continuous improvement ...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Humana (Frankfort, KY)
- …community and help us put health first** The Encounter Data Management Lead supports the Encounter Data Management team within the Healthcare Quality Reporting ... and Improvement (HQRI) organization. This position is responsible for ensuring...the accurate and timely submission of encounter data to Medicaid , Medicare, and DSNP states, while maintaining adherence to… more
- Humana (Frankfort, KY)
- …Power Platform (Power BI, Power Automate, & Power Apps) + Knowledgeable in process improvement and metrics development + Knowledgeable in regulations governing ... community and help us put health first** The DSNP Encounters Data Management Lead supports the Encounter Data Management team within the Healthcare Quality Reporting… more
- AmeriHealth Caritas (West Chester, PA)
- …will support a state government healthcare system (LTSS). In this role, you will lead a team that helps keep the system stable, improve processes, and resolves ... must live in EST or CST time zones **Responsibilities:;** + Oversee and lead a team of production staff, including assigning tasks, monitoring workload &… more
- AdventHealth (Maitland, FL)
- …gathering, change implementation, and evaluation of outcomes. + Is supportive of Process Improvement Initiatives by sponsoring and/or participating in the ... Altamonte Spgs Fl **The role you'll contribute:** The Care Manager System Educator Lead (CMEL) is a care management professional who supports the Director of System… more
- LA Care Health Plan (Los Angeles, CA)
- …to acceptable levels. Recommend and implement resolutions, new processes, and/or process improvement . Provides accurate and timely written statistical reports ... A&G cases for all line of business (LOB). The Lead will assist in identifying areas of improvement...Ensure team effectiveness and project completion. Duties Review and process complex and/or escalated clinical A&G cases. Analyze the… more
- Clark County, NV (Las Vegas, NV)
- …identifying process improvements, and maintaining compliance with federal and state Medicaid regulations. As a lead member of our team, Senior Management ... Analyst. This position will support the Fiscal, Grants, Contracts, and Medicaid program operations. These supervisory positions provide leadership and oversight in… more
- Humana (Denver, CO)
- …Additionally, this role will be instrumental in our department's continuous process improvement , operational excellence objectives, and quality management. ... a part of our caring community and help us put health first** The Lead , Data Quality/Integrity understands end-to-end master data processes and flows and uses that… more
- Humana (Louisville, KY)
- …community and help us put health first** The Facilities Portfolio Management Lead ensures the optimal utilization of the organization's facilities. The Facilities ... Portfolio Management Lead works on problems of diverse scope and complexity... ensures the optimal facility operation and leads cost improvement initiatives of the facilities within their responsibilities and… more
- Humana (Baton Rouge, LA)
- …community and help us put health first** We are looking for a dynamic Lead Product Manager to develop clinical solutions for our members and providers, with full ... accountability from strategy to execution. The Lead Product & Strategy Manager - Provider Practice Management role is a critical member of the multidisciplinary… more
- BrightSpring Health Services (Englewood, CO)
- …growing network of branches and healthcare professionals. The RCM Ancillary Services Team Lead will be capable of performing all activities related to the tracking ... and providing Revenue Cycle Management (RCM) support . The RCM Ancillary Services Team Lead will be the primary resource for all employees of the RCM Ancillary… more
- Humana (Frankfort, KY)
- …our caring community and help us put health first** The Procurement Lead generates and implements efficient sourcing and category management strategies. Manages the ... company's supply portfolio ensuring transparency of spending. The Procurement Lead works on problems of diverse scope and complexity ranging from moderate to… more
