- Humana (Concord, NH)
- …Indicators (KPIs). + Ensure compliance with established portfolio management standards and lead process improvement initiatives. + Foster a culture ... process and facilitate key Lean Portfolio Management (LPM) ceremonies for the Medicaid portfolio. The Lead Product Manager will be responsible for optimizing… more
- Louisiana Department of State Civil Service (Baton Rouge, LA)
- …of Health, Medical Vendor Administration is seeking an experienced and strategic Medicaid Chief Financial Officer (CFO) to lead the financial operations ... + Lead and oversee all financial aspects of the Medicaid financial division, including budgeting, forecasting, financial reporting, and analysis. Ensure… more
- CVS Health (Annapolis, MD)
- …audits, configuration testing, or encounter operations. + Lean Six Sigma or process improvement certification. **Anticipated Weekly Hours** 40 **Time Type** Full ... The Manager of Claims Management is responsible for overseeing Medicaid claims operations, inventory management, quality assurance, and compliance monitoring.… more
- The Cigna Group (St. Louis, MO)
- **POSITION SUMMARY** The Medicaid /Marketplace Client Strategy Senior Advisor serves as the primary contact for Medicaid /Marketplace strategic initiatives and ... market development. You will become a subject matter expert (SME) on Medicaid /Marketplace pharmacy benefits, Express Scripts Programs and Products, and State and… more
- CVS Health (Chicago, IL)
- …other specialties such as HCBS, LTC, BH, DMEs, and others to support staff. + Process Improvement : Work with Sr. Managers and Director to develop and implement ... compliance within our network responsibilities as provided within the state Medicaid contractual requirements. This position holds a variety of functions for… 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
- Healthfirst (FL)
- …advancing Healthfirsts goals and objectives. + Identify and//or direct process improvement opportunities and provide preliminary benefit//financial valuation ... for project prioritization + Lead cross functional teams in successful completion of assigned...or equivalent certification in Lean Six Sigma or other process improvement methodologies + Experience leading complex… more
- Centene Corporation (Olympia, WA)
- …with various departments and other key business units to identify areas for process improvement initiatives. + Manage staff to ensure the accuracy and ... data necessary to analyze trends over various timeframes. Manage the data mining process and analysis using internally supported database programs. Collaborate… 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)
- **Role Overview** The; **Application Support Specialist Lead ** ;will support a Healthcare Care Management System platform for a state government market product, Long ... Term Services & Support (LTSS). ;In this role you will lead a technical production support team focused on environment stability, processing optimization and issue… more
- State of Minnesota (St. Paul, MN)
- …data in different formats to support investigative activities. + Lead quality/ process /procedural change across multi-focus, multi-program, and/or multi-activity ... **Working Title: Quality Management Lead ** **Job Class: Human Services Program Consultant** **Agency: Human Services Dept** + **Job ID** : 90356 + **Location** : St.… 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
- Humana (Concord, NH)
- …a part of our caring community and help us put health first** As a Lead AI/ML DevOps Engineer at Humana, you will be responsible for leading the development, ... of AI/ML solutions. Additionally, you will focus on streamlining the deployment process , ensuring the scalability and reliability of AI/ML models, and monitoring… 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
- 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
- Humana (Arlington, VA)
- …caring community and help us put health first** The AI Learning Design Lead plays a critical role in designing, developing, and delivering strategic learning ... alignment between business goals and learning outcomes. The Learning Design Lead analyzes content, organizes content, designs solutions, and writes storyboards,… more
- Veterans Affairs, Veterans Health Administration (Las Vegas, NV)
- …compliance with The Joint Commission requirements, Centers for Medicare & Medicaid Services (CMS), and/or health record documentation guidelines. Distributes and ... Selected applicants will be required to complete an online onboarding process . Acceptable form(s) of identification will be required to complete pre-employment… more
Related Job Searches:
Improvement,
Lead,
Medicaid,
Process,
Process Improvement,
Process Improvement Lead