- Daiichi Sankyo, Inc. (Bernards, NJ)
- …into effect governance and controls steps to safeguard the integrity of the process and facilitate process improvement .People Leadership - Coach, motivate, ... financial and analytical support of commercial assets. In addition, this role will lead the forecasting process supporting the Business Development team through… more
- Humana (Phoenix, AZ)
- …part of our caring community and help us put health first** The Medicaid Lead , Technology Solutions builds strategic partnerships and manages relationships ... provide maximum value and align to the overarching IT strategy. **This State Technology Lead role will cover the Michigan Medicaid /DSNP product lines along with… more
- Highmark Health (Pittsburgh, PA)
- …and federal regulations, and the needs of vulnerable populations. The SVP of Medicaid will lead a high-performing team to deliver innovative, high-quality, and ... of Medicaid best practices. + **Team Leadership and Development:** Build and lead a high-performing team of Medicaid professionals. Foster a culture of… more
- Good Samaritan (Kissimmee, FL)
- …**Weekly Hours:** 40.00 **Department Details** **MUST HAVE 1year Medicare & Medicaid billing experience. **Job Summary** Manage the day-to-day business office ... with service line leadership, department managers and providers to manage process , people and technology to provide optimal patient/resident access operations and… more
- Humana (Madison, WI)
- …business lines. In this influential role, you'll craft and drive annual process improvement projects, quality reporting, and quality compliance monitoring, ... quality? We're looking for a dynamic Director of Quality Improvement to lead the charge in designing...(3) years of leadership/management experience. + Prior Medicare or Medicaid health plan experience. + Must be able to… more
- Humana (Springfield, IL)
- …Care Programs, specifically in Member/Consumer Experience areas. + Experience with process improvement initiatives and strategy development. **Work at Home ... is dedicated full-time to member services for the Illinois Medicaid Market. This Lead leverages the voice...much more **Interview Format** As part of our hiring process , we will be using exciting interviewing technology provided… more
- Molina Healthcare (Provo, UT)
- …requirements, strong commitment to high quality, on time delivery + Previous process improvement experience + Previous experience mentoring or training peers ... **Job Description** **Job Summary** We are seeking a highly experienced Lead Analyst, Configuration Oversight to support our Payment Integrity and Claims Operations… more
- Humana (Topeka, KS)
- …and continually improve guidelines and procedures related to Network management including process and efficiency improvement + Conduct research on emerging ... part of our caring community and help us put health first** The Lead , Cloud Network Engineer designs, analyzes, plans and modifies network components supporting… more
- HCA Healthcare (Nashville, TN)
- …like family! Jump-start your career as a Vendor Resource Management Profee Team Lead today with Parallon. **Benefits** Parallon, offers a total rewards package that ... by location._** Come join our team as a Vendor Resource Management Profee Team Lead . We care for our community! Just last year, HCA Healthcare and our colleagues… more
- AdventHealth (Maitland, FL)
- …gathering, change implementation, and evaluation of outcomes. + Is supportive of Process Improvement Initiatives by sponsoring and/or participating in the ... are even better. **The role you'll contribute:** The Care Manager System Educator Lead (CMEL) is a care management professional who supports the Director of System… more
- Penn Medicine (Plainsboro, NJ)
- …future each day. Are you living your life's work? **Job** : Team Lead Patient Access Associate - Emergency Department **Hours** : 8am-4:30pm Monday-Friday but will ... and monitors the registration and flow of patients throughout the registration process + Provides assistance to staff to ensure compliance with hospital and… more
- Sanford Health (IA)
- …related questions, issues, and interpretation. Leads in the development, implementation, process improvement , and education of the government program products. ... in advance. **Job Summary** The Government Programs Regulatory Reporting Lead will serve as the subject matter expert for...the Government Program products, including Medicare Advantage, ACA, and Medicaid , to ensure we are meeting all State and… more
- Humana (Madison, WI)
- …and enterprise operations including, but not limited to, Medical Directors, Quality Improvement and Population Health teams, and LTSS teams to facilitate optimal ... outcomes. **Position Responsibilities** + Collaborates with plan leadership on process improvements, trends analysis, and operational efficiencies. + Reports to… more
- Veterans Affairs, Veterans Health Administration (Cheyenne, WY)
- …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
- Humana (Albany, NY)
- …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
- 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
- HCA Healthcare (Chattanooga, TN)
- …over 156,000 hours volunteering in our communities. As an Acute Care Outpatient Coder Team Lead with Parallon you can be a part of an organization that is devoted to ... We are looking for an enthusiastic Outpatient Coder Team Lead to help us reach our goals. Unlock your...+ Ensures rebill requests are entered timely through the system/ process outlined in company/HSC policy + Answers coding related… more
- Methodist Health System (Dallas, TX)
- …8X5 Day (United States of America) **Job Description :** **Your Job:** The Team Lead (AR III) specializing in Professional Billing to join our team at our Central ... and the ability to foster a collaborative and innovative environment. The Team Lead will guide the team in meeting performance goals while maintaining a positive… more
- Bristol Myers Squibb (Princeton, NJ)
- …lives. Read more: careers.bms.com/working-with-us . **Summary:** The Government Channel Lead will manage forecasting and analytics for government channels, including ... Medicaid , Medicare, and other Federal customers. This role coordinates...pricing processes and implement scalable digital tools + Champion process innovation by evaluating current pricing practices and recommending… more
- NTT America, Inc. (Baltimore, MD)
- …central point of contact for portfolio-related inquiries and updates. + Process Improvement : Continuously identify opportunities to enhance portfolio management ... team in Baltimore, Maryland (US-MD), United States (US). The Medicaid IT Portfolio Officer is responsible for the overall...role will be to identify, champion, and implement Robotic Process Automation (RPA), AI-powered code creation, and other AI… more
