- Humana (Lincoln, NE)
- **Become a part of our caring community and help us put health first** As a Process Improvement Lead , you'll play a key role in analyzing and enhancing ... make a real difference. This is your opportunity to lead cross-functional initiatives, apply your expertise in healthcare...of operational excellence in a dynamic, mission-driven environment. The Process Improvement Lead is responsible… more
- Molina Healthcare (Lincoln, NE)
- …ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed ... **Job Description** **Job Summary** Provides lead level support as a highly capable business...into clear requirements, workflows, and solutions that drive measurable improvement . + Partners with finance and compliance to develop… more
- Molina Healthcare (Lincoln, NE)
- …communication, and leadership. + Provides constructive feedback on people, process and technology for continuous improvement . **JOB QUALIFICATIONS** ... and strategic technology solutions. Considers business problems "end-to-end": including people, process , and technology, both within and outside the enterprise, as… more
- Molina Healthcare (Lincoln, NE)
- …an overall Zero Trust methodology. We are looking for functional and technical lead with strong experience in Identity Access Management (IAM) with strong experience ... and analyze identity lifecycle KPIs and audit results to identify areas for improvement . + Train business stakeholders on IAM processes, governance tools, and best… more
- Molina Healthcare (Lincoln, NE)
- … improvement in configuration practices and outcomes **KNOWLEDGE/SKILLS/ABILITIES** + Lead audits of claims and QNXT configuration to ensure accuracy, ... benefits, prior authorizations, fee schedules, and other business requirements. Lead and participate in audit initiatives, develop quality control framework,… more
- Molina Healthcare (Lincoln, NE)
- …: + 3-5 years of Program and/or Project management experience. + Operational Process Improvement experience. + Healthcare experience. + Experience with ... delivering on NCQA accreditation requirements. Plans and directs schedules, reporting, process improvement , and implores continuous quality improvement .… more
- Molina Healthcare (Lincoln, NE)
- …clinical quality improvement activity (QIA) in collaboration with the clinical lead , the medical director, and quality improvement staff. + Facilitates ... Pharmacy benefit management, Group/IPA practice, capitation, HMO regulations, managed healthcare systems, quality improvement , medical utilization management,… more
- Humana (Lincoln, NE)
- …and help us put health first** Humana is a publicly traded, Fortune 50 healthcare company with a legacy of innovation, evolving from skilled nursing and hospitals to ... insurance with care delivery through CenterWell, Humana is improving healthcare access, coordination, and affordability for its members. Humana's Insurance… more
- Molina Healthcare (Lincoln, NE)
- …for the HEDIS projects. These team members help mentor other team members and take the lead on process and project improvement . These team members act as the ... coordination and preparation of the HEDIS medical record collection process that includes the pursuit via phone call, fax,...loads data into the HEDIS application. + Assists the manager/ lead and quality improvement staff with physician… more
- Molina Healthcare (Lincoln, NE)
- …: + 3-5 years of Program and/or Project management experience. + Operational Process Improvement experience. + Healthcare experience. + Experience with ... May engage and oversee the work of external vendors. + Focuses on process improvement , organizational change management, program management and other processes… more
- Datavant (Lincoln, NE)
- …to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process . (We can only see aggregate responses, not ... in health data exchange. Our vision is that every healthcare decision is powered by the right data, at...in achieving success as they would define it. + Lead with curiosity and dive deep into learning and… more
- Humana (Lincoln, NE)
- …of our caring community and help us put health first** The Market Finance Lead collects, analyzes and reports on various market data to connect financial outcomes ... with operational effectiveness. Humana is seeking to fill a Market Finance Lead role within the Intermountain Region Finance department. The position will report… more
- CenterWell (Lincoln, NE)
- …Management** + Lead the end-to-end management of the RFP response process , including analysis, writing, and presentation of proposals. + Ensure timely and ... part of our caring community and help us put health first** The Lead Proposal Developer curates content and collaborates with business partners, subject matter… more
- Humana (Lincoln, NE)
- …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
- Molina Healthcare (Lincoln, NE)
- …posture, and architectural completeness.* Provides constructive feedback on people, process and technology for continuous improvement .. **Job Qualifications** ... and strategic technology solutions. Considers business problems "end-to-end": including people, process , and technology, both within and outside the enterprise, as… more
- Molina Healthcare (Lincoln, NE)
- …responsible for analyzing and understanding business processes, identifying areas for improvement , and developing solutions to optimize performance. The Sr. Analyst ... translate them into comprehensive business and functional specifications. * Analyze complex healthcare data sets to identify trends, patterns and insights that drive… more
- Molina Healthcare (Lincoln, NE)
- …improve upon performance results, to identify potential risks to the organization and to lead the needed changes within the encounters process to support the ... of encounters as well as provides leadership support at managing overall healthcare costs. + Ability to influence across multiple organizational functions - Payment… more
- Datavant (Lincoln, NE)
- …of professional, educational and life experiences to realize our bold vision for healthcare . As a Staff/ Lead Software engineer on the Provider engineering team ... in health data exchange. Our vision is that every healthcare decision is powered by the right data, at...be anonymous and will help us identify areas for improvement in our recruitment process . (We can… more
- Molina Healthcare (Lincoln, NE)
- …communicating to all levels within the organization * Operational and process improvement experience **PREFERRED EDUCATION:** Master's degree in Business, ... Molina Plans. **Job Qualifications** **REQUIRED EDUCATION:** Bachelor's Degree in Healthcare -related field (equivalent combination of education and experience will… more
- Molina Healthcare (Lincoln, NE)
- …to measure effectiveness of current state solutions and identify opportunities for improvement + Lead engagement model with business stakeholders to shape ... team designing and executing new solutions. The position requires the ability to lead a diverse team of technical experts and business analysts. The Solutions… more