- Humana (Jackson, MS)
- …+ Experience with APEX, CAS, MTV, PAAG, PIMS, and/or PMDM preferred + Process Improvement & Project Management experience + Prior contract loading experience ... Medicaid growth through reporting, training, education, facilitation, and process documentation updates. The associate will lead efforts to optimize… more
- Humana (Jackson, MS)
- …Trains and/or coaches staff and management in areas such as quality improvement , process management and reliability science. Maintains communications with ... our caring community and help us put health first** The Quality Assurance Professional 2 develops and implements programs to establish and maintain quality standards… more
- Humana (Jackson, MS)
- …financial improvement . + Participate in the month end close process including account analysis, reconciliations, and reporting actual versus budget and ... community and help us put health first** The Finance Professional 2 in this role supports IT's Close and...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Humana (Jackson, MS)
- …and health outcomes to Humana's 26 million members? Are you IT Professional obsessed with a business-centric outlook? At the Humana Enterprise Architecture unit, ... TCO and plan for future needs. + Evaluate new technologies/platforms for continuous improvement of our assets and develop architecture standards to leverage them. +… more
- Humana (Jackson, MS)
- …sound business decisions **Preferred Qualifications** + Advanced certifications in software and/or process improvement + Experience with Medicaid + ... problems within department(s), and could lead multiple managers or highly specialized professional associates. Humana offers a variety of benefits to promote the… more
- Public Partnerships LLC (Jackson, MS)
- …**Required Skills:** . Outstanding PC spreadsheet skills required. . Detailed and process improvement oriented. . Ability to read and understand technical ... and most experienced Financial Management Service provider is to assist those eligible Medicaid recipients to choose and pay for their own support workers and… more
- Humana (Jackson, MS)
- …and take proactive steps to resolve. + Ability to identify opportunities for process improvement , savings and risk abatement. + Excellent analytical and critical ... best practices, including supply market analyses, Porter's Five Forces, should-cost models, process and domain expertise. + Work with IT to identify new suppliers… more
- Public Consulting Group (Jackson, MS)
- …LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies to ... * Develop and deliver regular status reporting * Facilitate change order process * Identifies, tracks, and manages project risks/issues; including coordination for… more
- Intermountain Health (Jackson, MS)
- …lowest possible cost. SelectHealth's line of businesses (LOB) include Medicare, Medicaid , FEHB, Marketplace Qualified Health Plans and fully-funded and self-funded ... goals within the benefit plan throughout the care management process . + Ensures the plan is evidence based and...is widely recognized as a leader in clinical quality improvement and efficient healthcare delivery. Join our world-class team… more
- Highmark Health (Jackson, MS)
- …to drive capture of correct Risk Adjustment coding including documentation improvement , provider education, analyzing reports, and identifying process ... medical coding, clinical terminology and anatomy/physiology, Centers for Medicare and Medicaid Services (CMS) coding guidelines, and Risk Adjustment Data Validation… more
- Humana (Jackson, MS)
- …processes + Possess 10+ years of progressive experience leading continuous improvement efforts, evaluating existing systems, and implementing process ... within department(s), and could lead multiple managers or highly specialized professional associates and contractors of Primary Care Salesforce technology teams.… more
- CenterWell (Jackson, MS)
- …advance, in-depth knowledge and industry experience. + Take ownership of complex process improvement and metrics development, providing creative solutions and ... to make an impact** + Bachelor's Degree or Equivalent Experience + 7+ years professional experience in digital technology or health care + 5+ years of experience in… more