• Process Improvement Lead

    Humana (Austin, TX)
    **Become a part of our caring community and help us put health first** The Process Improvement Lead analyzes, and measures the effectiveness of existing ... repeatable and quantifiable business process improvements. The Process Improvement Lead works on...drive continuous improvement in future implementations + Lead efforts to bring DSNP and Medicaid more
    Humana (04/24/25)
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  • Senior Manager, Medicaid Revenue Integrity

    CVS Health (Austin, TX)
    lead the work and deliverables of multiple complex projects, focusing on process improvement , production, and data analysis. This individual should have ... heart, each and every day. **Position Summary** Reporting to the Lead Director of Medicaid Revenue Integrity, the Senior Manager will work closely with various… more
    CVS Health (04/03/25)
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  • Medical Director Specialty Medical Services…

    Molina Healthcare (Austin, TX)
    …in collaboration with the clinical lead , the medical director, and quality improvement staff. + Facilitates conformance to Medicare, Medicaid , NCQA and other ... performance. Performance activities include physician auditing, training, and performance improvement activities. Additionally, they will serve as subject matter… more
    Molina Healthcare (04/09/25)
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  • LTSS Process Improvement

    Humana (Austin, TX)
    …and execution of Medicaid implementation activities by partnering closely with Process Improvement Leads and Senior Professionals. This role helps bring ... ensuring quality, compliance, and operational readiness across all new Medicaid markets. A successful Process Improvement...be reviewed and finalized by the Senior Professional or Lead . * Support the creation and maintenance of clinical… more
    Humana (04/24/25)
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  • LTSS Process Improvement Manager

    Humana (Austin, TX)
    …repeatable and quantifiable business process improvements and best practices. The LTSS Process Improvement Lead works on problems of diverse scope and ... Medicaid Manager, Long-Term Supports and Services (LTSS) Process Improvement collects and measures the effectiveness...to ensure appropriate billing and identify national trends + Lead team of Process Improvement more
    Humana (04/24/25)
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  • Market Entry Capture Strategy Lead

    Humana (Austin, TX)
    …with a specialization in Healthcare Management + Project Management and Process Improvement qualifications **Additional Information** + Travel: Role will ... caring community and help us put health first** The Market Entry Capture Strategy Lead will lead initiatives to develop and execute strategy to successfully… more
    Humana (04/24/25)
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  • Insurance Strategy Lead

    Humana (Austin, TX)
    …of this evolution is Humana's Insurance Segment, which provides Medicare Advantage, Medicaid , and other health plans to millions. By integrating insurance with care ... role in defining the future of Humana's Medicare and Medicaid businesses, which generate the majority of the company's...experience to join this team. As an Insurance Strategy Lead , you will directly contribute to high-impact strategy projects,… more
    Humana (04/03/25)
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  • Lead , Data Quality/Integrity - HEDIS…

    Humana (Austin, TX)
    …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 (04/24/25)
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  • Acute Care Outpatient Coder Team Lead

    HCA Healthcare (Austin, TX)
    …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
    HCA Healthcare (04/08/25)
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  • Stars Program Delivery Lead - HEDIS

    Humana (Austin, TX)
    …and help us put health first** The Stars Program Delivery Lead strategically identifies, develops, and implements programs that influence providers, members ... towards value-based relationships and/or improved quality metrics. The Program Delivery Lead works on problems of diverse scope and complexity ranging from… more
    Humana (04/24/25)
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