- Humana (Olympia, WA)
- **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 (Richmond, VA)
- …problems of diverse scope and complexity ranging from moderate to substantial. The LTSS Medicaid Process Improvement Lead researches best business ... health first** The Medicaid Long-Term Supports and Services (LTSS) Process Improvement Lead analyzes and measures the effectiveness of existing business… more
- Humana (Columbus, OH)
- …scope and complexity ranging from moderate to substantial. **Role Description** The Medicaid Lead , Technology Solutions builds strategic partnerships and manages ... and align to the overarching IT strategy. **Responsibilities** + **This State Technology Lead role will exclusively cover the Ohio Medicaid product lines.** +… more
- BlueCross BlueShield of North Carolina (NC)
- …the healthcare industry? Join our team as an Associate Counsel for our Health Blue Medicaid line of business. In this role, you will: * Provide expert legal services ... our company's policies and procedures, contributing to their development and continuous improvement . If you are a detail-oriented legal professional with a strong… more
- CVS Health (Boise, ID)
- …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
- Molina Healthcare (Milwaukee, WI)
- …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
- Elevance Health (Las Vegas, NV)
- …encounter data to the State; accountability to ensure timeliness and accuracy.) + Process Improvement (understand the overall business including the ability to ... Vegas.** **HOURS** **: General business hours, Monday through Friday.** The Medicaid Contract/Implementation Management Manager ( Medicaid Contr/Implmnt Mgmt Mgr)… more
- Highmark Health (Charleston, WV)
- …Description :** **JOB SUMMARY** This job is responsible for the oversight of the Medicaid contract and is available for prompt response to direct inquiries from the ... requirements, overall profitability, member satisfaction and state regulator satisfaction. Lead efforts to capture plan performance, work with vendor partners… more
- Molina Healthcare (Bellevue, WA)
- …resources, rationale, and deficiencies to Leadership. + Identify and implement strategic process improvements with valuable ROI + Leadership + Promote the success of ... the overall goals for the department and Molina. + Lead department to make it a high performing unit....individual Health Plans with a focus on goals and improvement to daily operations. + Build and maintain strong… more
- Humana (Columbia, SC)
- …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