- Molina Healthcare (Omaha, 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 (Grand Island, 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 (Kearney, 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
- Nebraska Public Power District (Brownville, NE)
- **Department Performance Improvement Assistant** Brownville, NE, US, 68321-0098 **Nebraska Public Power District (NPPD)** has an immediate opening for a **Department ... Performance Improvement Assistant** located at **Cooper Nuclear Station** in **Brownville**...support position for a department and not a program lead . Daily administration of the specific department corrective action… more
- Omaha Children's Hospital (Omaha, NE)
- …care, advocacy, research and education. As the state's only full-service pediatric healthcare center, we provide comprehensive, holistic care to our patients and ... difference where it matters most. **A Brief Overview** The Patient Experience Improvement Strategist helps to facilitate the integration of patient and family voices… more
- Molina Healthcare (Kearney, 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 (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
- Molina Healthcare (Omaha, 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
- 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