- Humana (Carson City, NV)
- **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 (Carson City, NV)
- …government and state agencies + Agile Product Development, Project Management, and Process Improvement qualifications (certifications a plus) + Proven ability to ... frameworks to maximize available resources to achieve growth. The Medicaid Insurance Product Strategy Lead - Benefits...website. **Modern Hire Statement** As part of our hiring process for this opportunity, we will be using an… 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
- Elevance Health (Woodbridge, NJ)
- …management skills. + Serves as a resource for the design and evaluation of process improvement plans/quality improvement plans and ensures they meet ... ** Medicaid Quality Management Health Plan Director** **Preferred Location:...and implementation of a strategic clinical quality management and improvement program within assigned health plan. Responsible for working… 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 (Seattle, WA)
- …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
- Highmark Health (Albany, NY)
- …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
- Elevance Health (Norfolk, VA)
- **Encounters Submission Manager - Medicaid /Medicare** **Location** : This position will work a hybrid model (remote and office). The Ideal candidate will live within ... our Elevance Health PulsePoint locations. The **Encounters Submission Manager - Medicaid /Medicare** is responsible for managing a staff of associates whose primary… more
- The Cigna Group (Bloomington, MN)
- …point of contact for various corporate initiatives including developing and implementing process improvement initiatives across the various Centene support teams ... etc., and ensures the timely delivery, consistency, and success of the process + Leads, participates, and contributes in all client-related meetings, both external… more