Process Improvement Healthcare Jobs in Pioneer

Description Humana Healthy Horizons in Louisiana is seeking a Manager, Utilization Management (Behavioral Health) who will utilize clinical skills to support the coordination, documentation, and communication of behavioral health services and/or ..

Description Humana Healthy Horizons in Louisiana is seeking a Manager, Utilization Management (Behavioral Health) who will utilize clinical skills to support the coordination, documentation, and communication of behavioral health services and/or ..

Description Humana Healthy Horizons in Louisiana is seeking a Manager, Utilization Management (Behavioral Health) who will utilize clinical skills to support the coordination, documentation, and communication of behavioral health services and/or ..

Description The Claims Research & Resolution Professional 2 manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claim settlements both for ..

Description The Claims Research & Resolution Professional 2 manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claim settlements both for ..

... is seeking a Manager, Quality Improvement who will implement and monitor ... will implement and monitor quality improvement program components, including annual program ... annual evaluation. The Manager, Quality..

Description The Medicaid Housing Specialist (Care Management Support Professional 1)contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or ..

Description The Medicaid Housing Specialist (Care Management Support Professional 1)contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or ..

Description The Claims Research & Resolution Professional 2 manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claim settlements both for ..

Description The Medicaid Housing Specialist (Care Management Support Professional 1)contributes to administration of care management. Provides non-clinical support to the assessment and evaluation of members' needs and requirements to achieve and/or ..

Description The Claims Research & Resolution Professional 2 manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claim settlements both for ..

... is seeking a Manager, Quality Improvement who will implement and monitor ... will implement and monitor quality improvement program components, including annual program ... annual evaluation. The Manager, Quality..

... of concern and recommendations for improvement, including corrective action requests in ... schedules. Train providers on auditing process and develop educational material related ... in driving provider level quality..

Description The Claims Research & Resolution Professional 2 manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claim settlements both for ..

... is seeking a Manager, Quality Improvement who will implement and monitor ... will implement and monitor quality improvement program components, including annual program ... annual evaluation. The Manager, Quality..

... of concern and recommendations for improvement, including corrective action requests in ... schedules. Train providers on auditing process and develop educational material related ... in driving provider level quality..