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Assessment Clinician Lead, Access Clinical','Full-time','Professional Non-Clinical','1','1','80','80','Occasional','Occasional','KENTUCKY-LOUISVILLE-OUR LADY OF ... is currently hiring for a Lead Assessment Clinician This position is ... day operations for the admission process including: maintaining waiting..
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Description The Manager, Quality Improvement implements quality improvement programs for the Kentucky Medicaid ... includes quality compliance and quality improvement activities such as the annual ... such as the annual..
... -- CMS Programs Provider Engagement Lead in Louisville Kentucky Description Value-Based ... - CMS Programs Provider Engagement Lead will support Humana through successful ... - CMS Programs Provider Engagement..
Description The Senior Process Improvement Professional analyzes, and measures the ... sustainable, repeatable and quantifiable business process improvements. The Senior Process Improvement Professional work assignments involve moderately ... well as..
... planning and implementation of across-the-board process improvement initiatives, including both tactical and ... provide in-depth analysis of technical process, business process, or raw data and recommendations ... As part..
Description The Pharmacy Claims Lead operationalizes and monitors Coordination of ... course of action. Responsibilities Responsibilities Lead a team of Pharmacy Professionals ... business Actively identifies and owns process improvements..
... The ACD Referral Authorization Coordinator Lead role will assist the Supervisor ... (ACD). Under direct clinical supervision, process referrals from Military Treatment Facilities ... administrative owner of a main..
Description The Clinical Pharmacy Lead monitors drug development pipeline, and ... health outcomes. The Clinical Pharmacy Lead works on problems of diverse ... branch for quality assessment and process improvement..
... to enhance the clinical delivery process. The National Medicaid Director of ... clinical strategy and provide ongoing process improvement support for Care Management practice; ... support for Care Management..
Description The Senior Health Information Management Professional ensures data integrity for claims errors. The Senior Health Information Management Professional work assignments involve moderately complex to complex issues where the analysis of ..
... drug therapy optimization. Oversee and lead the specialty drug clinical program ... updates, and market event notifications. Lead the analysis and generation of ... initiatives and continuously improve the..
Description The Senior Quality Improvement Professional will focus organizational efforts ... repeatable, and quantifiable behavioral health process improvements. They will work closely ... Director, Behavioral Health Director, Quality Improvement Manager..
Description The Group Medicare Clinical Pharmacy Lead monitors drug development pipeline, and medical literature, while providing clinical support for internal stakeholders. Utilizes broad understanding of managed care and PBM knowledge to ..
Description Humana's Claims Cost Management (CCM) organization is seeking a Manager, Fraud & Waste to join the Provider Payment Integrity-Clinical Audit team working remote anywhere in the US. As the Fraud ..
Description Responsibilities Humana's Corporate Strategy team is a small, high-performing organization that works closely with Humana's senior leadership to chart the course for the company's future. Within Strategy Operations, you will ..
Description The Health Information Management Lead identifies strategic opportunities for process improvement and partners with IT to ... systems. The Health Information Management Lead uses data and operational expertise .....
Description Humana has articulated a long-term vision to transform from a health insurance company to a health services company distinguished by the prioritization of the health outcomes and care experiences of ..
... and delivering on initiatives and process capabilities that enable improved effectiveness, ... (beneficiary, provider and associate). The Lead defines improvement projects aligned with business strategies ... successful candidate will..
Description As Lead Actuary of the Risk Predictive Models team, you have an opportunity to both learn more about predictive analytics and machine learning and to see it become very real ..
Description The Network Operations Lead maintains provider relations to support ... service operations. The Network Operations Lead works on problems of diverse ... substantial. Responsibilities The Network Operations Lead manages..
Description The Process Improvement Lead analyzes, and measures the effectiveness ... sustainable, repeatable and quantifiable business process improvements. The Process Improvement Lead works on problems of diverse ... to substantial...
Description The Senior Quality Improvement Professional will focus organizational efforts ... repeatable, and quantifiable quality and process improvements. Works closely with the ... Works closely with the Quality Improvement Director,..
... people everywhere, including our associates, lead their best lives. We support ... we serve, including our associates, lead their best lives. We support ... of operational development and performance..