Healthcare Performance Improvement Jobs in Portland

Description The Director, Process Improvement analyzes, and measures the effectiveness ... process improvements. The Director, Process Improvement requires an in-depth understanding of ... segment. Responsibilities The Director, Process Improvement researches..

Description The Principal Quality Leader will lead testing and quality collaboration between Business and IT, guiding test strategies and tools and assure adherence to quality standards. Serves as point of contact ..

Job Information Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at ... Maine Description The Senior Process Improvement Professional analyzes, and measures the ... process improvements. The Senior..

... and medication related Star measure performance. The Pharmacy Clinical Advisor Professional ... Responsibilities The Project Manager, Financial Healthcare Advisor manages all aspects of ... with metrics reporting and program..

Job Information Humana Quality Improvement Program Lead (National Medicaid Quality) ... Horizons is seeking a Quality Improvement Program Lead who will be ... Humana Healthy Horizon's National Quality Improvement (QI)..

Job Information Humana Senior Stars Improvement, Clinical Professional (RN/LPN) - Remote ... Maine Description The Senior Stars Improvement, Clinical Professional (RN/LPN) role focuses ... role focuses on clinical and performance..

... in Portland Maine Description The Healthcare Quality Reporting & Improvement (HQRI) organization is seeking a ... and Interoperability strategy, operations, and performance nationally. This role relies on ... guidance..

Job Information Humana Quality Improvement Coordinator in Portland Maine Description ... Portland Maine Description The Quality Improvement Coordinator 3 assists in administering ... in administering and monitoring quality improvement and..

Description The Senior Quality Improvement Professional will focus organizational efforts ... South Carolina Medicaid clinical quality performance measures to achieve optimal performance and quality for the Humana ... Works closely..

Job Information Humana Healthcare Strategy Consultant in Portland Maine ... in Portland Maine Description The Healthcare Strategy Consultant provides data-based strategic ... Responsibilities Humana, a Fortune 60 Healthcare Company Humana..

... Humana Associate Vice President, Quality Improvement for Healthy Horizons in Portland ... the role of AVP, Quality Improvement for Healthy Horizons. Decisions in ... goals and objectives, and improves..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

Job Information Humana Healthcare Services Senior Learning Design Professional-Remote ... solution to a knowledge or performance gap. The Senior Learning Design ... variable factors. Responsibilities The HCS (Healthcare Services) Learning..

Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. Responsibilities ..

Description The Physician Performance Insights team's mission is to ... Humana members to make informed healthcare decisions. Our key goal is ... members obtain high quality affordable healthcare while keeping..

Job Information Humana Strategy Advisor, Healthcare Strategy in Portland Maine Description ... Maine Description The Strategy Advisory, Healthcare Strategy provides data-based strategic direction ... Responsibilities Humana: A Fortune 100 Healthcare..

Description The DRG Validation Auditor extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM and PCS) to patient records. The Medical ..

... The mission of the Physician Performance Insights team is to empower ... Humana members to make informed healthcare decisions. Our key goal is ... members obtain high quality affordable..

... of care. The Senior Process Improvement Professional analyzes, and measures the ... process improvements. The Senior Process Improvement Professional work assignments involve moderately ... data and platforms for process..

Job Information Humana Corporate Strategy Consultant in Portland Maine Description Humana's Corporate Stragtegy team is a high-performing organization that works closely with Humana's senior leaders to help chart the course for ..

Description The Bilingual Manager, Learning Facilitation , plans, coordinates, and implements all aspects of training programs for participants throughout for Grievance and Appeals / Careplus. EST states Responsibilities The Bilingual Grievances ..

Job Information Humana Senior Stars Improvement, Clinical Professional (RN/LPN) - Remote ... Maine Description The Senior Stars Improvement, Clinical Professional (RN/LPN) role focuses ... role focuses on clinical and performance..

Description The Senior Compensation Professional develops, implements, and administers compensation programs. The Senior Compensation Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..