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Description The Director, Process Improvement analyzes, and measures the effectiveness ... sustainable, repeatable and quantifiable business process improvements. The Director, Process Improvement requires an in-depth understanding of ... or segment...
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 ..
Description Responsibilities The Consumer Service Operations Professional 2 evaluates claims oversight performance metrics by interfacing with the sub-contractor to gather and track associated reporting. The Consumer Service Operations Professional 2 evaluates ..
Job Information Humana Healthcare Services Senior Learning Design Professional-Remote ... variable factors. Responsibilities The HCS (Healthcare Services) Learning and Curriculum Senior ... proficiency testing, and job performance improvement. Provides instruction..
Description The Remote Systems Clinical Pharmacist will provide excellent customer service to both internal and external customers by developing and maintaining relationships with Account / Clinical Management and PCO-IPU Operations teams. ..
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 ..
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 Compliance Nurse 2 reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Compliance Nurse ..
Description The Pharmacy Clinical Advisor Professional 2 is an integral part of the Pharmacy Stars team which is accountable for Humana's Patient Safety and medication related Star measure performance. The Pharmacy ..
... Humana Associate Vice President, Quality Improvement for Healthy Horizons in Newport ... the role of AVP, Quality Improvement for Healthy Horizons. Decisions in ... a clinical environment or within..
Job Information Humana Senior Innovation Portfolio Strategy Professional in Newport Rhode Island Description The Humana Healthy Horizons Strategic Solutions team's purpose is to accelerate the ideation and development of transformational initiatives ..
Job Information Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at ... Rhode Island Description The Senior Process Improvement Professional analyzes, and measures the ... sustainable, repeatable and..
... Florida is seeking a STARS Improvement Professional 2 who will develop, ... They will direct all quality improvement programs and initiatives. The STARS ... programs and initiatives. The STARS..
... Director, Contract Tools, Education and Process for Network Language Resource Group ... implemented. Supports PPS with operational improvement initiatives and oversight. Required Qualifications ... Qualifications Bachelor's Degree in Business,..
... Data Science, Data Analytics, etc.) Healthcare industry experience Management consulting experience ... Familiarity with Lean or similar process improvement methodologies and design thinking principles ... encourage personal wellness and..
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 ..
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)..
... questions related to efficiencies and process improvements. This role may also ... Data Analysis Effectiveness Measurement Business Process Improvements Business Process Consulting Decision Making Process Management Problem Solving Producing..
Job Information Humana Quality Improvement Coordinator in Newport Rhode Island ... Rhode Island 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 ... repeatable, and quantifiable quality and process improvements. Works closely with the ... Works closely with the Quality Improvement Director,..
... cost of care. 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..
... Information Humana RN, Senior Stars Improvement, Clinical Professional in Newport Rhode ... seeking a RN, Senior Stars Improvement, Clinical Professional who will be ... Stars Program. The Senior Stars..
Description The Process Improvement Lead analyzes, and measures the ... sustainable, repeatable and quantifiable business process improvements. The Process Improvement Lead works on problems of ... will lead a team..
