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Description The Process Improvement Professional 2 analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Process Improvement Professional 2 work assignments ..
Description The Director, QOCA Strategy - serves as the strategic leader in resource utilization; budget and MER oversight; vendor oversight; and for clinician and non-clinician flex associates and off-shore vendor associates ..
Description The Senior Process Improvement Professional analyzes, and measures the ... process improvements. The Senior Process Improvement Professional work assignments involve moderately ... well as other HCS Business Improvement, Technology,..
... 40) market leader in integrated healthcare with a clearly defined purpose ... we are seeking an accomplished healthcare leader for the newly-created role ... quality, appropriate, and cost-effective behavioral..
... interviewing hiring, transfers, promotions, evaluating performance, overstaff, layoffs, disciplinary action and ... concerns. Conduct and document employee performance on an annual basis and ... recovery program work assignments. QUALITY..
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 ..
... plan. Indicators are identified and improvement processes utilize PDCA structure COLLABORATION: ... or conducts, and documents annual performance evaluations on each direct report ... may include leading teams in..
Job Information Humana Senior Process Improvement Professional (HealthCare, Provider Value exp.) Work at ... Alaska Description The Senior Process Improvement Professional analyzes, and measures the ... process improvements. The Senior..
... action related to hiring, evaluating performance, disciplinary action and employee complaints ... and institutional standards. Collaborate with healthcare delivery team to transition patients ... to help them navigate the..
... 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..
Description The Health Information Management Professional ensures data integrity for claims errors. The Health Information Management Professional work assignments are varied and frequently require interpretation and independent determination of the appropriate ..
Job Information Humana Senior Corporate Strategy Analyst in Anchorage Alaska Description Humana's Corporate Stragtegy team is a high-performing organization that works closely with Humana's senior leaders to help chart the course ..
Job Information Humana Quality Improvement Coordinator in Anchorage Alaska Description ... Anchorage Alaska Description The Quality Improvement Coordinator 3 assists in administering ... in administering and monitoring quality improvement and..
... 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 Strategy Advisor, Healthcare Strategy in Anchorage Alaska Description ... Alaska Description The Strategy Advisory, Healthcare Strategy provides data-based strategic direction ... Responsibilities Humana: A Fortune 100 Healthcare..
... 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 Anchorage Alaska 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 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 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 ..
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..
... hiring, orientation, scheduling, disciplinary actions, performance evaluations, transfers, terminations and employee ... responsibility for daily analysis of performance against budget. Accountable to learn ... support of NFP. CONTINUOUS QUALITY..
