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... team to ensure regulatory adherence, process improvement and reduction in provider friction ... and communicating financial trends Strong process orientation and experience implementing process improvement initiatives Significant understanding of..
... Humana members to make informed healthcare decisions. Our key goal is ... members obtain high quality affordable healthcare while keeping our provider networks ... applicable Identifies opportunities to implement..
... integration performance, network adequacy, performance improvement projects, and surveys related to ... work closely with the Performance/Quality Improvement Coordinator, Behavioral Health Network Director, ... of experience in managing behavioral..
... 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 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 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 Humana Healthy Horizons in Louisiana is seeking RN Managers of Care Management who will lead our physical health/behavioral health care management operations and staff to ensure timely and culturally-competent delivery ..
Description Humana Healthy Horizons in Louisiana is seeking a RN, Manager of Care Management to lead our Maternal-Child health care management operations and staff for the Moms First program, to ensure ..
... with benchmarks, identify opportunities for process improvement, and develop recommendations to leadership. ... Bachelor's degree in health services, healthcare administration, or related field. Experience ... managing staff who review..
... 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..
Job Information Humana Quality Improvement Coordinator in Shreveport Louisiana Description ... Shreveport Louisiana Description The Quality Improvement Coordinator 3 assists in administering ... in administering and monitoring quality improvement and..
... PowerPoint Analyzing Data to drive process improvement Preferred Qualifications Bachelor's degree Certified ... Coder (CRC) Experience interacting with healthcare providers Additional Information Work at ... As part of our..
Description Humana Healthy Horizons in Louisiana is seeking a Manager, Care Management (Behavior Health) who will lead our behavioral health care management operations and staff to ensure timely and culturally-competent delivery ..
