Medicaid Implementation & Process Improvement Specialist
Humana Inc
Humana Inc. is seeking a Process Improvement Professional II to support Medicaid implementation efforts, translating regulatory requirements into actionable documentation and tools. You will draft policies, program descriptions, and workflows while ensuring compliance and readiness across markets. Remote role with occasional travel; responsibilities include coordinating with senior staff, reviewing member and provider materials, and maintaining project documentation to meet deadlines and #J-18808-Ljbffr Humana Inc
- ...Revenue Cycle And Coding Specialist The Supervisor -... ..., and documentation improvement initiatives across... ...supports the development, implementation, maintenance, and... ...understanding of Medicare, Medicaid, and commercial payer... ..., reporting, and process improvement skills....Process improvementImplementationWork experience placement
- ...Billing Specialist The Billing Specialist position... ...billing for Medicare, Medicaid, private insurance, grant... ...and finance staff to improve billing workflows, reduce... ...to support claims processing, reporting, reconciliation... .../Program Planning Implements billing processes,...Process improvementImplementation
- ...sustainability, and continuous improvement, Kenco empowers employees to... ...Operational Excellence Specialist is responsible for leading,... ...excellence leadership and drives the implementation of Kenco’s Minimum... ...consistency.Conducts advanced process analysis to identify systemic...Process improvementImplementationFor contractors
$75k - $95k
...Senior Proposal Specialist GFT is seeking a Senior Proposal Specialist to join our... ...to mentor junior staff, contribute to process improvements, and help shape the future of our... ...with BD leadership to ensure consistent implementation of best practices. Proposal Management...Process improvementImplementationFull timeContract workWork at office$70.1k - $126.2k
...time Position Purpose: The Business Process Consultant leads large scale, cross-... ..., process and technology and designing/implementing for future business needs as well. Leads... ...that are intended to drive performance improvement, financial gains, customer satisfaction...Process improvementImplementationFull timePart timeWork at officeRemote workFlexible hours$69.4k - $127.9k
...Specialist, Total Rewards Wealth Accumulation Program You will support the... ...to the Manager by supporting the implementation of plan changes and technology transformation... ..., automation of vendor platforms, process documentation and improvements, and other special projects as...Process improvementImplementationWork at office- Specialist Service Management (IC20) Role Overview Pearson Virtual... ...decisions through data analysis, process evaluation, and stakeholder... ...identify opportunities to improve processes, enhance user... ...review, decision-making, and implementation. Track decisions, risks, and...Process improvementImplementationFull timeRemote work
$54.3k - $159.12k
...compliance leader to drive Medicaid provider compliance, audit readiness... ...accountability, continuous improvement, and risk awareness. Serves... ...controls, standardize processes, and enhance organizational... ...priorities, resolve challenges, and implement effective compliance...Process improvementImplementationHourly payFull timeTemporary workWork experience placementLocal area- ...Vehicle Safety Programs Specialist (Program Specialist V) TDLR Working title:... ...issues relating to the prioritization, implementation, improvement, and expansion/reduction of program... ...and program management processes and techniques. Knowledge of training...Process improvementImplementationWork at officeLocal areaWeekend workAfternoon shift
$85.91k - $132.17k
...Management and Database Services Specialist provides advanced technical... ...concerns. Design and implement indexing, query optimization... ...extract, transform, and load processes, application interfaces, and... ...to support strategy, improve workflow efficiency, automate...Process improvementImplementationFull timeWork experience placementWork at officeLocal areaRemote work$4,020.34 - $5,100 per month
...Salary Ranges: Program Specialist III: $4,020.34/monthly - $5,... ...involves planning, developing, and implementing guidelines, both within TWDB... ...Oversees the invitation process for the FIF program.... ...implements policy and process improvements to the Texas Water Development...Process improvementImplementationFull timeWork experience placementWork at officeLocal areaFlexible hoursShift workNight shiftWeekend workEarly shift- ...end-to-end Revenue Cycle Management (RCM) process. Review and interpret medical records... ...and identify opportunities for process improvement. Required Skills & Experience ~5+... ...System, Insurance Providers, Medicare, Medicaid, and Commercial Payers. ~ Understanding...Process improvement
$42.98k - $57.6k
...Functional Title: Program Specialist I Job Title: Program Specialist... ...responding to inquiries, processing correspondence, developing,... ...service, or process improvement. (30%) EJF 2: Responds to... ...in the provision of HHS in Medicaid and other HHS programs. Potential...Process improvementFull timeTemporary workPart timeInternshipWork at officeLocal areaRemote workShift work$4,263.16 - $5,521.16 per month
...Functional Title: Program Specialist IV - Revenue... ...analyzing, developing, implementing, monitoring, and problem... ...residents have been processed for the month; resolution... ...Parts B and D, Medicaid, other Third-Party, and... ...to resolve issues or improve performance. (10%) Prepares...ImplementationFull timeTemporary workPart timeWork at officeRemote workShift work$150k - $175k
...leading-edge technologies to help improve the health and well-being of... ...FHIR/HL7 integrations, batch processing, and cloud-based data exchange solutions supporting Medicaid, MMIS, PBM, payer, and... ...closely with business, technology, implementation, operations, client, and...Process improvementImplementationFull timeRemote workFlexible hours$184.8k - $254.1k
...optimize existing assets to improve member experiences and health... ...'s clinical capabilities, processes, and technology. This role will... ...program and product design, implementation, and scaling. Use your... ...for people with Medicare and Medicaid, families, individuals, military...Process improvementImplementationFull timeTemporary workApprenticeshipWork at officeRemote workWork from homeHome office$55k
..., conflict resolution, problem solving, customer service, process improvements, and sound decision-making. The Generalist must have demonstrated... ..., employee relations, retention, policy writing and implementation, LOA, FMLA, and formal training. Preferred: - Minimum...Process improvementImplementationFull time- ...Manage timelines, budgets & project deliverables. Resolve implementation / configuration issues. Provide status reports to stakeholders. Mentor junior team members / train new hires. Drive process improvements & best practices. Ensure SOP / compliance adherence. Requirements...Process improvementImplementationRemote work
$68 - $73 per hour
...Agile, Business Analysis, Healthcare, Process Improvement, Verbal Communication, Written... ...yrs); Experience with Texas HHSC and Medicaid/CHIP systems is a plus (2+ yrs); Experience... ...ensure consistent understanding and implementation of project goals **Only those lawfully...Process improvementImplementationHourly payFull timeTemporary workLocal areaRemote workShift work- ...development, governance, and continuous improvement of people and culture technology,... ...insights, and employee experience through the implementation of scalable and secure solutions. Key... ...driving operational excellence through process redesign and automation. The role also...Process improvementImplementation
- .... Position Summary The Treasury Specialist will be responsible for supporting the... ...Cash Card Program and Treasury Payment Processing. Responsibilities Ensure accurate... ...department initiatives including process improvement and development of policies and...Process improvementWeekly payFull timeStart working todayWork at officeLocal area
- ...Required Skilled in effectively mapping business processes and identifying process improvements and skilled in planning and facilitating meetings... ...of multiple projects with experience with implementations across large organizations to include developing and...Process improvementImplementation
- ...Revenue Management Team as an eBilling Specialist We are seeking a highly skilled professional... ...for the firm’s e-clients, including implementation, maintaining client eBilling... ...motivated self-starter with the ability to process a high volume of electronic bills per month...ImplementationLocal areaRemote workShift work
$136k - $196k
...JD, MBA, or Master's Degree.Experience with the development, implementation, and maintenance of policy.Experience with data analysis,... ...malware, spam and account hijacking. A team of Analysts, Policy Specialists, Engineers, and Program Managers, we work to reduce risk and...Implementation$89k - $127.6k
...merchants connect with their customers, process exchanges and returns, and manage risk.... ...challenges, analyze data for process improvements, and develop best practices for performance... ...& Preferred Qualifications:Develop and implement omnichannel paid media strategies to...Process improvementFull timeWork at officeLocal areaImmediate startFlexible hours$7,000 - $8,999 per month
...to identify, plan, schedule, implement, review, and report on the... ...and information technology processes and systems; provides guidance... ...making recommendations for improvement; identifies and reviews the... ...Abilities: Knowledge of: Medicaid and other HHS programs,...Process improvementImplementationFull timeContract workTemporary workPart timeFor contractorsWork experience placementWork at officeLocal areaRemote workShift work- ...daily laboratory operations while driving improvements in GMP compliance, laboratory systems,... ...development, method validation, and implementation of scientifically sound laboratory... ...data integrity, standardizing laboratory processes, and supporting the development of a...Process improvementImplementation
$90.4k - $168.2k
...contracting practitioners; draft user stories, process flows, and basic system use cases to support the design and implementation of application enhancementsSupport... ...metricsIdentify and recommend opportunities for process improvements and workflow automation within daily tasks;...Process improvementImplementationContract workH1bLocal area- ...for automation, AI adoption, governance improvements, and platform optimization. The SRE... ...Identify opportunities for automation and process improvements across platform administration... ...and technical teams on the design and implementation of new platform capabilities and...Process improvementImplementation
- ...strategically while providing tactical support to implement ideas, Providing nimbleness to be able... ..., launch and ongoing continual improvement Help mitigate issues or roadblocks in... ...the organization to identify opportunities for process improvements and innovation...Process improvementImplementationTemporary workImmediate start
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