Remote Quality Improvement Lead - Medicaid & Member Experience
Humana
Humana is seeking a Senior Quality Improvement Professional to lead provider-focused, cross-functional initiatives to improve clinical quality, provider performance, and member experience for the South Carolina Medicaid plan.
You will develop and implement quality improvement initiatives, analyze performance data, and drive sustainable improvements with a focus on HEDIS/CAHPS metrics and collaborative stakeholder engagement.
#J-18808-Ljbffr- ...Humana Inc. is seeking a Senior Quality Improvement Professional to lead provider-focused quality initiatives... ...Horizons in South Carolina Medicaid Plan. The role involves developing... ...outcomes to enhance care quality and member experience. Reporting to the Quality...Remote workQuality
$30.22 - $42.31 per hour
...Member Experience Improvement Specialist - Remote Join to apply for the Member Experience Improvement Specialist - Remote role at Northrop Grumman Federal... ...processes align with overall MX strategies. Quality Assurance Responsibilities Monitor and evaluate phone...Remote workQualityWork at office$156.6k - $215.4k
...enable exceptional member and provider experiences. The Director, Segment Quality Engineering is a... ..., this role will lead teams responsible... ..., and continuous improvement across multiple... ...While this is a remote position, occasional... ...Medicare and Medicaid, families, individuals...Remote workQualityFull timeTemporary workApprenticeshipWork at officeWork from homeHome office$165k - $200k
...Lead Of Global Facilities & Workplace Experience StubHub is on a mission to redefine... ...in office/2 days remote) New York, NY or Century... ...and team member experience. Facilities... ...scalable, and high-quality facilities agreements... ...continuous improvement. What You've Done:...Remote workQualityWork at officeLocal areaWorldwide$58k - $70k
...With over 2,000 team members across 10+... ...operates as a global, remote-first organization... ...messages, 200 million leads and 20 million... ...mentor a team of Trial Experience Specialists. Your... ...strategic improvements. Your management style... ...to enhance service quality. Address and resolve...Remote workQualityWorldwide- ...The Membership Retention Lead plays a key role in supporting member retention, engagement, and overall member experience across the organization. This... ...Supporting a high-quality member experience across membership... ...identify opportunities to improve renewal processes,...Remote workQualityWork at office
- ...physician with senior health plan experience to join MedStar Family... ...days a week with one day remote, guiding clinical strategy and operations for the Medicaid plan. You will oversee... ..., pharmacy, case, quality, and clinical improvement programs, ensuring compliance...Remote workQualityContract work
$24.86 - $37.31 per hour
...has been a source of quality supplies for a... ...can believe in.The Lead L&D Events and Experiences Coordinator serves as... ...excellence.As a senior member of the coordination... ...spring 2027 and will be remote until opening. Some... ...define and continuously improve standards for a...Remote workQualityHourly payFull timeFor contractorsWork at officeLocal area- ...Lead Continuous Quality Improvement Specialist# State of North Carolina Careers## Lead... ...Improvement SpecialistApply: Remote: Wake County, NC: Full... ...the minimum education and experience listed on the vacancy announcement... ...must attach a DD-214 Member-4 Form (Certificate of Release...Remote workQualityFull timeWork experience placementWork at officeRelocationNight shift
- ...Lead Generation Specialist: Home Improvement We are one of the fastest growing... ...We are looking for quality people to join our... ...projects efficiently Experience planning large-... ...competitive salary and remote working options... ...be the next great member of our team. Bath...Remote workQualityWork at office
$55k - $65k
...are seeking a Payment Experience Team Lead in the Americas.... ...plans payer experience improvements plus anything else that... ...execution support team members in reaching the team... ...updates training and quality review Be the main... .... #LI-Hybrid Remote Work : No Employment...Remote workQualityFull timeWork at officeLocal areaImmediate startFlexible hours$85k - $105k
...enterprise partnerships, and Medicaid-supported programs.... ...our Customer Experience team, you will play... ...engaged in programs that improve long-term health... ..., Social Care & Member Experience to lead and scale our healthcare... ...expectations, call quality, and member satisfaction...Remote workQualityLocal area- ...and monitoring quality indicators to demonstrate... ...with all team members to optimize... ....The Team Lead of On-site UM is... .... Unlike remote roles, this position... ...compliance of Medicare/Medicaid regulations (e.... ...performance improvement inclusive of... ...Minimum Experience: Minimum 3 years...Remote workQualityFull timeImmediate startShift work
- Dominique Dawes Academy seeks a proactive Member Experience Lead to guide the family journey from... ...showcases on-site. You will lead efforts to improve the member journey, respond to family... ...with leadership to maintain high-quality experiences for prospective and current...Quality
- ...supervising staff, supporting member services, and processing... ...ensuring adherence to policies and quality standards. The role... ...teamwork, integrity, and continuous improvement while delivering value to members... ...ensuring a positive shopping experience. #J-18808-Ljbffr Walmart Inc...Quality
- ...CareStar, Inc. is seeking a Quality Improvement Supervisor to lead continuous quality improvement across our... ...work or healthcare management, CQI experience, and strong communication skills to... ...drive results in a mission-driven, remote-work environment. #J-18808-Ljbffr...Remote workQualityWork from home
$20 per hour
...nearly five decades of experience, we have built a... ...dedicated to improving care for older adults... ...we serve. Member Experience Guide Location: Remote Locations (AZ, NV,... ...consistently delivering high-quality, empathetic, and... ...Advantage, Medicaid, or healthcare experience...Remote workQualityHourly payFor contractorsWork at office- ...and monitoring quality indicators to... ...with all team members to optimize hospital... .... The Team Lead of On-site UM... ..., process improvements, policies and... ...compliance. Unlike remote roles, this... ...compliance of Medicare/Medicaid regulations (e... ...Minimum Experience: Minimum 3...Remote workQualityImmediate startShift work
- ...seeks a Clinical Documentation Improvement (CDI) Specialist to enhance documentation quality across acute care settings. You... ...physicians on documentation, and lead CDI initiatives to improve care... ...Requires associates degree and CDI experience with advanced medical knowledge...Remote workQuality
- ...Hospital Los Angeles is seeking a Quality Improvement Coordinator III for a 100% remote role with required CA residency... ...needs. The role focuses on leading quality, patient safety, and performance... ...related field, 5+ years of QI experience (7–10 preferred), and a CPHQ...Remote workQuality
$117.6k - $161.7k
...that power exceptional member, provider, and associate experiences.The Lead Quality Engineer - Onboarding,... ...operationalize, and continuously improve quality engineering... ...: While this is a remote position, occasional travel... ...with Medicare and Medicaid, families, individuals,...Remote workQualityFull timeTemporary workWork at officeWork from homeHome office$1,000 per month
...Lead Product Manager, GrowthAlma, part of Spring Health... ...to join our Client Experience organization. Reporting... ...execution for top-of-funnel member growth, focusing on net... ...amplify the speed and quality of product execution... ...-velocity A/B tests to improve acquisition and...QualityWork at officeRelocationSleeping nights2 days per week3 days per week$115.2k - $158.4k
...Portfolio Enablement Lead is a strategic... ...design, and improving alignment, flow... ...to detail and quality of work... ...role-based career experience in SAFe environments... .../external team members to bring best... ...supportLimited Geography Remote - This is a... ...Medicare and Medicaid, families,...Remote workQualityBi-weekly payFull timeTemporary workWork at officeWork from homeHome office- ...To enhance the quality and effectiveness of the Clinical Documentation Improvement program, the full-time Lead Clinical Documentation Improvement Specialist... ...optimization in a 100% remote work environment. Key... ...Minimum of five (5) years of experience in Clinical Documentation...Remote workQualityFull time
$142.3k - $195.7k
...caring communityThe Lead Enterprise... ...critical role in improving security and... ...of progressive experience in enterprise architecture... ...to protect member PHI / HIPAA... ...this is a remote position, occasional... ...to a better quality of life for people... ...Medicare and Medicaid, families, individuals...Remote workQualityFull timeTemporary workWork at officeWork from homeHome office- ...limiting access to quality, comprehensive... ...covered by Medicaid and Medicare.... ...Physician Lead will help develop... ...workflows, platform improvements, and strategic... ...the state. Experience with... ...~ This is a remote position based... ...of color, and members of the LGBTQIA...Remote workQualityFull timePart time
- ...Fisher Scientific as a Lead Customer Service Experience Manager, serving as... ...and continuously improve the customer experience... ...and vision coverage Remote work options Tuition... ...performance, quality improvements, customer... ...Managers, and other team members. Support department...Remote workQualityFull timeWork at officeFlexible hours
$126.3k - $173.7k
...Portfolio Enablement Lead is a portfolio... ...teams to improve enterprise performance... ...certification. Experience operating... ...interruptions to protect member PHI / HIPAA... ...this is a remote position,... ...leading to a better quality of life for people... ...Medicare and Medicaid, families,...Remote workQualityFull timeTemporary workWork at officeWork from homeHome office$80k - $128k
...Medical Review Team Lead - Medicaid Job Locations US Requisition... ...include achieving quality objectives, workload oversight... ...for manager Assist team members with workflow development... ...a HS Diploma/equivalent Experience in the medical review field...Remote workQualityContract workFor contractorsFor subcontractorWork at officeShift workNight shift$126.3k - $173.7k
...community The CRM Marketing Lead (Pod Lead) for... ...into high-quality, scalable member experiences delivered through Adobe... ...collaboration, and continuous improvement. As Humana continues... ..., Medicare, Medicaid, Stars, loyalty and... ...Travel: While this is a remote position, occasional...Remote workQualityFull timeTemporary workWork at officeWork from homeHome office
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