Senior Process Improvement Professional

CarePlus Health Plans Inc

Remote
$78,400 - $107,800 py; bonus incentive plan availa...
Hybrid
Provider data and claims resolution
Implement best business practices
Collect and analyze process data
You will implement best business practices within and outside the organization to improve data quality and efficiency

Job Summary

  • You will implement best business practices within and outside the organization to improve data quality and efficiency.
  • You will collect and analyze process data to develop business practices and procedures that focus on increased productivity, reduced cost, awareness and resolution provider data exposure and deficiencies.
  • Humana offers competitive benefits that support whole-person well-being, including medical, dental and vision benefits, 401(k) retirement savings plan, and time off.

Matching Summary

You will implement best business practices within and outside the organization to improve data quality and efficiency.

Salary

$78,400 - $107,800 per year; Bonus incentive plan available; Benefits: medical, dental, vision, 401(k), time off

Skills & Requirements

Must-have

  • Provider data and claims resolution
  • Implement best business practices
  • Collect and analyze process data
  • Support daily claim deferral process
  • Develop metrics for process measurement

Nice-to-have

  • Consultation on re-engineering techniques
  • Focus on whole-person well-being
  • Caring community

Key Requirements

  • 3 years of claims operations experience
  • Experience with TRICARE claims processing
  • U.S. citizenship required
  • Interim government security clearance

Work Rights

Must have U.S. citizenship and interim government security clearance

Tailored Resume

Cover Letter