Homecare Homebase Clinical EMR Specialist
Bankers Healthcare GroupSalary not specified
- Full Time
- Junior (1 to 2 years)
Not SpecifiedCompensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries
Requirements
Candidates should possess a Bachelor's degree in a relevant field such as Business Administration, Healthcare Management, or a related discipline, and ideally have at least three years of experience in process improvement or strategic planning roles. Strong organizational skills and a detail-oriented approach are essential, as is the ability to interpret complex regulatory requirements and translate them into actionable strategies.
Responsibilities
The Process Improvement Specialist will support the development and execution of Medicaid care/service coordination strategy and growth activities, translating business goals into operational blueprints. They will review and interpret clinical models and contracts, draft operational model blueprints, and assist in developing an operational vision. This role will also support business reviews of member and provider-facing documents, assist with document submissions, and ensure alignment with contract requirements. Furthermore, they will contribute to strategic planning through documentation, workflow development, and process alignment, while supporting the creation and maintenance of operational tools and clinical auditing tools.
Skills
Healthcare Strategy
Operational Planning
Process Improvement
Regulatory Compliance
Documentation
Cross-functional Collaboration
Business Analysis
Project Management
Humana
Health insurance provider for seniors and military
About Humana
Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.
Louisville, KentuckyHeadquarters
1961Year Founded
IPOCompany Stage
Social Impact, HealthcareIndustries
10,001+Employees