Become a part of our caring community Join our Payment Integrity Letters team at Humana where you will help draft and implement outbound communication templates for the Payment Integrity Operations teams as a Payment Integrity Professional 2. You will help ensure compliance with state contractual requirements and Humana brand standards in drafting communication templates and working with the approvers and developers. You will report to the Associate Director, Business Systems Analysis. Main responsibilities: Collaborate with business partners to draft new communications Review existing communications on an annual basis to ensure compliance with all state requirements and Humana brand standards Ensure intake requests are completing all required steps in a timely manner and escalate off track tasks as needed Work with the EMME development team to ensure communication requirements are documented clearly and implemented correctly Validate communications in QA and Production environments on a regular basis to identify gaps Use your skills to make an impact Required Qualifications 2+ years' experience tracking process deliverables Experience editing documents with Microsoft Office Programs Word, PowerPoint, and Excel Experience handling multiple priorities Experience with com
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Become a part of our caring community The Senior Quality Improvement Professional leads efforts to improve clinical quality and provider performance for the Humana Healthy Horizons in South Carolina Medicaid Plan. You will develop and implement cross-functional quality improvement initiatives, evaluate business processes and performance outcomes, and drive sustainable, measurable improvements. Reporting to the Quality Improvement Director, you will collaborate with internal and external stakeholders to advance a provider-focused culture of quality and performance excellence. You will manage complex projects and analyze diverse data sources to identify opportunities, inform strategy, and support organizational objectives. The Senior Quality Improvement Professional leverages data to lead quality improvement initiatives, monitor performance metrics, and support provider performance enhancement. This role collaborates with provider-facing teams to implement targeted interventions, develop educational resources, and drive achievement of quality and member experience goals. The position leads and participates in multidisciplinary committees, provides strategic clinical guidance on quality initiatives, and influences business decisions through data-driven insights. Operating with a high degree of independence, the Senior Quality Improvement Professional manages complex projects, exercises sound judgment, and recommends solutions to advance organizational objectives. Essential Role Responsibilities The Senior Quality Improvement Professional is responsible for improving clinical quality and performance outcomes among South Carolina network providers. Key responsibilities include: Partner with Provider Engagement, Network, and Contracting teams to implement clinical quality improvement strategies including education, training and performanc
At Freddie Mac, our mission of Making Home Possible is what motivates us, and it’s at the core of everything we do. Since our charter in 1970, we have made home possible for more than 90 million families across the country. Join an organization where your work contributes to a greater purpose. Position Overview: Are you passionate about data? Are you curious and analytical? Do you thrive on working in a team environment? Freddie Mac’s Multifamily Portfolio and Risk Management team needs creative, forward-thinking individuals like you! We are seeking a Quantitative Analytics Professional who will be responsible for engaging the key Multifamily business partners to ensure the reasonableness and consistency of quantitative models, analytics and methodologies used in risk management and decision making in Multifamily business. Our Impact: We are the owners and developers of all major Multifamily credit, market risk and business decision models/tools. Our goal is to develop and apply all quantitative models and advanced data science tools to facilitate Multifamily risk management and optimize portfolio strategies. Our team is also responsible for Multifamily data analytics, regulatory capital, stress testing and business initiatives. This is an increasingly critical role given our focus on safety and soundness in multifamily business as well as the emerging risk management under the dynamical market environment. Your Impact: Lead efforts on data strategy, analytical tool design, and uses of Multifamily models; provide thoughtful inputs on development of Multifamily data, advanced analytics, and model assumptions/methodology. Lead best practices and improvement of Multifamily data management and analytical products to ensure adherence to industry standards and regulatory compliances. Collaborate with cross-functional teams to impl
AI Product Management Professional — New York, NY. Apply via Workday.
Supply Chain Professional, Mobile-2 — AL - Mobile, 3248 Springhill Ave. Apply via Workday.
Xfinity Sales Professional — PA - Aston, 110 Springbrooke Blvd. Apply via Workday.
Xfinity Field Sales Professional — PA - Pittsburgh, 15 Summit Park Dr. Apply via Workday.
Xfinity Field Sales Professional — PA - Williamsport, 410 Penn Street. Apply via Workday.
Seniors Housing Production Professional — McLean, VA. Apply via Workday.
Xfinity Field Sales Professional — VA - Richmond, 5401 Staples Mill Rd. Apply via Workday.
Xfinity Field Sales Professional - Shreveport, LA — LA - Shreveport, 6529 Quilen Rd. Apply via Workday.
Xfinity Field Sales Professional (Millersville) — MD - Millersville, 253 Najoles Rd. Apply via Workday.
Xfinity Field Sales Professional — PA - Plymouth Meeting, 1 Apollo Rd. Apply via Workday.
Xfinity Field Sales Professional - Atlanta, GA — GA - Atlanta, 2605 Circle 75 Pkwy SE. Apply via Workday.
Xfinity Field Sales Professional - Knoxville, TN — TN - Crossville, 27 Druid Cir. Apply via Workday.
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