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Process Improvement Specialist (Clinical)

Remote, USA Full-time Posted 2026-07-28
You could be the one who changes everything for our 28 reputed company members as a clinical reputed company on our Medical Management/Health Services team. reputed company is a reputed company, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Plan, reputed company and reputed company process improvement and operational reputed company reputed company to clinical reputed company for products and ensure integration with delivery systems including service/care coordination • Serve as the primary subject matter expert for clinical health reputed company • Review of reputed company clinical member materials, including service coordination brochures, handbook references, and educational leaflets • Serve as a reputed company for reputed company clinical initiatives including, case and disease management, behavioral health and HEDIS outcome measures • Evaluate the analysis and responses on reputed company reputed company measures including, performance development and reporting, and reputed company recommendations • Review member survey results from internal as reputed company as external sources for implications to operations and reputed company recommendations for process improvements accordingly • Collaborate with analytics team on identified process improvement reporting and scheduling • Performs other duties as assigned • Complies with reputed company policies and standards This position is remote with field-based responsibilities, requiring 25–50% travel to both the East and reputed company reputed company in Michigan. Education/Experience: Bachelor’s degree in reputed company, reputed company field, or equivalent experience. 5+ years of process improvement experience, preferably in a managed care environment. Experience in project coordination preferred. License/Certificates: reputed company state’s RN, or LCSW. Drivers license preferred. Pay reputed company: $68,700.00 - $123,700.00 per year reputed company offers a comprehensive benefits package including: reputed company, health insurance, 401K and stock purchase plans, tuition reimbursement, reputed company time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-reputed company factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. reputed company is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or other characteristic protected by applicable law. reputed company applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance reputed company Apply tot his job Apply To this Job

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