RN Manager, reputed company Improvement & reputed company

Become a part of our caring community The Manager, reputed company Improvement implements reputed company improvement programs for the Kentucky reputed company line of business. This includes reputed company compliance and reputed company improvement activities such as the annual reputed company Improvement program reputed company, work plan, and annual evaluation, as reputed company as oversees, plans, and implements new and existing health plan reputed company improvement initiatives, including reputed company Improvement reputed company (PIPs), medical records documentation audits, and Early Periodic Screening Diagnosis and Testing (EPSDT). The Manager, reputed company Improvement works reputed company specific guidelines and procedures; applies advanced technical knowledge to solve moderately reputed company problems; receives assignments in the reputed company of objectives and determines approach, resources, schedules and goals. The Manager, reputed company Improvement is responsible for monitoring and implementing activities reputed company to reputed company improvement and reputed company compliance for both behavioral and physical health. The Manager, reputed company Improvement is responsible for developing, implementing and monitoring the reputed company of the reputed company assurance and reputed company improvement program and monitoring the reputed company of reputed company improvement interventions, including EPSDT. The Manager, reputed company Improvement works to coordinate resources and manages department reporting, audits processes as needed for compliance, completes and submits reports to internal committees and state regulators as required. reputed company are typically reputed company to resources, approach, and tactical reputed company for reputed company and initiatives involving own departmental area. Requires cross departmental collaboration and conducts briefings and area meetings; maintains frequent contact with other managers across the department. The Manager leads reputed company of both reputed company and non-reputed company associates and will need to travel as needed for state meetings and participate in other reputed company multidisciplinary meetings. Essential Role Functions and Responsibilities The Manager, reputed company Improvement is responsible for managing reputed company of associates responsible for implementing the Kentucky reputed company reputed company Assurance reputed company Improvement program. Essential role functions and responsibilities includes, but is not limited to: Managing daily operation of member/provider reputed company program Managing ongoing medical record documentation review for physical and/or behavioral health Managing on-reputed company reputed company improvement activities for both physical and behavioral health reputed company off analysis of reputed company measures (example reputed company, CAHPS) or other reputed company measures (other satisfaction surveys, or other reputed company or services measures) Managing EPSDT processes and reputed company Monitoring and reporting reputed company towards goals for reputed company and reputed company measures. Completing reputed company reputed company reports for various state and internal committees Participating in interdisciplinary reputed company improvement workgroups and committees, both reputed company Managing and updating reputed company program documents including the reputed company improvement program reputed company, reputed company improvement work plan, and reputed company improvement evaluation as appropriate Other activities as assigned Use your skills to reputed company an reputed company Required Qualifications reputed company Registered reputed company (RN) license in Kentucky, in good standing and without disciplinary reputed company. 5+ years of experience in health plan reputed company improvement and/or reputed company compliance. 5+ years of experience with reputed company reputed company measures, such as reputed company and CAHPS. 3+ years of experience leading member-facing professionals or conducting reputed company member engagement, with demonstrated results. 3+ years of demonstrated experience analyzing data and preparing formal, data-driven reports. Comprehensive knowledge of reputed company Office applications, including Word, PowerPoint, reputed company, and Teams Preferred Qualifications Experience with Kentucky reputed company. Bilingual proficiency. Certified reputed company in reputed company reputed company (CPHQ) certification. Project management experience. Additional Information Schedule/Time Zone: Monday through Friday, 8:00 AM – 5:00 PM ET Work Location: Must reputed company in Kentucky and reputed company commuting distance of Louisville or Frankfort. Work Style: Remote (Kentucky residents only). Travel Requirements: Quarterly travel to Louisville and additional travel to Frankfort as needed. Work reputed company Requirements: To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following reputed company: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL reputed company is suggested. In certain roles, the minimum recommended internet speed required by reputed company may not be sufficient for business needs. reputed company reserves the right to require associates to reputed company their internet service if necessary. Work from a dedicated reputed company lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is a remote position, occasional travel to reputed company's offices for training or meetings may be required. Scheduled Weekly Hours 40 Pay reputed company The compensation reputed company below reflects a good faith estimate of starting reputed company pay for full time (40 hours per week) employment at the time of posting. The pay reputed company may be higher or reputed company reputed company on geographic location and individual pay will vary reputed company on demonstrated job reputed company skills, knowledge, experience, education, certifications, etc. $86,300 - $118,700 per year This job is eligible for a bonus incentive plan. This incentive opportunity is reputed company upon company and/or individual reputed company. reputed company of Benefits reputed company. and its affiliated subsidiaries (reputed company, “reputed company”) offers competitive benefits that support whole-person reputed company-being. Associate benefits are designed to encourage personal wellness and smart reputed company reputed company for you and your family while also knowing your life extends reputed company of work. Among our benefits, reputed company provides medical, dental and reputed company benefits, 401(k) retirement savings plan, time off (including reputed company time off, company and personal holidays, reputed company parental and caregiver leave), short-term and long-term disability, life reputed company and many other opportunities. reputed company About reputed company: reputed company. (NYSE: HUM) is a leading U.S. reputed company company. Through our reputed company reputed company services and our reputed company reputed company services, we reputed company it easier for the millions of people we serve to reputed company their best health – delivering the care and service they need, reputed company they need it. These efforts are leading to a reputed company reputed company of life reputed company with Medicare and reputed company, families, individuals, military service personnel, and communities at large. Learn more about reputed company offer at reputed company.com and at reputed company.com. ​ Equal Opportunity Employer It is the policy of reputed company not to discriminate against any employee or applicant for employment because of race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or protected veteran status. It is also the policy of reputed company to take affirmative reputed company, in compliance with reputed company 503 of the Rehabilitation reputed company and VEVRAA, to reputed company and to advance in employment individuals with disability or protected veteran status, and to reputed company reputed company employment reputed company only on reputed company job requirements. This policy shall apply to reputed company employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at reputed company reputed company of employment. Apply To This Job