Jobs
>
Baton Rouge

    Process Improvement Specialist - Baton Rouge, United States - Centene Corporation

    Default job background
    Full time
    Description

    You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

    Position Purpose: Plan, develop and track process improvement and operational projects related to clinical outcomes for products and ensure integration with delivery systems including service/care coordination

    • Serve as the primary subject matter expert for clinical health outcomes
    • Review of all clinical member materials, including service coordination brochures, handbook references, and educational leaflets
    • Serve as a liaison for all clinical initiatives including, case and disease management, behavioral health and HEDIS outcome measures
    • Evaluate the analysis and responses on all quality measures including, performance development and reporting, and provide recommendations
    • Review member survey results from internal as well as external sources for implications to operations and make recommendations for process improvements accordingly
    • Collaborate with analytics team on identified process improvement reporting and scheduling
    • Performs other duties as assigned
    • Complies with all policies and standards

    Education/Experience: Bachelor's degree in Healthcare, related field, or equivalent experience. 5+ years of process improvement experience, preferably in a managed care environment. Experience in project coordination preferred.

    For LA Plan only: License/Certificates: Current state's RN, or LCSW, Medical or Licensed Psychologists, Licensed Professional Counselors (LPC), Licensed Marriage and Family Therapists (LMFT), Licensed Addiction Counselors (LAC) or Advanced Practice Registered Nurses (must be a nurse practitioner specialist in Adult Psychiatric & mental Health, Family Psychiatric & Mental health, or a Certified Nurse Specialist in Psychosocial, Gerontological Psychiatric Mental Health, Adult Psychiatric & Mental health, Child Adolescent Mental Health). Driver's license preferred.

    Location: Candidate must reside in Louisiana.

    Pay Range: $67, $121,300.00 per year

    Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid 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-related factors permitted by law. Total compensation may also include additional forms of incentives.

    Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.



  • BlueWave Solutions Addis, United States

    As the primary digitalization partner of the German Armed Forces, we provide stable, secure, and efficient IT services both domestically and internationally, from basic operations to deployment areas, contributing to the continuous improvement of the leadership and operational ca ...


  • Horizon Technologies Brownfields, United States

    **About Heinzmann GmbH & CO KG: ** · With our experience and innovative drive in control and drive technology, we are an essential partner in the field of engine management for combustion engines, generators, and turbines. With dedication, we develop the perfect solution for emis ...


  • Marriott International, Inc Commerce Park, United States

    Job Number · Job Category Rooms & Guest Services Operations · Location Courtyard Baton Rouge Acadian Centre/LSU Area, 2421 South Acadian Thruway, Baton Rouge, Louisiana, United States VIEW ON MAP · Schedule Part-Time · Located Remotely? N · Relocation? N · Position Type Non-Mana ...


  • Ochsner Health Baton Rouge, United States Full time

    OCHSNER HEALTH BATON ROUGE DEPARTMENT OF DERMATOLOGY · Ochsner Health Baton Rouge currently has a FULL-TIME opportunity for a DERMATOLOGIST to join its busy practice. Our clinic is in Baton Rouge with the option to rotate to suburban clinics. · Patient-base includes both medical ...


  • Ochsner Health Baton Rouge, United States Full time

    OCHSNER HEALTH BATON ROUGE DEPARTMENT OF GASTROENTEROLOGY · Ochsner Health Baton Rouge is seeking a Board Certified/ Board eligible Gastroenterologist with Advanced Endoscopy training to join our growing department. · HIGHLIGHTS OF THE POSITION:State of the art Endoscopy Lab with ...

  • Sulzer Ltd.

    Retrofit Specialist

    1 week ago


    Sulzer Ltd. Baton Rouge, United States

    Support the Head of Retrofits with development of the overall regional strategy plan, sales plan and continuous improvement projects Developing the account/region plans for delivering growth of Retrofit opportunities in allocated sales territory usin Specialist, Sales, Service Ma ...


  • Ochsner Health Baton Rouge, United States Full time

    OCHSNER HEALTH BATON ROUGE DEPARTMENT OF ENDOCRINOLOGY · Ochsner Health Baton Rouge currently has FULL-TIME opportunities for Board-Certified/Board-Eligible ENDOCRINOLOGISTS to join its expanding service line. Practice will include a mixture of thyroid, osteoporosis, diabetic, an ...


  • Ochsner Health Baton Rouge, United States Full time

    OCHSNER HEALTH BATON ROUGE - DEPARTMENT OF GASTROENTEROLOGY IBD SPECIALIST · Ochsner Health Baton Rouge is seeking a Board Certified/Board Eligible GASTROENTEROLOGIST to join its practice within the subsection of INFLAMMATORY BOWEL DISEASE (IBD). · HIGHLIGHTS OF THE POSITION:Focu ...


  • East Baton Rouge Parish School System Baton Rouge, LA, United States

    Position Type: · EXCEPTIONAL STUDENT SERVICES/ESS Program Specialist AUTISM · Date Posted: · 4/18/2024 · Location: · Melrose Elementary · (High-Needs School)Job Title: Exceptional Student Services Program Specialist (Autism) · Reports To: Director of Exceptional Student Services ...


  • East Baton Rouge Parish School System Baton Rouge, United States

    Position Type: · EXCEPTIONAL STUDENT SERVICES/ESS Program Specialist AUTISM · Date Posted: · 4/18/2024 · Location: · Melrose Elementary · (High-Needs School) · Closing Date: · 5/31/2024Job Title: Exceptional Student Services Program Specialist (Autism) · Reports To: Director of ...


  • Landmark Hospitals Baton Rouge, United States

    The Accounts Payable Specialist (AP Specialist) supports all accounts payable activities for the organization, ensures timely payments of vendor invoices and expense vouchers, and maintains accurate records and control reports. The AP Specialist maintains timely contact with empl ...


  • PSC Group Baton Rouge, United States

    Accounts Receivable Specialist (AR Specialist) · Baton Rouge, LA · PSC Group is seeking an Accounts Receivable Specialist who thrives on providing excellent customer service and enjoys solving problems. This position will work in our Baton Rouge corporate office in a family-orien ...


  • Franciscan Missionaries of Our Lady Health System Baton Rouge, United States

    Job Description · Certified Tobacco Cessation Specialist · Our Lady of the Lake · Baton Rouge, LA · Job Summary: The Certified Tobacco Training Specialist (CTTS) works with patients in both the inpatient and outpatient setting to educate them about tobacco cessation. The CTTS wor ...


  • HCO Behavioral Health Services Baton Rouge, United States

    POSITION SUMMARY: · The Mental Health Specialist/Professional is responsible for rendering mental health services under the supervision of a LMHP and Program Director, including but not limited to: · Render individual Psychosocial Rehabilitation (PSR) services to both adolescen ...


  • Upward Health Baton Rouge, United States

    CARE SPECIALIST · Are you a dedicated individual with a passion for providing quality care and making a positive impact in the lives of others? If you possess a unique blend of skills and attributes, including critical thinking, resilience, and the ability to thrive in unstructur ...


  • HAART, Inc. Baton Rouge, United States

    Job Purpose: · The purpose of the Sr. Patient Registration Specialist is to conduct the eligibility verification screening, documentation collection, and financial assessments for all clinic patients accessing services, including verifying eligibility for HIP and Ryan White funde ...


  • Bernhard Baton Rouge, United States

    Talent Development Specialist · Bernhard's core mission is delivering innovative engineering, construction, and energy solutions that empower our clients and promote a sustainable future. Bernhard is comprised of four divisions: Mechanical, Electrical, Engineering and Development ...


  • Landmark Hospitals Baton Rouge, United States

    If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. · Accounts Payable Specialist · Full Time · Management · Baton Rouge, LA, US · 2 days ago · Requisition ID: 2581 · Sala ...

  • Franciscan Missionaries of Our Lady Health System

    Director Nursing 2

    1 week ago


    Franciscan Missionaries of Our Lady Health System Baton Rouge, United States

    Job Description · Supervises and coordinates patient care services of one or more nursing units on a 24-hour basis. The Dir, Nursing ensures that physicians' orders are followed; ensures that patient conditions and progress are accurately reported; ensures that patient care is ad ...

  • Sigma Engineers and Constructors

    Reliability Specialist

    21 hours ago


    Sigma Engineers and Constructors Baton Rouge, United States

    Job Description · Job DescriptionWHAT WE NEED: · Reliability Specialist · The Reliability Specialist will support reliability improvement and maintenance projects for a range of clients on various turbomachinery. The ideal candidate will have a technical background in turbomachin ...