LTSS Process Improvement Professional
Core
Support Medicaid implementation by translating regulatory requirements and business goals into operational documentation, workflows, and tools for new state launches.
Role type
Mid-level process improvement professional (healthcare operations)
Builds
Implementation documents, policies, procedures, workflows, and clinical auditing tools for Medicaid markets
Domain
US Healthcare / Medicaid / Long-Term Services and Supports (LTSS)
Required skills
Documentation drafting and editing, workflow development, regulatory compliance interpretation, project tracking, cross-functional collaboration, quality assurance
Preferred skills
Project management, Medicare/Medicaid integrated model experience, cross-functional settings experience
Technologies
Smartsheet, OneNote, SharePoint
Responsibilities
Draft and review implementation documents (policies, procedures, program descriptions), assist in reviewing member/provider manuals for compliance, prepare and submit internal documentation, collaborate on training materials and job aids, document process steps and create visual workflows, support creation of clinical auditing tools, research contract and regulatory requirements, track document progress using project management systems
Seniority
Mid-level, hands-on IC