- Molina Healthcare (Bowling Green, KY)
- …**Job Summary** Responsible for reviewing and resolving member and provider complaints and communicating resolution to members and provider (or authorized ... representatives) in accordance with the standards and requirements established by the Centers for Medicare and Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research and resolution of the appeals, dispute, grievances, and/or… more
- CDM Smith (Bowling Green, KY)
- …Ready to take the next step in your career? Passionate about helping others grow professionally? As a Regional Team Leader, you'll guide and support a team, offering ... mentorship, training, and leadership to help them reach their full potential. The Infrastructure Services Group (ISG) is seeking a Regional Team Leader and Senior Specification Writer to lead our Specifications Group. We're looking for candidates with… more
- Health Advocates Network (Bowling Green, KY)
- Benefits We Offer: + Comprehensive health, prescription, dental, vision, life, and disability plans + Competitive pay rates + Referral opportunities ? Refer a friend ... & Cash in! + Travel reimbursement and per diem allowances + Employee discounts + Educational opportunities Health Advocates Network was founded based on a shared aspiration to improve the way healthcare staffing is done. We are a company founded by healthcare… more
- CDM Smith (Bowling Green, KY)
- …CDM Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims. This role is critical in evaluating and analyzing financial data ... related to disaster-related claims, including property damage, business interruption, and other loss categories. The specialist will conduct thorough forensic investigations to identify discrepancies, detect potential fraud, and ensure the integrity and… more
- Molina Healthcare (Bowling Green, KY)
- …**Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an ... integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and… more
- Molina Healthcare (Bowling Green, KY)
- …**Job Summary** Responsible for preparation, processing and maintenance of new members and re-enrollment. Processes and maintains health plan's member and enrollment ... records, employer's monthly reports, sending membership cards and materials. Verify enrollment status, make changes to records, research and resolve enrollment system rejections. Address a variety of enrollment questions or concerns received via claims, call… more
- Colgate-Palmolive (Bowling Green, KY)
- …**Required** : + 1+ year of experience in a Maintenance Tech 1 position with Hill's and successful completion of the Maintenance Tech 2 Certification. OR + 3+ years ... of experience in a food grade industrial maintenance setting. OR + 5+ years of experience in industrial maintenance in a manufacturing environment. + Both internal and external candidates must earn a passing score on either the Mechanical or Electrical SMT… more
- Western Kentucky University (Bowling Green, KY)
- …The Western Kentucky University Psychology Department (www.wku.edu/psychology/) is seeking qualified applicants for a full-time, nine-month, non-tenure eligible ... appointment at the rank of Clinical Assistant Professor with an anticipated start date of August 2025. This appointment will primarily support the school psychology (Ed.S.) program. The area of expertise is open, with a preference for the ability to teach… more
- United Rentals (Bowling Green, KY)
- …+ High School diploma or equivalent + Valid driver's license with acceptable driving record + 1-2 years of experience repairing/maintaining vehicles and equipment; or ... **_Great company. Great people. Great opportunities._** If you'd like the chance to make your mark with the world's largest equipment rental provider, **come build your future with United Rentals!** As a Field Diesel Mechanic (Field Service Tech II), you'll… more
- Molina Healthcare (Bowling Green, KY)
- …**Job Summary** The Sr Engineer, Cloud assists IT colleagues and partners to develop, migrate and deploy key cloud initiatives in a dynamic environment, while also ... ensure stability and functionality requirements from business customers are met. **Knowledge/Skills/Abilities** * Supports the planning, configuration, and operation of Molina cloud infrastructure migration and services. * Works to configure and support… more
- Molina Healthcare (Bowling Green, KY)
- …**Job Summary** Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases. Maintains critical provider ... information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business rules as they apply to each database. Validate data to be housed on provider databases and ensure adherence to business and system… more
- HealthTrust Workforce Solutions (Bowling Green, KY)
- …It's defined by its people. We pride ourselves on crafting opportunities which expand skill sets, broaden career horizons, provide economic stability, and cultivate ... personal growth. Our partnering hospital is seeking a compassionate and skilled RN for a 13-week nursing assignment. **Healthtrust Offers:** + Competitive Pay Packages + Guaranteed hours + Weekly direct deposit options + 401k with Company Match + Earn up to… more
- HCA Healthcare (Bowling Green, KY)
- …**Introduction** Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As a Phlebotomist with TriStar Greenview ... Regional Hospital you can be a part of an organization that is devoted to giving back! **Benefits** TriStar Greenview Regional Hospital, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans… more
- Walmart (Bowling Green, KY)
- …** As a Tire and Battery Center Services Lead you will drive member service in your area and supervise your team of hourly associates to deliver safe and efficient ... services. You will model expertise in Tire and Battery Center and work collaboratively with other team leaders to ensure the total club meets the member's expectations. **What you'll do ** Be a Team Leader Supervises the team within the Tire and Battery Center… more
- Molina Healthcare (Bowling Green, KY)
- …**Job Summary** Responsible for reviewing and resolving Provider No Surprises Act cases in accordance with the standards and requirements established by the Centers ... for Medicare and Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research and resolution of Provider No Surprises Act cases to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using… more
- Leaffilter (Bowling Green, KY)
- …LeafFilter Gutter Protection, a rapidly growing home improvement company is seeking Part-time Retail Marketers. Candidates should possess excellent verbal ... communication skills, be self-motivated, dependable, and have reliable transportation. Selected applicants will work on site at a variety of retail stores. Hours and days vary, and weekend availability is a must. For Immediate Hire! Paid Weekly! Compensation:… more
- Molina Healthcare (Bowling Green, KY)
- …Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an integrated delivery of ... care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on… more
- Molina Healthcare (Bowling Green, KY)
- …**Job Summary** Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk adjustment model, ... estimate risk scores, and analyze impact. Extract, analyze, and synthesize data from various sources to identify risks. Additional leadership opportunities are available to lead national risk adjustment studies. Prior experience in Medicaid risk adjustment is… more
- Grifols Shared Services North America, Inc (Bowling Green, KY)
- …+ Develops and implements worldwide regulatory strategies for projects and issues affecting development of new products or medical devices or new indications for ... existing products + Provides regulatory expertise to Research and Development to support the design and analyses of projects. Interacts with cross-functional groups to ensure alignment of technical activities with regulatory strategies. + Utilizes scientific… more
- Molina Healthcare (Bowling Green, KY)
- …**Job Summary** Molina's Credentialing function ensures that the Molina Healthcare provider network consists of providers that meet all regulatory and risk management ... criteria to minimize liability to the company and to maximize safety for members. This position is responsible for the initial credentialing, recredentialing and ongoing monitoring of sanctions and exclusions process for practitioners and health delivery… more