- Molina Healthcare (Louisville, KY)
- …design solutions utilizing provider data such as the Provider Online Directory, Utilization Management , Customer Experience, Enrollment, and Claims ... **Job Description** **Job Summary** The Network Solutions Director is responsible for leading a team designing...combination of education and experience **Required Experience** 7-9 years Provider Data **Preferred Education** Graduate Degree or… more
- Molina Healthcare (Louisville, KY)
- … Information process functions. * Directs the development, implementation and maintenance of provider data in the claims payment system. * Supports critical ... databases. Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of… more
- Molina Healthcare (Louisville, KY)
- …optimization, and service delivery + Overseeing implementation of scalable solutions for provider onboarding, data management , and credentialing operations + ... **JOB DESCRIPTION** **Job Summary** Lead operational readiness initiatives across provider data and credentialing functions, supporting both new implementations… more
- Molina Healthcare (Louisville, KY)
- …and ensure adherence to business, system and regulatory requirements of Provider Data Management /Network Adequacy. **Knowledge/Skills/Abilities** + ... work with other teams including New Markets team, Network Management , Product Teams, PDM and IT. **Job Qualifications** **REQUIRED...EXPERIENCE:** + Advanced Excel skills. + Power BI. + Provider Data Analytics. To all current Molina… more
- Molina Healthcare (Louisville, KY)
- **Job Description** **Job Summary** The Director , Clinical Data Acquisition for Risk Adjustment, is responsible for the implementation, monitoring, and oversight ... and data completeness training, onboarding for CDA team members, vendor management for chart collection vendors, Supplemental data , and chart collection… more
- GE Appliances, a Haier company (Louisville, KY)
- …. Interested in joining us on our journey? As a GE Appliances' Director , Product Management - Chillers, you'll lead the end-to-end strategy, development, ... thrives on building scalable, differentiated solutions from the ground up. **Position** Director , Product Management - Chillers **Location** USA, Louisville, KY… more
- Humana (Louisville, KY)
- …a part of our caring community and help us put health first** The Associate Director , IT Talent Management serves as the strategic leader who will deliver ... require development and delivery of executive-ready communications and presentations. The Associate Director , IT Talent Management must be a strategic leader and… more
- Elevance Health (Louisville, KY)
- …trends, using data and qualitative performance measures, to advise senior management relative to IT strategy. + Synthesizes annual and multi-year plans to ... **Medical Cost AI Intelligence Director (IT Strategy & Planning Director )**...Data Collection and Analysis, IT Consulting, IT Performance Management , Strategy or Financial Planning, Business Intelligence and Analytics,… more
- Humana (Louisville, KY)
- …part of our caring community and help us put health first** The Director , Internal Audit develops, plans and evaluates internal audit programs for the organization's ... ensure compliance with the organization's policies, procedures and standards. The Director , Internal Audit requires an in-depth understanding of how organization… more
- Sunrise Senior Living (Louisville, KY)
- …NAME** Sunrise of Louisville **Job ID** 2025-228193 **JOB OVERVIEW** The Resident Care Director (RCD) serves as the nursing clinical leader for the community and is ... of all Care programs, regulatory compliance, recruiting, and performance management . **RESPONSIBILITIES & QUALIFICATIONS** **Responsibilities:** As a part of the… more
- ADP (Louisville, KY)
- …In alignment with the VP of Implementation, you will set team goals and provide guidance to the Implementation Management Team to successfully achieve these ... **ADP is hiring a Senior Director , Implementation (Retirement Services) within our Small Business...**A little about ADP:** We are a comprehensive global provider of cloud-based human capital management (HCM)… more
- HCA Healthcare (Louisville, KY)
- …individual is recognized. Submit your application for the opportunity below: Director Information Security AssuranceGalen College of Nursing **Benefits** Galen ... benefits may vary by location._** We are seeking a Director Information Security Assurance for our team to ensure...for our team to ensure that we continue to provide all patients with high quality, efficient care. Did… more
- Renaissance (Louisville, KY)
- … management , design, administration, communication, compliance, activities and vendor management . The Director will manage, plan, direct, develop, communicate ... actions, and grow and evolve. **Job Description** The Global Director of Total Rewards is responsible for the strategic...benefits and processes, plans, programs and tools (and the data and information that support them) are competitive, cost… more
- BAE Systems (Louisville, KY)
- …& procedures, data analytics, and proposal support. The role will provide expertise in multiple domains while providing leadership to subject matter experts ... **Job Description** BAE Systems is hiring a Director of Operations - Business Services to support...risks to supply chain operations and develop mitigation strategies Data & Metrics Development: + Develop, monitor, and report… more
- Molina Healthcare (Louisville, KY)
- …regarding utilization practices, guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization Management ... activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid,… more
- Molina Healthcare (Louisville, KY)
- …regarding utilization practices, guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization Management ... activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid,… more
- Elevance Health (Louisville, KY)
- ** Director II Medical Cost Intelligence AI & Engineering (Dir II Engineering)** Location: This role requires associates to be in-office **3** **days per week** , ... if candidate resides within a commutable distance from an office._ The ** Director II Medical Cost Intelligence AI & Engineering** is responsible for strategic… more
- BrightSpring Health Services (Louisville, KY)
- Our Company BrightSpring Health Services Overview The Director , Software Development leads a cross functional software development team responsible for developing ... to ensure solutions are scalable, secure and maintainable. The Director also serves as a champion for automation and...actions for any system faults/failures to ensure availability. + Provide input into the development of the IT department… more
- BrightSpring Health Services (Louisville, KY)
- …certification in Geriatric Medicine preferred + Required to be a Certified Medical Director (CMD) + Advanced degree preferred (eg, MBA, MPH, MHA) to support ... leadership, business, or population health management responsibilities + More than five years progressive leadership in PALTC/senior care; prior multiple medical … more
- Molina Healthcare (Louisville, KY)
- …of value-based care models, provider enablement strategies, and population health management . + Strong knowledge of data integration, EMR systems, and ... programs focused on provider enablement, ensuring access to tools, training, and data for success in VBC models. + Design and implement VBC training programs,… more