- Elevance Health (Louisville, KY)
- ** Healthcare Compliance Manager ** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, ... unless an accommodation is granted as required by law. The ** Healthcare Compliance Manager ** is responsible for managing foundational and strategic… more
- Molina Healthcare (Louisville, KY)
- …navigate online portals and databases. **Preferred Qualifications** + Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM), ... **Job Summary** Provides subject matter expertise and leadership to healthcare services function - providing support for project/program/process design, execution,… more
- Signature Healthcare (Louisville, KY)
- About Us Signature HealthCARE at Summerfield Rehab & Wellness Center is a 165-bed facility that offers a wide array of services from short-term rehabilitation to ... our mission as a family-based organization to revolutionize the healthcare industry through a culture of resident centered ...with state and federal regulations; Serve as the designated Compliance Liaison for the facility. How you Will make… more
- Healthcare Services Group, Inc. (Louisville, KY)
- Overview Who We Are Healthcare Services Group (HCSG) is an experienced partner managing housekeeping, laundry, dining, and nutritional services within the ... healthcare market. For over 45 years, we have provided...opportunities to see you succeed! Position Summary Our exciting Manager -In-Training (MIT) program gives you the opportunity to learn… more
- Molina Healthcare (Louisville, KY)
- …may have technical team members. **Expanded Scope:** The Senior Project Manager for Claims Operations drives complex, multi-workstream initiatives that span people, ... steward change management (training, SOPs, job aids, communications). + Risk, Compliance & Quality: Ensure alignment to CMS, HIPAA, state regulations, and… more
- Signature Healthcare (Louisville, KY)
- …fostering compassionate care environments and being an employer of choice in the healthcare industry. Overview Tech-savvy systems manager with healthcare ... Signature HealthCARE is a family-based healthcare company...who thrives on solving problems, training others, and ensuring compliance . They're comfortable traveling, confident in working with vendors… more
- Molina Healthcare (Louisville, KY)
- …submissions to NCQA and regulatory bodies, ensuring accuracy and timeliness. ** Compliance & Quality Improvement** + Monitors key performance indicators (KPIs) and ... rehearsals. + Ensures survey readiness by maintaining documentation and evidence of compliance . **Consultation & Collaboration** + Serves as a strategic advisor to… more
- Healthcare Services Group, Inc. (Clarksville, IN)
- Overview Who We Are Healthcare Services Group (HCSG) is an experienced partner managing housekeeping, laundry, dining, and nutritional services within the ... healthcare market. For over 45 years, we have provided...opportunities to see you succeed! Position Summary Our exciting Manager -In-Training (MIT) program gives you the opportunity to learn… more
- Molina Healthcare (Louisville, KY)
- …to adequacy, financial performance and operational performance, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in ... compliance with all relevant federal, state and local regulations....based on feedback rom assigned MHI attorney. * Assists Manager and/or Director in the negotiation of medical group/IPA… more
- Healthcare Services Group, Inc. (Sellersburg, IN)
- Overview Role: Certified Dietary Manager Join Healthcare Services Group (HCSG) as a Certified Dietary Manager , leading the dining department at a long-term ... Nationwide Transfer Opportunities *Not available in AR. Responsibilities The Certified Dietary Manager oversees the food service program at a single site, ensuring… more
- Molina Healthcare (Louisville, KY)
- **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position ... and make decisions as needed while collaborating with other teams. * Ensure compliance with all regulatory audit guidelines by adhering to roadmap of deliverables… more
- Molina Healthcare (Louisville, KY)
- **JOB DESCRIPTION** **Senior Project Manager - IT Security Programs** **Role Overview** We are seeking a **Project Management leader** responsible for driving the ... operational security projects, ensuring alignment with business objectives and compliance requirements. The role requires strong communication and coordination… more
- Molina Healthcare (Louisville, KY)
- …and marketable providers. **KNOWLEDGE/SKILLS/ABILITIES** + In conjunction with Director/ Manager Provider Contracts, negotiates high priority physician group and ... meeting Molina's network adequacy standards. + Assesses contract language for compliance with Corporate standards and regulatory requirements and review revised… more
- Molina Healthcare (Louisville, KY)
- **JOB DESCRIPTION** **Job Summary** Establish a specifically designed compliance program that effectively prevents and/or detects violation of applicable laws and ... the Health Care environment. Ensures the Business' accountability for compliance by overseeing, follow-up and resolution of investigations. **KNOWLEDGE/SKILLS/ABILITIES**… more
- Molina Healthcare (Louisville, KY)
- …requirements into overall functional architecture for complex s/w solutions in compliance with industry regulations. * Provides subject matter expertise and reviews ... defines and plans software engineering process improvements and verifies compliance . * Mentors and trains systems/programmer analysts on software applications,… more
- Walgreens (Jeffersonville, IN)
- …in events that reflect the unique communities we serve as requested by Store Manager , Healthcare Supervisor, or District Manager . Operations + Counsels ... and ensures compliance with employment laws. + Partners with Store Manager to establish expectations and goals, promote teamwork and foster a shared vision.… more
- Walgreens (Louisville, KY)
- …using the pharmacy. Enhances customer experience by increasing focus on healthcare services. **Operations** + Responsible for assisting pharmacist in the delivery ... allowed by law). Under the supervision of a pharmacist assists with healthcare service offerings including administering vaccines, health screenings, and any health… more
- Humana (Louisville, KY)
- …us put health first** Humana seeks a strategic and results-driven Lead Product Manager to oversee the end-to-end lifecycle of the Patient Experience Survey product. ... an organization focused on continuously improving customer experiences. The Lead Product Manager will work to develop a product strategy that delivers insights and… more
- Molina Healthcare (Louisville, KY)
- …complex business challenges that impact cost containment and regulatory compliance . The position requires strong business judgment, cross-functional coordination, ... payment integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to… more
- HCA Healthcare (Louisville, KY)
- …learning environment with the strength of a nationally recognized institution, HCA Healthcare . That same passion for excellence in the classroom extends to our ... in collaboration, innovation, and a shared commitment to improving the future of healthcare . Your work directly touches the next generation of nurses, and your… more