- Molina Healthcare (Louisville, KY)
- …of strategic and operational project portfolios, with a focus on Network Cost of Care initiatives. Drive structure, organization, and decision-making across ... to C-level executives and manage key relationships with Corporate EPMO, IT, and Cost of Care stakeholders including COEs, Operating Domains, Med Econ, and… more
- HCA Healthcare (Louisville, KY)
- …ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care , uninsured discounts, and other ... team. Grow your career with an organization committed to delivering respectful, compassionate care , and where the unique and intrinsic worth of each individual is… more
- Elevance Health (Louisville, KY)
- …appeals for physical health medical services, to ensure the appropriate and most cost -effective medical care is received. May be responsible for developing and ... **Medical Director -Dermatology Appeals** **Location:** This role enables associates to...as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as… more
- HCA Healthcare (Louisville, KY)
- **Description** This position is incentive eligible. **You Can Change the Life of One to Care for the Lives of Many!** At Galen College of Nursing, we educate and ... here to learn more about Galen! (https://galencollege.edu/about) **Position Overview:** As a Director of Clinical Learning at Galen College of Nursing, you will… more
- HCA Healthcare (Louisville, KY)
- **Description** This position is incentive eligible. **You Can Change the Life of One to Care for the Lives of Many!** At Galen College of Nursing, we educate and ... we'd love for you to apply for the _Senior Director of Accreditation - Compliance - RA_ position today!...not limited to FERPA, IPEDS, Title IX, VAWA, and Program Participation Agreement compliance. 8. Oversee contract compliance, review… more
- Molina Healthcare (Louisville, KY)
- …care and services through continuum among hospitals, skilled nursing facilities and home care to ensure quality, cost -efficiency, and continuity of care . ... adjustment, disease management, and evidence-based guidelines. + Experience in Utilization/Quality Program management + HMO/Managed care experience **PR** **E**… more
- Molina Healthcare (Louisville, KY)
- …care and services through continuum among hospitals, skilled nursing facilities and home care to ensure quality, cost -efficiency, and continuity of care . ... disease management, and evidence-based guidelines. + Experience in Utilization/Quality Program management + HMO/Managed care experience **PREFERRED LICENSE,… more
- BrightSpring Health Services (Louisville, KY)
- …to improve outcomes and survey performance while optimizing hospital utilization and total cost of care . This leader will also mentor medical directors within ... management responsibilities + More than five years progressive leadership in PALTC/senior care ; prior multiple medical director or enterprise clinical leadership… more
- Molina Healthcare (Louisville, KY)
- …specific markets/regions. Contributes to overarching strategy to provide quality and cost -effective member care . Essential Job Duties * Provides behavioral ... ability to learn new programs. Preferred Qualifications * Experience with utilization/quality program management. * Managed care experience. * Peer review… more
- Molina Healthcare (Louisville, KY)
- … Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + Previous ... training of staff as needed. + Analyzes data and identifies medical cost savings and quality improvement opportunities. + Accounts for regulatory and accreditation… more
- Molina Healthcare (Louisville, KY)
- …Implements cost control initiatives to positively influence the Medical Care Ratio (MCR) in each contracted region. * Leads preparation and negotiations ... with the Complex Provider Community that result in high quality, cost effective and marketable providers. Contract/Re-contracting with large scale entities involving… more
- Molina Healthcare (Louisville, KY)
- …plans and objectives. Contributes to overarching strategy to provide quality and cost -effective member care . Essential Job Duties * Responsible for collaborating ... implementation, and oversight of technology that drives core utilization management, care management, long-term services and supports (LTSS), clinical operations and… more
- Option Care Health (Louisville, KY)
- …across the United States, resulting in high quality outcomes at a significantly reduced cost . Option Care Health has more than 70 infusion pharmacies and 100 ... no limit to the growth of your career.** Option Care Health, Inc. is the largest independent home and...The Pharmacy Manager is responsible for assisting the Operations Director meet operational and financial goals for the location.… more
- Fresenius Medical Center (Louisville, KY)
- …all regulatory and FMS policy requirements. Ensure provision of quality patient care while maintaining cost -effective clinical operations in accordance with all ... programs. Adheres to all requirements of the FMCNA Compliance Program , and FMS patient care and administrative...for unexcused and missed treatments in collaboration with the Director . + Plans, coordinates and acts as the liaison… more
- Louisville/Jefferson County MSD (Louisville, KY)
- …operational and capital funding. Works in close collaboration with the Assistant Director - Infrastructure Planning who oversees alternate funding pursuits for the ... Provides training for procedures and best practices to support efficacy and program consistency. Coordinates with Finance and applicable Project Managers to ensure… more
- BrightSpring Health Services (Louisville, KY)
- …+ Tuition Reimbursement- Advance your education with our support. + Employee Discount Program - Enjoy perks that extend beyond the workplace. *Position will be posted ... the Supervising Sr Technician, Internal Operations + Works with Site Pharmacy Director to implement work flow and productivity measures that will achieve performance… more
- St Croix Hospice (Seymour, IN)
- …Year Degree Travel Percentage 100% Job Shift Day Job Category Health Care Description Responsible for developing and maintaining a positive relationship with ... as designated communities, and for providing education on topics pertaining to hospice care . Also, responsible for assisting intake as needed to ensure timely and… more
- JE Dunn Construction Company (Louisville, KY)
- …to subordinate managers consults with supervisor as needed. + Career Path: Director of Field Operations. **Key Role Responsibilities - Core** _SUPERINTENDENT FAMILY ... subcontractors and self-performed work. + Coordinates and manages the care , custody and control of the project site. +...budget and costs by using the project management system's cost reports and data from the project manager. +… more
- Travelers Insurance Company (Louisville, KY)
- **Who Are We?** Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our ... of employment. As part of our comprehensive compensation and benefits program , employees are also eligible for performance-based cash incentive awards. **Salary… more
- Waystar (Louisville, KY)
- …and innovative payer strategies. This role will report to the Sr Director of Product Operations. **WHAT YOU'LL DO** **Payer Relationship Management:** + Identify ... strong relationships with payers, including health insurance companies, managed care organizations, and government agencies. + Create new, mutually beneficial… more