- Molina Healthcare (Louisville, KY)
- …3+ years HMO/Managed Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + ... Summary** Responsible for serving as the primary liaison between administration and medical staff. Assures the ongoing development and implementation of policies and… more
- Molina Healthcare (Louisville, KY)
- **JOB DESCRIPTION** **Job Summary** Responsible for analysis of Medicaid and Medicare financial reports, trend, and opportunities. Includes evaluation of and ... recommendations relating to business opportunities, Medicare bids, investments, financial regulations, and similar financial projects...early signs of trends or other issues related to medical care cost. + Design and perform actuarial studies… more
- Humana (Louisville, KY)
- …of 8-12 Medicare Sales Agents, you'll work under the guidance of a Senior Manager and Regional Director who are committed to your success. Together, you'll ... of everything it does. The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role, and candidates must live… 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
- Humana (Louisville, KY)
- …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 programs to ... development and delivery of executive-ready communications and presentations. The Associate Director , IT Talent Management must be a strategic leader and will… more
- Humana (Louisville, KY)
- …a strategic, data-driven leader to guide that transformation. As Associate Director , Marketing Lifecycle Analytics, you'll lead the development of marketing plans ... trade-offs and strategic options + **Present plans and forecasts to senior stakeholders** , influencing marketing strategy and resource allocation + **Ensure… more
- Molina Healthcare (Louisville, KY)
- …activities for the state health plan. Works with direct management, senior leadership/management, Corporate, and staff to develop and implement standardized provider ... and Joint Operating Committees. * Manages and reports network adequacy for Medicare , Marketplace, and Medicaid services. * In conjunction with direct management and… more
- Humana (Louisville, KY)
- …part of our caring community and help us put health first** The Associate Director will report directly into the Associate Vice President of Procure to Pay ... while considering risk tolerance and associate impact + Regularly communicate with senior leadership team regarding policy and audit findings + Responsible for the… more
- Humana (Louisville, KY)
- …senior leadership and improve customer experiences. + . Reporting directly to the Director , the Senior Professional will work in close partnership with the ... Become a part of our caring community As a Senior Associate, NPS, you'll support Humana's efforts to measure...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- CenterWell (Clarksville, IN)
- … medical expertise with the care team through daily huddles. + Helps Regional Medical Director and Clinic Manager in setting a tone of cooperation in practice ... Doctors, Advanced Practice professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health, Specialists, Quality Based Coders, Referral Coordinators… more