- Otsuka America Pharmaceutical Inc. (Frankfort, KY)
- …Must demonstrate a high level of understanding of regulations related to promotion compliance . May be assigned additional responsibilities as deemed necessary. ... Must demonstrate a high level of understanding of regulations related to promotion compliance . May be assigned additional responsibilities as deemed necessary.… more
- Humana (Frankfort, KY)
- …a part of our caring community and help us put health first** The Associate Director , Business Systems Analysis performs analysis of business, process and user ... cost/benefit analysis and translation into proper system requirement specifications. The Associate Director , Business Systems Analysis requires a solid… more
- CenterWell (Frankfort, KY)
- …a part of our caring community and help us put health first** The Associate Director , Business Intelligence collates, models, interprets and analyzes data in ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Otsuka America Pharmaceutical Inc. (Frankfort, KY)
- The Associate Director , Channel Analytics will be a key member of the Business Analysis team, responsible for leading marketing mix and channel analytics to ... of promotional investments across various channels (HCP, DTC, digital, non-personal promotion , etc.). + Develop and refine multi-touch attribution models and other… more
- CenterWell (Frankfort, KY)
- …training program for coding staff to ensure continuous skill development and compliance with coding standards. + Partner with analytics and audit to identify ... coder errors and develop plans to address deficiencies/specific areas of focus. ** Associate Engagement and Retention:** + Develop and implement strategies to foster… more
- Humana (Frankfort, KY)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Frankfort, KY)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Frankfort, KY)
- …part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home ... health, DME, skilled nursing facility and waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by other… more
- Humana (Frankfort, KY)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Frankfort, KY)
- …our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. ... The Corporate Medical Director works on problems of diverse scope and complexity...necessity of services provided by other healthcare professionals in compliance with coverage policies, procedures, and performance standards. CMD… more
- Humana (Frankfort, KY)
- …experience for our associates, members and providers. As the Resolution Team Operations Director ( Director , Grievance and Appeals), you will be accountable for ... and/or other end compliant inquiries. + Has 6-7 direct reports including Associate Directors, Managers, and Senior Professionals + Provides strategic direction and… more
- Humana (Frankfort, KY)
- …us put health first** Humana is seeking a strategic and experienced Director of Business Performance Management, to lead the development, implementation, and ... Operations, this role will be pivotal in ensuring operational efficiency, effectiveness, compliance , and the achievement of key business objectives. The Director … more
- Humana (Frankfort, KY)
- …our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The ... Corporate Medical Director works on problems of diverse scope and complexity...appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Represents… more
- Humana (Frankfort, KY)
- …of our caring community and help us put health first** The Director , Risk Adjustment Strategy Advancement will provide business intelligence and strategic planning ... support for business segments and the company at large. The Director , Risk Adjustment Strategy Advancement requires an in-depth understanding of how organization… more
- CVS Health (Frankfort, KY)
- …with heart, each and every day. Job Description: The Care Management Associate supports comprehensive coordination of medical services including Care Team intake, ... service delivery under the direction of nurse or medical director in the most appropriate setting at the most...information and assisting in solving problems. + Adheres to Compliance with PM Policies and Regulatory Standards. + Maintains… more
- CenterWell (Elizabethtown, KY)
- …of Care (POC). + Monitors cases to ensure documentation is in compliance with regulatory agencies and requirements of third-party payers. Ensures final ... audits/billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team members/attending physicians/caregivers to… more
- CenterWell (Campbellsville, KY)
- …and assisting with weekly case conferences. Refers clinical questions to Branch Director as necessary. + Maintains the client hospitalization log, including entering ... weekly schedule for productivity / geographic issues and forwards schedule to Branch Director for approval prior to distribution to staff. + Verifies visit paper… more
- CenterWell (Louisville, KY)
- …professional and personal lives. We promote lifelong well-being by giving our associate fresh perspective, new insights, and exciting opportunities to grow their ... expertise with the care team through daily huddles. + Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in practice by… more
- CenterWell (Lexington, KY)
- …and contributes to department in-services. + Notify physical therapist or Executive Director of any equipment failures, lack of supplies, staff or client changes, ... with education and competence to care for patients. + Promote compliance with all fiscal intermediaries and/or other third-party payors, through education,… more
- Humana (Frankfort, KY)
- …including tactics to enhance brand visibility and event planning. Reporting to the Associate Director of Center Expansion Marketing, you will be responsible for ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more