- 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)
- …owned Field Marketing Organization (FMO) and subsidiary of Humana, is seeking an Associate Director to assist with sales agent monitoring and oversight programs. ... As the Associate Director , you will oversee resolution, and...monitoring program, drive insights and plans designed to minimize compliance risk exposure for IFG and agency partners. As… more
- Humana (Frankfort, KY)
- …problems of diverse scope and complexity ranging from moderate to substantial. The Associate Director , Data Quality/Integrity will lead and manage the HEDIS ... high quality metrics, documentation, quality controls, reporting, and exceptional delivery. The Associate Director will be responsible for ensuring the team… 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
- Merck (Frankfort, KY)
- …consider qualified applicants with arrest and conviction records for employment in compliance with the San Francisco Fair Chance Ordinance **Los Angeles Residents ... Customer-Focused, Data Analysis, Design Thinking, Email Marketing, Health Education Promotion , Marketing, Marketing Analytics, Marketing Automation, Marketing Campaign Development,… 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)
- …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 provides medical interpretation and decisions about the appropriateness of services… more
- Humana (Frankfort, KY)
- …of our caring community and help us put health first** The Director , Strategy Advancement provides data-based strategic direction to identify and address business ... support for business segments or the company at large. The Director , Strategy Advancement requires an in-depth understanding of how organization capabilities… 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
- CenterWell (Frankfort, KY)
- …caring community and help us put health first** Humana is seeking a Director of RxEducation Operations to lead our Pharmacy telephonic member education operation. ... services (cost , quality, service, improved clinical outcomes, ease). The ** Director of RxEducation Operations** oversees the enrollment, education, engagement, and… more
- Humana (Frankfort, KY)
- …condition management, health outcomes, patient experience, and plan operations. The Director , Stars HOS Improvement and Operations is responsible for overseeing the ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- CenterWell (Frankfort, KY)
- **Become a part of our caring community and help us put health first** The Director of Clinical Pharmacy will be the leader of Forecasting and would lead the team ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Humana (Frankfort, KY)
- …with business partners to uphold ethical standards and mitigate risks. The Senior Compliance Professional will support the Director of Compliance , by ... about 340+ senior focused primary care centers in 15 states. The Regulatory Compliance team that supports the PCO is responsibility to assess, investigate, audit and… 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 (Danville, KY)
- …review of reports to trend progress and issues to non-clinical team and Branch Director + Assist Branch Director by ensuring oversight of medical and office ... staff. + Monitor overtime of non-clinical office staff. + Assist Branch Director with performance evaluations on an annual basis and disciplinary counseling as… 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 (Campbellsville, 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
- 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
- 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