- Elevance Health (Louisville, KY)
- ** Provider Network Management Director Senior** **Location:** This role requires associates to be in-office **3** days per week, fostering collaboration ... promoting a dynamic and adaptable workplace. Alternate locations may be considered. As the ** Provider Network Management Director Senior,** you will lead… more
- Elevance Health (Louisville, KY)
- ** Provider Network Management Director ** _Location: Alternate locations may be considered. This position will work a hybrid model (1-2 days/week in ... of one of our Elevance Health PulsePoint locations._ The ** Provider Network Management Director...significant impact. + May assist management in network development planning. + May provide work… more
- Datavant (Frankfort, KY)
- …ideal candidate has an entrepreneurial mindset, with experience in revenue cycle management , in particular provider coding (inpatient and outpatient), health ... is powered by the largest, most diverse health data network in the US, enabling data to be secure,...for healthcare. **The role** We are seeking a Product Director to lead the strategy and development of our… more
- Molina Healthcare (Louisville, KY)
- …strategy and planning in the successful development of the provider network , including development, contracting and management of provider relationships ... in the successful development of the provider network including development, contracting and management of...provider network including development, contracting and management of provider relationships and communications *… more
- Elevance Health (Louisville, KY)
- ** Director Network Contract Coordinator** **Location:** This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, ... a dynamic and adaptable workplace. Alternate locations may be considered. The ** Director Network Contract Coordinator** is responsible for managing and… more
- Dodge Construction Network (Frankfort, KY)
- Director , Data Acquisition Location: Remote, United States, United States **Description** The Director , Data Acquisition, is responsible for overseeing the ... efficient and effective management of a remote and offshore team focused on...construction project data that adds value to the information network used by our clients. Timely and high-quality data… more
- Pearl Interactive Network (Winchester, KY)
- …Interactive Network is actively sourcing passionate and dynamic **Program Director (PD)** to Join Our Talent Community and spearhead future program operations. ... As a **Program Director ,** you'll take charge of managing the overall operations...of all contract support activities. **Operational Leadership & Performance Management :** + Provide day-to-day operational oversight, ensuring… more
- Molina Healthcare (Owensboro, KY)
- …and caring manner.' **Knowledge/Skills/Abilities** * Under the leadership of the AVP, Provider Network Management & Operations, oversees development and ... providers who: * Are aligned with our mission to provide quality health services to financially vulnerable families and...with provider association(s) and Joint Operating Committee management ); Delegation Oversight; Provider Network … more
- Lionbridge Technologies (Frankfort, KY)
- …through innovative thinking and collaboration with internal technical, production, community, and management teams. + Provide training and guidance to internal ... **AI Program Director ** The AI Program Director functions...point for customer account(s) as it relates to quality management . Proactively monitors and shares customer feedback through the… more
- Molina Healthcare (Lexington, KY)
- **JOB DESCRIPTION** **Job Summary** The Medical Director for Specialty Medical Services & Market Performance will provide clinical expertise and support to the ... as meeting or exceeding productivity standards. Educates and interacts with network and group providers and medical managers regarding utilization practices,… more
- Highmark Health (Frankfort, KY)
- **Company :** enGen **Job Description :** **JOB SUMMARY** The Director of Sales & Partnerships is a critical leadership role responsible for driving significant ... including a core administrative platform, modular utilization and care management solutions, patient-focused digital products, and clinical data exchange… more
- Molina Healthcare (KY)
- …live in the United States _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... Medical Care Ratio (MCR) within each region. * Advises Network Provider Contract Specialists on negotiation of...models. Seeks input on new reimbursement models from Corporate Network Management , legal and VP level engagement… more
- Molina Healthcare (Bowling Green, KY)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. **Knowledge/Skills/Abilities** * In conjunction with ... the Director , Provider Contracts, develops health plan-specific ...and payer Contract Templates. Works with legal and Corporate Network Management on an as needed basis… more
- Highmark Health (Frankfort, KY)
- …large cross organizational programs. + 5 years Familiarity with health plan and provider contracting or revenue management + 3 years Experience working in ... an Actuarial Science capacity + 2 years Understanding of provider contract documents and overall contract management process + 1 year Clinical background and/or… more
- Molina Healthcare (KY)
- …as meeting or exceeding productivity standards. Educates and interacts with network and group providers and medical managers regarding utilization practices, ... guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization ...(QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
- Growth Ortho (Lexington, KY)
- …position is committed to evidence based clinical outcomes, patient and provider customer satisfaction, efficient management operations, and regulatory ... Bluegrass Orthopaedics is hiring a full-time Director of Rehabilitation Services Bluegrass Orthopaedics has been serving Central and Southeastern Kentucky for over… more
- HCA Healthcare (Bowling Green, KY)
- …flexible scheduling + Occurrence based malpractice Insurance + Expert practice management including privileging, provider enrollment, and billing and collections ... ICC (Intensive Care Consortium) is seeking an Intensivist Medical Director to lead the TriStar Greenview Regional Hospital ICU...to test and implement new models of care and management for the best interest of our patients and… more
- Revelyst (Frankfort, KY)
- …directing or delegating tasks to internal teams (security specialists, server, and network management teams) to ensure swift and effective remediation of ... a matrixed environment, coordinating security efforts across multiple teams (server, network , applications) where direct management isn't always possible.… more
- Pearson (Frankfort, KY)
- …**:** Working from a home office with ability for substantial travel, the Director of Policy and Educational Partnerships at Pearson Virtual Schools is a field ... to create new growth opportunities for Pearson Virtual Schools. The Director of Policy and Educational Partnerships must be independent, innovative, entrepreneurial,… more
- Anywhere Real Estate (Louisville, KY)
- **Senior Director of Strategic Marketing, Anywhere Integrated Services** **About Anywhere Real Estate** Anywhere Real Estate (NYSE: HOUS) is the largest residential ... mortgage, and insurance offerings. **About the Role** This new, high-profile Sr Director , Strategic Marketing role will be accountable for leading development &… more