- Molina Healthcare (KY)
- **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality improvement ... initiatives to improve Star Ratings. * Serves as the Medicare Stars subject matter expert to Program Managers and in functional areas; leads programs to meet… more
- Molina Healthcare (Covington, KY)
- …Extensive knowledge in health insurance + Knowledge of enrollment files, including extracts + Program Manager experience + Sr . Business or System Analyst ... remove hurdles. This is a hybrid role that requires Program Management, System Analyst and Sr . Business...units + Strong business knowledge related to Medicaid and Medicare lines of business + Reviews enrollment issue trends… more
- Elevance Health (Louisville, KY)
- …Medicaid Services to transform federal health programs._ The **Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) with the ... of the Department of Health and Human Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare cost reports and… more
- Cardinal Health (Frankfort, KY)
- …receives detailed instruction on new assignments + Consults with supervisor or senior peers on complex and unusual problems **_Responsibilities_** The Case ... Manager supports patient access to therapy through Reimbursement Support...therapy through Reimbursement Support Services in accordance with the program business rules and HIPAA regulations. This position is… more
- Waystar (Louisville, KY)
- …payment and volume-based revenue streams and associated costs. Reporting directly to the Manager of FP&A, Revenue, this role is critical for providing insights that ... systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out...programs, including adoption assistance and fertility support + 401(K) program with company match + Pet insurance + Employee… more
- Cardinal Health (Frankfort, KY)
- …can get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through ... patient support services in accordance with the program business rules and HIPAA regulations. This role involves care coordination, insurance verification and… more
- CVS Health (Frankfort, KY)
- …next role? Join Aetna/CVS Health, a Fortune 4 company, as the Network Management Senior Manager . In this role, you will manage negotiations, conduct high-level ... and developing yourself and others) skills **Required Qualifications** * Commercial, Medicare , and/or Medicaid knowledge * 5+ years related experience, proven and… more
- Humana (Frankfort, KY)
- …the IT supply base, alongside run-the-business initiatives). As the IT Procurement Lead ( Senior Category Manager ), you will lead the development of category ... unit project implementations. + Drive corporate compliance to the preferred-supplier program via end-user change management and communications programs. + Work… more
- Intermountain Health (Frankfort, KY)
- … Medicare COB file processes, Medicare compliance, annual Medicare implementation, experience with program audit universes, FIR transactions, and ... payroll, hiring, employee relations, and staff mentoring. May represent department in manager absence. + Specific skills and an understanding of Part D plan… more
- City of Henderson (Henderson, KY)
- …any applicable legislation, changes to elements of the City's voluntary benefits program , and at the discretion of the City Manager or City Council Revised 03/24 ... Senior Systems Support Analyst Print (https://www.governmentjobs.com/careers/henderson/jobs/newprint/4841206) Apply Senior Systems Support Analyst Salary… more
- Humana (Frankfort, KY)
- …first Humana's Enterprise Information Protection department is seeking an experienced IT Program Manager to drive strategic initiatives that safeguard the ... cybersecurity programs, ensuring alignment with organizational security strategies. The IT Program Manager will collaborate closely with leaders to develop… more
- HCA Healthcare (Lexington, KY)
- …+ Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ... the career opportunities as a Home Health Weekend Clinical Manager you want with your current employer? We have...Two years of experience within a licensed and certified ( Medicare ) home health agency required + Competent in Federal… more
- CVS Health (Frankfort, KY)
- …skills and development needs. + Assess training needs and collaborate with the SIU Sr . Manager to create development plans for team members. + Develop and ... compliance with contractual requirements. + Coordinate and collaborate with compliance and senior leadership to align on program integrity initiatives. +… more
- Prime Therapeutics (Frankfort, KY)
- …fuels our passion and drives every decision we make. **Job Posting Title** Manager , Compliance - Remote **Job Description** The Compliance Manager works closely ... Subject Matter Expertise in their areas of focus (Affordable Care Act, Medicare , Medicaid, Corporate Compliance, Compliance Assessment or Services etc.) + Develop… more
- Humana (Frankfort, KY)
- …and help us put health first** The IT Infrastructure Procurement Category Manager will report directly into the Director of IT Infrastructure Procurement and ... to drive enterprise-wide value. The IT **Infrastructure** Procurement Category Manager investigates available products, evaluates and recommends products based on… more
- CenterWell (Louisville, KY)
- …Care Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating over 340 clinics across ... daily huddles. + Helps Regional Medical Director and Clinic Manager in setting a tone of cooperation in practice...clinic. + Participates in the local primary care "on-call" program of CenterWell as needed. + Assures personal compliance… more
- CenterWell (Louisville, KY)
- …Care Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating over 300 centers across ... supporting patient's physical, emotional, and social wellness. At CenterWell Senior Primary Care we want to help those in...Center. . Participates in the local primary care "on-call" program of CenterWell as needed. . Assures personal compliance… more
- HCA Healthcare (Lexington, KY)
- …+ Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ... physician's orders and under the supervision of the Clinical Manager . **What you will do in this role:** +...quality care during their recovery at home. We are Medicare certified. Our patients are under the supervision of… more
- CenterWell (Frankfort, KY)
- …Kentucky, Tennessee, Louisiana, and more. The PCO has a strong emphasis on senior -focused primary care for members of Medicare Advantage health plans and ... outcomes **Required Qualifications** + Expertise in value-based care, especially Medicare Advantage, with familiarity of HEDIS/STARS, medical risk adjustment, and… more
- CenterWell (Lexington, KY)
- …Kentucky and Texas. CenterWell Senior Primary Care has a strong emphasis on senior -focused primary care for members of Medicare Advantage health plans and is ... needs require. Mileage will be reimbursed for travel between clinics. **About CenterWell Senior Primary Care:** CenterWell Senior Primary Care, a subsidiary of… more