- Elevance Health (Louisville, KY)
- …eliminate and prevent unnecessary medical-expense spending. The Strategy & Program Development Director will lead Payment Integrity (PI) performance insights ... revenue through cost-of-care savings and new audit concepts. The Strategy & Program Development Director will be...creating a culture that is designed to advance our strategy but will also lead to personal… more
- Elevance Health (Louisville, KY)
- …At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... ** Strategy Consulting Manager** **Location:** This position will work...They will perform advanced analyses to uncover growth opportunities, provide recommendations to senior management, and demonstrate thought leadership.… more
- Elevance Health (Louisville, KY)
- …At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... **Internal Audit Manager/ Lead ** Elevance Health supports a hybrid workplace model...This position will take part in the hybrid workforce strategy which includes virtual work and in office days… more
- Elevance Health (Louisville, KY)
- …with the Centers for Medicare and Medicaid Services to transform federal health programs . The **Audit and Reimbursement Lead ** will support our Medicare ... Services). Under direction of management, the Audit and Reimbursement Lead will provide technical leadership, supervision and...creating a culture that is designed to advance our strategy but will also lead to personal… more
- Elevance Health (Louisville, KY)
- …At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... Nurse Audit Lead - Carelon Payment Integrity **Location:** The ideal...healthcare providers through prepayment claims review, post-payment auditing, and provider record review. **How you will make an impact:**… more
- Elevance Health (Louisville, KY)
- …At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... Care Consultant Sr. ( Provider Success) - JR126256 **Location** : Prefer State...of a continuous process of assessment, root cause analysis, strategy mapping, implementation and tracking to outcomes for each… more
- Elevance Health (Louisville, KY)
- …At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... ** Provider Contract/Cost of Care Analyst Senior-Analytics** **Location:** This...team** is looking for a senior analyst who will lead medical cost trend deep dives to uncover root-cause… more
- Elevance Health (Louisville, KY)
- …Partners with lead contractors for large scale, multi-faceted negotiations to provide data, insight and expertise. + Serves as business unit representative on ... ** Provider Network Management Director** **Location:** This position will...creating a culture that is designed to advance our strategy but will also lead to personal… more
- Elevance Health (Louisville, KY)
- …At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... **Network Management Rep - Dental Provider Data** **Location:** This position will work a...or any combination of education and experience, which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Elevance Health (Louisville, KY)
- …At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... **Manager I - Grievances & Appeals - Provider Disputes** **Location** : This position will work...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities and Experiences:**… more
- Elevance Health (Louisville, KY)
- …At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... Health office locations. **Open to any Elevance Health office**_ The ** Provider Reimburse Admin** ensures accurate adjudication of claims, by translating medical… more
- Elevance Health (Louisville, KY)
- …strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. The **Pharmacist Program Manager** will lead initiatives to manage and optimize ... **Pharmacist Program Manager** _Location: This position will work a...creating a culture that is designed to advance our strategy but will also lead to personal… more
- Elevance Health (Louisville, KY)
- …including post-authorization safety, risk mitigation, and active monitoring studies. + Provide epidemiology subject matter expertise and lead or support ... or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**...creating a culture that is designed to advance our strategy but will also lead to personal… more
- Elevance Health (Louisville, KY)
- …This position will support pre-negotiation modeling, reconciliation questions and other program support for primary care based value programs ; partner ... limited to financial modeling of programmatic changes. Partners with provider contractors to develop contracting strategy and...creating a culture that is designed to advance our strategy but will also lead to personal… more
- Elevance Health (Louisville, KY)
- …as outreach to practice as needed. + Serve as the subject matter expert for provider practices for all company programs for all lines of business and other ... contracting account managers and third-party contracting agent for VBN program . + Executes GTM strategy in partnership...creating a culture that is designed to advance our strategy but will also lead to personal… more
- Elevance Health (Louisville, KY)
- …but are not limited to: + Analyzes and coordinates strategies, policies and programs to ensure accurate administration of facility provider contracts across ... At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- Elevance Health (Louisville, KY)
- …development and ongoing management of one or more multi-year external client facing programs within a business unit. Program managers typically support business ... approval, implementation and compliance of on-going external client facing programs ; + Develops program budget + Ensures...creating a culture that is designed to advance our strategy but will also lead to personal… more
- Elevance Health (Louisville, KY)
- …At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... and SEC reporting for officers and directors) and NYSE notifications. + Lead the cross-functional planning of the Annual Shareholders Meeting, including managing… more
- Elevance Health (Louisville, KY)
- … Strategy : Develops and leads a comprehensive, strategic communications program aligned with the organization's mission and business objectives. + Media ... journalists, influencers, and industry thought leaders. + Thought Leadership Programs : Partner with team to connect state and market-based...creating a culture that is designed to advance our strategy but will also lead to personal… more
- Elevance Health (Louisville, KY)
- …At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... location AND as part of our Hybrid 1 Work Strategy , you are required to work from your local...or any combination of education and experience, which would provide an equivalent background. **Preferred Qualifications:** + Prior experience… more