- Molina Healthcare (Lexington, KY)
- …and ensure adherence to business, system and regulatory requirements of Provider Data Management / Network Adequacy. **Knowledge/Skills/Abilities** + ... among multiple systems to ensure accurate reporting of the Provider Network across the enterprise. Validate data...Integrates work with other teams including New Markets team, Network Management , Product Teams, PDM and IT.… more
- Molina Healthcare (Lexington, KY)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. + **Knowledge/Skills/Abilities** + Strategically plans, ... **Job Description** **Job Summary** The Network Solutions Director is responsible for...solutions utilizing provider data such as the Provider Online Directory, Utilization Management , Customer Experience,… more
- Molina Healthcare (Lexington, KY)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. **Knowledge/Skills/Abilities** * Strategically plans, ... in developing and implementing appropriate Corrective Action Plans for submission of provider network files, etc. * Engages with IT and other departments to… more
- Evolent (Frankfort, KY)
- …Account teams and payer clients to align priorities and deliver high-quality provider network engagement, performance reporting, and present to health plans ... OR THE WEST REGION We are seeking a strategic and collaborative Associate Director , Provider Engagement to lead our oncology-focused provider engagement… more
- Molina Healthcare (Lexington, KY)
- … and senior leadership/ management . * Communicates new strategies to corporate provider network leadership for input. * Utilize standardized system(s) to ... Georgia _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for...including VBP program templates. Works with Legal and Corporate Network Management as needed to modify contract… more
- Datavant (Frankfort, KY)
- …to customer outcomes, regulatory drivers, and market trends in risk adjustment, care management , and provider enablement. + Identify and prioritize use cases ... is powered by the largest, most diverse health data network in the US, enabling data to be secure,...across different facets within prospective and concurrent solutions. + Provide mentorship, performance management , and career development… more
- Merck (Frankfort, KY)
- …world-class Asset Management , Maintenance and Reliability (MRAM) program across a network of ~30 manufacturing sites. This role will own the design, deployment ... role for a technical change agent with broad global experience in asset management , maintenance, reliability and systems engineering. **What you will do** + Lead the… more
- Datavant (Frankfort, KY)
- …of Internal Audit will evaluate the effectiveness of internal controls, risk management practices, and governance processes across Datavant's Provider , Payer, ... is powered by the largest, most diverse health data network in the US, enabling data to be secure,...realize our bold vision for healthcare. **Role Summary:** The ** Director of Internal Audit** will design, implement, and oversee… more
- Cardinal Health (Frankfort, KY)
- …we can get life-changing therapies to patients who need them-faster.** The Director of Business Development, Patient Hub Services, is responsible for business ... of Access and Patient Support, Clinical Services and Reimbursement Services. The Director will build key customer relationships to uncover customer needs to align… more
- Molina Healthcare (Lexington, KY)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with ... business and system requirements of customers as it pertains to contracting, network management and credentialing. **Job Duties** This role negotiates assigned… more
- CommonSpirit Health (Lexington, KY)
- …Bachelor's Degree - equivalent education and experience in payer strategy, managed care or provider network senior level role may be considered in lieu of degree ... a strong preference for someone in the KY or TN area. The Market Director , Payer Strategy and Relationships (PSR), is responsible for managed care policies, goals… more
- Highmark Health (Frankfort, KY)
- …cross organizational programs and projects + 5 years Familiarity with health plan and provider contracting or revenue management + 2 years Understanding of ... provider contract documents and overall contract management process **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + None **SKILLS** + Excellent… more
- Molina Healthcare (Lexington, 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
- CVS Health (Frankfort, KY)
- …it all with heart, each and every day. **Position Summary** + The Sales Director (ie Sr. Analyst, Sales Executive - internal title) will have an assigned territory ... in excess of assigned target. + Additionally, the Sales Director will support key activity related to prospecting and...will support key activity related to prospecting and RFP management across all territories. + This role will report… more
- WM (Frankfort, KY)
- Waste Management (WM), a Fortune 250 company, is the leading provider of comprehensive waste and environmental services in North America. We are strongly ... industrial and municipal markets throughout North America through a network of collection operations, transfer stations, landfills, recycling facilities and… more
- Evolent (Frankfort, KY)
- …mission with a company behind it. **What You'll Be Doing:** **Associate Director , Performance Analytics - Oncology & Member Product Focus** **Overview:** Evolent is ... seeking an experienced and strategic **Associate Director of Performance Analytics** to lead data-driven initiatives focused...role plays a critical part in both **Medical Cost Management ** and **Product Management ** , leveraging advanced… more
- Hilton (Frankfort, KY)
- …team members and HWS Sales Specialists to drive total account value and provide total client solutions\. + Network with business decision\-makers and executives ... the combined benefits of scale, access, competence, and experience\. As a Director , Sales Worldwide Accounts \(Group Sales\),you will support the team responsible… more
- CBRE (Frankfort, KY)
- Talent Community Facilities Director Job ID 240464 Posted 24-Sep-2025 Service line GWS Segment Role type Full-time Areas of Interest Administrative, Building ... Management , Customer Service, Data & Analytics, Facilities Management...States of America CBRE is using this platform to provide general information to individuals who want to learn… more
- Lionbridge Technologies (Frankfort, KY)
- Location: Work from Home , Any State Position Title: Enterprise Sales Director , Life Sciences Req: 55769 **Enterprise Sales Director , Life Sciences** We are ... seeking a dynamic and driven Enterprise Sales Director to join our esteemed Life Sciences Team at...sciences sector, incorporating market insights into sales strategies. + Provide timely and accurate sales forecasts, reports, and updates… more
- CommonSpirit Health at Home (Lexington, KY)
- …and Responsibilities** VNA Health at Home is part of an expansive health care network that is committed to providing better patient care, with better outcomes, where ... mission of delivering hope and healing to those we serve. The Director , Clinical Services is responsible for the planning, direction, coordination, supervision,… more