- Molina Healthcare (Lexington, KY)
- …and distribute standard reports on schedule + Position reports to AVP, Payment Integrity Analytics **JOB QUALIFICATIONS** **REQUIRED EDUCATION** : + Bachelor's ... and/or Project management experience. + Managed Care experience - **_specifically within Payment Integrity , Claims Payment , Provider Relations Experience_**… more
- Molina Healthcare (Lexington, KY)
- …work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/ program management. **Job ... of external vendors. + Focuses on process improvement, organizational change management, program management and other processes relative to the business. + Leads and… more
- Molina Healthcare (Lexington, KY)
- …This role focuses on identifying and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will ... lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +...6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization… more
- Meta (Frankfort, KY)
- …click "Apply to Job" online on this web page. **Required Skills:** Project Manager , Business Integrity Responsibilities: 1. Partner with product, engineering and ... to successfully identify, design, implement and test various safety and integrity initiatives. 2. Coordinate projects, making detailed plans to accomplish goals… more
- Molina Healthcare (Lexington, KY)
- …workflows and controls across intake, adjudication, adjustments, appeals/grievances, and payment integrity . + Technology Enablement: Oversee requirements, ... (Healthcare/Claims)** + Deep understanding of claims lifecycle, EDI transactions, payment integrity , provider data, appeals/grievances, and audit/compliance… more
- GovCIO (Frankfort, KY)
- …reserves the right to modify base salary (as well as any other discretionary payment or compensation program ) at any time, including for reasons related to ... **Overview** GovCIO is currently hiring a Configuration Manager to support our client's contract needs. This position is fully remote and located within the… more
- Molina Healthcare (Lexington, KY)
- …level of care, inpatient readmission, and any opportunity identified by the payment Integrity analytical team; makes decisions and recommendations pertinent to ... for medical claim review activities. Responsible for ensuring timely claims payment processes, providing counsel to members regarding coverage and benefit… more
- Molina Healthcare (Lexington, KY)
- …Level of Care, Inpatient Readmission, and any opportunity identified by the Payment Integrity analytical team; requires decision making pertinent to clinical ... database + Provides supporting documentation for denial and modification of payment decisions + Independently re-evaluates medical claims and associated records by… more
- Nutanix (Frankfort, KY)
- …reserves the right to modify base salary (as well as any other discretionary payment or compensation program ) at any time, including for reasons related to ... technologies and automation to achieve our goals. You will report to the Manager of Hybrid Cloud Operations, a dedicated mentor committed to supporting your… more
- GovCIO (Frankfort, KY)
- …reserves the right to modify base salary (as well as any other discretionary payment or compensation program ) at any time, including for reasons related to ... and hardware) in networked or stand-alone configurations, maintains system integrity , and upgrades systems and/or servers as required. May...Virtual video interview conducted via video with the hiring manager and/or team + Camera must be on +… more
- GovCIO (Frankfort, KY)
- …reserves the right to modify base salary (as well as any other discretionary payment or compensation program ) at any time, including for reasons related to ... standards, desktop management, software deployment, systems administration, and data integrity and recovery. Broad direct contact and work with...Virtual video interview conducted via video with the hiring manager and/or team + Camera must be on +… more
- Ryder System (Lexington, KY)
- …HAS A FUTURE At Ryder, our most important competitive advantage is our people. _CULTURE- INTEGRITY - FAMILY_ . As a Rental Manager Trainee, you'll be part of a ... you like what you read _** **Job Summary** This program is fast-paced and touches every aspect of the...interview, Ryder will never ask for any form of payment or banking details and will never solicit personal… more