- TEKsystems (Louisville, KY)
- Care Manager Remote Pay Rate: $21/hr Schedule: M-F, shifts range 8am-8pm EST, must have full availability in this timeframe Anticipated Start Date: 12/1/2025 ... 6 Month Contract to Hire Description Care Manager responsibilities will vary by program...assistance programs and/or varied adherence support. This is a remote position. Primary Responsibilities: - Responsible for all inbound… more
- Molina Healthcare (Louisville, KY)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care , ... staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
- CVS Health (Frankfort, KY)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... on business needs) Travel Required up to 5% for meetings/audits. Location: 100% Remote (US only) **About Us** American Health Holding, Inc. (AHH), a division of… more
- CVS Health (Frankfort, KY)
- …Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...each and every day. **Position Summary** **This is a remote work from home role anywhere in the US… more
- Danaher Corporation (Louisville, KY)
- …decision making-we are enabling clinicians to deliver the best possible care to their patients with improved efficiency, clinical confidence, adaptive collaboration, ... everything possible.The North America Commercial (NACO) CRM and Sales Enablement Manager for Beckman Coulter Diagnostics is responsible for driving the effectiveness… more
- National Youth Advocate Program (Louisville, KY)
- This position is remote but requires in home visits across region 4. Travel may vary and the region covers Alabama, Florida, Georgia, Kentucky, Mississippi, North ... of Refugee Resettlement (ORR), NYAP's **Post Release Services (PRS) Intensive Case Manager Level 3** provides post release services focused on stabilizing the family… more
- Molina Healthcare (Louisville, KY)
- **JOB DESCRIPTION** **Job Summary** The Manager , Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... signs of trends or other issues related to medical care costs. + Work with clinical, provider network and...vendor, commercial health insurance company, large physician practices, managed care organization, etc.) + Strong Knowledge of SQL and… more
- Molina Healthcare (Louisville, KY)
- **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support Molina's Risk & Quality Solutions (RQS) team. This position ... through sequential transformations and identify opportunities to close quality and risk care gaps. * Proactively communicate risks and issues to stakeholders and… more
- Molina Healthcare (Louisville, KY)
- …and customers. **Required Qualifications** + At least 5 years of health care finance and/or analytical experience, or equivalent combination of relevant education ... accounting or a related field. + Advanced training or experience in health care analytics. + Ability to convert data to meaningful reports. + Strong… more
- Molina Healthcare (Louisville, KY)
- …: * 5-7 years of Program and/or Project management experience. * Managed Care experience. * Experience working in a cross functional highly matrixed organization. ... **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : * PMP, Six Sigma Green Belt, Six Sigma Black Belt Certification and/or comparable coursework desired. To all current Molina employees: If you are interested in applying for this position, please apply through… more
- Molina Healthcare (Louisville, KY)
- …external partners and State Prison Staff. Experience with Adolescent population This role primarily remote , but must be able to go into the field when needed. TRAVEL ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care ,… more
- Molina Healthcare (Louisville, KY)
- …of experience in a pharmacy, Medication Therapy Management (MTM), Pharmacy Benefit Manager (PBM), and/or managed care setting, or equivalent combination of ... Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care . **Essential Job… more
- Molina Healthcare (Louisville, KY)
- …initiating and managing member and/or community interventions (eg, removing barriers to care ) and other federal and state-required quality activities + Monitors and ... within the organization + Supports provision of high-quality clinical care and services by facilitating/building strategic relationships with community-based… more
- Molina Healthcare (Louisville, KY)
- …+ At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, including ... and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape recommendations and… more
- Molina Healthcare (Louisville, KY)
- …and other data in collaboration with other HEDIS staff. + Assists the Manager and Supervisor(s) and/or performs the coordination and preparation of the HEDIS medical ... loads data into the HEDIS application. + Assists the manager /lead and quality improvement staff with physician and member...seasons/years medical record collection experience. + 3+ years managed care experience. + Basic knowledge of HEDIS and NCQA… more
- Molina Healthcare (Louisville, KY)
- …+ Works with the Case Management department as part of a member-centered interdisciplinary care team. + Works with the PBM to manage formulary changes and update ... the pharmacy call center team as delegated by the Manager . + Identifies and implements programs to improve clinical...+ Medicare Part D or Medicaid experience. + Managed care experience. To all current Molina employees: If you… more
- Molina Healthcare (Louisville, KY)
- …review and/or member appeals and grievance processing/resolution, including 2 years in a manager role. * Experience reviewing all types of medical claims (eg HCFA ... years supervisory/management experience with appeals/grievance processing within a managed care setting. **Required License, Certification, Association** N/A **Preferred Education**… more
- CVS Health (Frankfort, KY)
- …every day. The Pharmacy Program Manager is an individual contributor (non-people manager ) role. This is a remote role requiring a HIPAA-compliant workspace ... requests pharmacist attendance for an onsite visit/assessment/audit. The Pharmacy Program Manager role includes: -Collaborate with an interdisciplinary care … more
- Black & Veatch (Louisville, KY)
- **Client Account Manager - Food & Beverage** Date: Oct 18, 2025 Location: US Company: Black & Veatch Family of Companies **Together, we own our company, our future, ... we are looking for you! As the **Client Account Manager for Food** , Beverage and Agribusiness, you will...may be worked in the office or at a remote location.** + **During non-travel work weeks, business traveler… more
- Republic Services (Louisville, KY)
- **POSITION SUMMARY:** The Associate Account Manager is responsible for proactively maintaining and retaining relationships with existing customers for permanent ... waste services in an assigned territory. The Associate Account Manager is responsible for making outbound calls and receiving...40 hour work week starting 8am, Monday through Friday. REMOTE WORK: Both training and the position will be… more