- CVS Health (Frankfort, KY)
- …day. **Position Summary** This individual contributor position reports to the Lead Director, Medicare Member Materials. This is an exciting opportunity to join ... to see the value in project **Required Qualifications** + 3+ years of Medicare member materials experience at a regional or national health plan + 3+ years… more
- CVS Health (Frankfort, KY)
- …with Duals Center of Excellence, clinical, compliance, analytics and network teams, the Senior Manager drives innovation and operational excellence to optimize ... lifecycle management of Aetna's integrated products (HIDE/FIDE) that serve Medicare Advantage populations, including Dual-Eligible Special Needs Plans (D-SNP). This… more
- Elevance Health (Louisville, KY)
- …as necessary. + Strong negotiation skills for successfully securing Commercial, Medicare and Medicaid rate agreements with complex providers. + Proven ability ... Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are… more
- Humana (Frankfort, KY)
- …a part of our caring community and help us put health first** The Senior Product Manager Conceives of, develops, delivers, and manages products for customer ... use. The Senior Product Manager work assignments involve moderately...from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Travel: While this is… 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
- ChenMed (Louisville, KY)
- …in Ohio, Kentucky, and Georgia. Travel is required on a monthly basis. The Senior Manager , Referrals is responsible for providing support to ChenMed, et. al ... regarding internal and external member referral processes. The employee in this role is...to guide the Chenmed company's on referral processes. The Senior Manager , Referrals is the subject matter… more
- Elevance Health (Louisville, KY)
- **Business Information Consultant Senior - Health System Reimbursement** **Location:** This role requires associates to be in-office 1 day per week, fostering ... MO, Louisville, KY or Mason, OH. The **Business Information Consultant Senior - Health System Reimbursement** is responsible for coordinating and consolidating… more
- Humana (Frankfort, KY)
- …optimize procurement and promote sustainable growth and competitive advantage. The Senior Procurement Professional - Medical Equipment will spearhead the strategic ... strategic sourcing, vendor negotiations, and innovative DME solutions. This Category Manager will develop and execute strategic category management plans for Medical… more
- BrightSpring Health Services (Louisville, KY)
- …support the Medicare Advantage Institutional Special Needs Plan (I-SNP), the Manager will work in collaboration with all clinical and operations staff on varying ... Medical Services company, Population Health Management services company, and a Medicare Advantage Institutional Special Needs Plan (I-SNP).Under the direction of the… more
- Cardinal Health (Frankfort, KY)
- …rethink how far their products can go. **Accountabilities** The Case Manager supports patient access to therapy through Reimbursement Support Services in ... needs of the patient population or will transfer caller to appropriate team member (when applicable) + Maintain accurate and detailed notations for every interaction… more
- Humana (Frankfort, KY)
- …members' well-being and overall experience with our products. As the Product Manager of DevOps within the Enterprise Engineering Enablement organization, you will ... complex ideas in a clear and concise manner to senior leadership. + You are detail-oriented and possess the...from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Come ready with your… more
- BrightSpring Health Services (Louisville, KY)
- …Company Signature Advantage Overview The Chief Operations Officer (COO) is a pivotal member of the Signature Advantage Medicare Advantage (MA) health plan's ... responsible leadership in healthcare operations, with at least 5 years in a senior executive role within a Medicare Advantage or related managed care… more
- HCA Healthcare (Lexington, KY)
- …assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, ... 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)
- …clinical efficiencies, processes, education, and compliance as it relates to Medicare Risk Adjustment. Uses data-based insight to direct process improvement efforts ... position/job. + Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Travel: While this is a remote position,… more
- CenterWell (Lexington, KY)
- …for the development, implementation and management oversight of the company's Medicare /Medicaid Stars Program. The Quality RN Professional work assignments are ... Documentation and coding + Additional areas related to provider performance, member experience, market growth, provider experience and operational excellence **Use… more
- ChenMed (Louisville, KY)
- …mission-driven, primary care organization, is currently one of the most successful full-risk Medicare Advantage providers in the nation and has a vision to be ... + Performs other duties as assigned and modified at manager 's discretion. **KNOWLEDGE, SKILLS & ABILITIES:** **Competencies for Success**...provide care that they would want for a family member or for themselves to each patient at every… more
- Waystar (Louisville, KY)
- …well. **WHAT YOU'LL DO** + Proposes technical solutions to the Manager , Application Engineering + Designs/develops/tests/implements improvements or new features into ... requirements + Communicates the development progress daily to the senior -level team members + Attends to any work items...various stages to production + Identifies and informs the Manager , Application Engineering of areas of the application that… more