- Elevance Health (Louisville, KY)
- ** Healthcare Compliance Manager ** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, ... unless an accommodation is granted as required by law. The ** Healthcare Compliance Manager ** is responsible for managing foundational and strategic… more
- Molina Healthcare (Louisville, KY)
- …navigate online portals and databases. Preferred Qualifications * Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM), Certified ... DESCRIPTION Job SummaryProvides subject matter expertise and leadership to healthcare services function - providing support for project/program/process design,… more
- Molina Healthcare (Louisville, KY)
- …navigate online portals and databases. **Preferred Qualifications** + Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM), ... **Job Summary** Provides subject matter expertise and leadership to healthcare services function - providing support for project/program/process design, execution,… more
- HCA Healthcare (Louisville, KY)
- …learning environment with the strength of a nationally recognized institution, HCA Healthcare . That same passion for excellence in the classroom extends to our ... in collaboration, innovation, and a shared commitment to improving the future of healthcare . Your work directly touches the next generation of nurses, and your… more
- Molina Healthcare (Louisville, KY)
- …Improvement function oversees, plans, and implements new and existing healthcare quality improvement initiatives and education programs; ensures maintenance of ... and implementation of NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Specialist, Quality Interventions/ QI … more
- Molina Healthcare (Louisville, KY)
- …oversees Protection Services Operations (PSOC) projects, programs and deliverables to ensure compliance with all regulatory requirements. The manager will assume ... **Job Description** **Job Summary** As the Manager , Protection Services Operations Center (PSOC), you will...Center (PSOC), you will be a member of Molina Healthcare 's Protection Services Operations Center, reporting to the Director.… more
- Healthcare Services Group, Inc. (Bardstown, KY)
- Overview Who We Are Healthcare Services Group (HCSG) is an experienced partner managing housekeeping, laundry, dining, and nutritional services within the ... healthcare market. For over 45 years, we have provided...opportunities to see you succeed! Position Summary Our exciting Manager -In-Training (MIT) program gives you the opportunity to learn… more
- Molina Healthcare (Louisville, KY)
- …may have technical team members. **Expanded Scope:** The Senior Project Manager for Claims Operations drives complex, multi-workstream initiatives that span people, ... steward change management (training, SOPs, job aids, communications). + Risk, Compliance & Quality: Ensure alignment to CMS, HIPAA, state regulations, and… more
- Healthcare Services Group, Inc. (Louisville, KY)
- Overview Who We Are Healthcare Services Group (HCSG) is an experienced partner managing housekeeping, laundry, dining, and nutritional services within the ... healthcare market. For over 45 years, we have provided...opportunities to see you succeed! Position Summary Our exciting Manager -In-Training (MIT) program gives you the opportunity to learn… more
- Molina Healthcare (Louisville, KY)
- **Job Description** **Job Summary** The In-Home Assessment Program Manager is part of our innovative Risk Adjustment department to assist our diverse team of data ... medical loss ratio (MLR) targets. In conjunction with the Manager of the In-Home Assessment Program, this role supports...resolution, and corrective action plans as needed. * Maintains compliance with all policies and procedures. * Adheres to… more
- Healthcare Services Group, Inc. (Springfield, KY)
- Overview Role: Environmental Services Department Manager Join Healthcare Services Group (HCSG) as an Account Manager , leading housekeeping, laundry, and ... + Manage and supervise housekeeping, laundry, and floor care staff, ensuring compliance with policies, procedures, and federal/state requirements. + Perform and lead… 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 ... and make decisions as needed while collaborating with other teams. * Ensure compliance with all regulatory audit guidelines by adhering to roadmap of deliverables… more
- Molina Healthcare (Louisville, KY)
- **JOB DESCRIPTION** **Senior Project Manager - IT Security Programs** **Role Overview** We are seeking a **Project Management leader** responsible for driving the ... operational security projects, ensuring alignment with business objectives and compliance requirements. The role requires strong communication and coordination… more
- Molina Healthcare (Louisville, KY)
- **JOB DESCRIPTION** Job Summary: The AI Program Manager serves as a strategic leader driving the execution of AI initiatives to deliver meaningful business impact. ... practices (eg stage gates, documentation standards) to ensure quality and compliance . Champion Responsible AI by integrating ethical guidelines and compliance… more
- Molina Healthcare (Louisville, KY)
- **JOB DESCRIPTION** **Job Summary** The Regional Manager Value Based Programs plays a critical role in the development and implementation of value-based programs and ... for marketplace, Medicaid and/or Medicare + Experience in a complex healthcare delivery environment, specifically with government sponsored programs, including risk… more
- Molina Healthcare (Louisville, KY)
- …requirements into overall functional architecture for complex s/w solutions in compliance with industry regulations. *Provides subject matter expertise and reviews ... defines and plans software engineering process improvements and verifies compliance . *Mentors and trains systems/programmer analysts on software applications,… more
- Molina Healthcare (Louisville, KY)
- **JOB DESCRIPTION** **Job Summary** Establish a specifically designed compliance program that effectively prevents and/or detects violation of applicable laws and ... the Health Care environment. Ensures the Business' accountability for compliance by overseeing, follow-up and resolution of investigations. **KNOWLEDGE/SKILLS/ABILITIES**… more
- Molina Healthcare (Louisville, KY)
- …experiences. **KNOWLEDGE/SKILLS/ABILITIES** + Manages member services operations. + Ensures compliance with state and regulatory requirements. + Identifies new ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- Walgreens (Lawrenceburg, KY)
- …in events that reflect the unique communities we serve as requested by Store Manager , Healthcare Supervisor, or District Manager . Operations + Counsels ... and ensures compliance with employment laws. + Partners with Store Manager to establish expectations and goals, promote teamwork and foster a shared vision.… more
- Molina Healthcare (Louisville, KY)
- …Professional in Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), Commission for Case Manager Certification (CCMC), ... leadership, in addition to the enterprise clinical policy committee. * Ensures compliance with medical policy and maintaining compliance with all federal,… more