- Molina Healthcare (Covington, KY)
- …Design. Provides subject matter expertise and leadership to healthcare services function - providing support for project/ program /process design, execution, ... into functional requirements. + Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality… more
- Molina Healthcare (Covington, 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 ... medical loss ratio (MLR) targets. In conjunction with the Manager of the In-Home Assessment Program , this...Programs, Market & Segment Leaders, health plan teams, member services , provider services , external vendors, actuary, and… more
- Molina Healthcare (Covington, KY)
- **JOB DESCRIPTION** Job Summary: The AI Program Manager serves as a strategic leader driving the execution of AI initiatives to deliver meaningful business ... process improvement and organizational change management to operationalize the AI program vision. This includes end-to-end program planning (estimating,… more
- Molina Healthcare (Covington, KY)
- …Job Summary Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team ... processes. * Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate… more
- Molina Healthcare (Covington, KY)
- …quality and cost-effective member care. This position will support our Molina One Care Services business in Massachusetts. We are looking for a candidate with a MA ... for regular outreach and management. * Promotes integration of services for members including behavioral health, long-term services...resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and… more
- Molina Healthcare (Covington, KY)
- …Responsible for creating, operating, and monitoring Molina Health Plan's pharmacy services programs in accordance with all federal and state laws. ... **Knowledge/Skills/Abilities** + Monitor the operational aspects of the Pharmacy Benefits Manager and other delegates to assure compliance with contractual and… more
- Molina Healthcare (Covington, KY)
- **JOB DESCRIPTION** **Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan ... of service . **KNOWLEDGE/SKILLS/ABILITIES** + Follows member throughout a 30-day program that starts at hospital admission and continues through transitions from… more
- Molina Healthcare (Covington, KY)
- …Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or Certified ... National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity requirements and all other standards and… more
- Molina Healthcare (Covington, KY)
- …oversight and expertise related to behavioral health and chemical dependency services , and assists with implementation of integrated behavioral health care programs ... management and care management behavioral health programs and chemical dependency services - working closely with regional medical directors to standardize… more
- Molina Healthcare (Covington, KY)
- …Identifies and refers members with special needs to the appropriate Molina Healthcare program per policy/protocol. **JOB QUALIFICATIONS** Graduate from an ... Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified Professional… more
- Molina Healthcare (Covington, KY)
- …medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting improvements in efficiency and satisfaction for ... Job Duties * Determines appropriateness and medical necessity of health care services provided to plan members. * Supports plan utilization management program… more
- Molina Healthcare (Covington, KY)
- …QUALIFICATIONS:** + At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, ... and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits, Overpayment… more
- ThermoFisher Scientific (Highland Heights, KY)
- …portfolio, our work spans laboratory, digital and decentralized clinical trial services . Your determination to deliver quality and accuracy will improve health ... in the future. **Location/Division Specific Information** Our PPD(R) Laboratory Services team has a direct impact on improving patient...meet the needs of the business. Acts as Project Manager for key studies and a back-up for the… more
- Walgreens (Alexandria, KY)
- …to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner, and performs ... services as required; assists pharmacy staff in coordination of clinical services , Walgreens healthcare clinics and external providers. + Assists Pharmacy … more
- US Bank (Alexandria, KY)
- …verification system operated by the US Citizenship and Immigration Services . Learn more about the E-Verify program ... appropriate, to deliver economic and market views, investment strategy, manager /fund/security research and due diligence, and portfolio construction resulting in… more
- Raising Cane's (Florence, KY)
- …action when needed + Deploys crewmembers during a shift + Provides exemplary customer service + Utilizes reward and recognition program for the crewmembers in ... + Medical, Dental, Vision & Pharmacy Benefits + Dependent Care & Healthcare Flexible Spending Accounts + Company-provided Life and Disability insurance + Hospital… more
- CommonSpirit Health at Home (Florence, KY)
- …to clinical protocols and guidelines. + Collaborate and coordinate with the RN Case Manager and other healthcare team members to ensure effective patient care ... **Job Summary and Responsibilities** **We're Growing in Northern Kentucky Service Area!!** St. Elizabeth Home Care Now Hiring LPN Home Health -PRN Mileage… more
- CommonSpirit Health at Home (Florence, KY)
- …to clinical protocols and guidelines. + Collaborate and coordinate with the RN Case Manager and other healthcare team members to ensure effective patient care ... **Job Summary and Responsibilities** **We're Growing in Northern Kentucky Service Area!!** St. Elizabeth Home Care Now Hiring LPN Home Health - $500 Sign On Bonus… more
- Aerotek (Florence, KY)
- …To ensure your success, you will take part in a comprehensive training program , surrounded by a positive and supportive culture that encourages everyone to help ... and interview qualified candidates * Partner with your Account Manager to identify top accounts, target skill sets, and...generate referrals and sales leads * Perform various customer service -related activities * Give back to your community by… more
- Amazon (Erlanger, KY)
- …RME (BB/3P) Full Time Exempt experience - 5+ years of experience as a Reliability Program Manager or equivalent - 5+ years of Microsoft Office products and ... We are known for our speed, accuracy, and exceptional service . Our buildings deliver tens of thousands of products...healthcare benefits starting on Day 1, matching 401(k) program , and up to 20 weeks of paid parental… more