- Molina Healthcare (Louisville, KY)
- …design solutions utilizing provider data such as the Provider Online Directory, Utilization Management , Customer Experience, Enrollment, and Claims ... **Job Description** **Job Summary** The Network Solutions Director is responsible for leading a team designing...combination of education and experience **Required Experience** 7-9 years Provider Data **Preferred Education** Graduate Degree or… more
- Molina Healthcare (Louisville, KY)
- … Information process functions. * Directs the development, implementation and maintenance of provider data in the claims payment system. * Supports critical ... databases. Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of… more
- Molina Healthcare (Louisville, KY)
- …optimization, and service delivery + Overseeing implementation of scalable solutions for provider onboarding, data management , and credentialing operations + ... **JOB DESCRIPTION** **Job Summary** Lead operational readiness initiatives across provider data and credentialing functions, supporting both new implementations… more
- Molina Healthcare (Louisville, KY)
- …and ensure adherence to business, system and regulatory requirements of Provider Data Management /Network Adequacy. **Knowledge/Skills/Abilities** + ... work with other teams including New Markets team, Network Management , Product Teams, PDM and IT. **Job Qualifications** **REQUIRED...EXPERIENCE:** + Advanced Excel skills. + Power BI. + Provider Data Analytics. To all current Molina… more
- Molina Healthcare (Louisville, KY)
- **Job Description** **Job Summary** The Director , Clinical Data Acquisition for Risk Adjustment, is responsible for the implementation, monitoring, and oversight ... and data completeness training, onboarding for CDA team members, vendor management for chart collection vendors, Supplemental data , and chart collection… more
- GE Appliances, a Haier company (Louisville, KY)
- …. Interested in joining us on our journey? As a GE Appliances' Director , Product Management - Chillers, you'll lead the end-to-end strategy, development, ... thrives on building scalable, differentiated solutions from the ground up. **Position** Director , Product Management - Chillers **Location** USA, Louisville, KY… more
- Elevance Health (Louisville, KY)
- …trends, using data and qualitative performance measures, to advise senior management relative to IT strategy. + Synthesizes annual and multi-year plans to ... **Medical Cost AI Intelligence Director (IT Strategy & Planning Director )**...Data Collection and Analysis, IT Consulting, IT Performance Management , Strategy or Financial Planning, Business Intelligence and Analytics,… more
- Molina Healthcare (Louisville, KY)
- …or Contact Center technology leadership. + 5+ years in a senior management or director -level role overseeing **large-scale, cloud-based UCaaS/CCaaS environments ... **Job Description** **Job Summary** The Director of IT (Telecom) provides strategic and operational...and simplify secure access across channels. + Collaborate with data and analytics teams to leverage AI-driven insights for… more
- HCA Healthcare (Louisville, KY)
- …individual is recognized. Submit your application for the opportunity below: Director Information Security AssuranceGalen College of Nursing **Benefits** Galen ... benefits may vary by location._** We are seeking a Director Information Security Assurance for our team to ensure...for our team to ensure that we continue to provide all patients with high quality, efficient care. Did… more
- Renaissance (Louisville, KY)
- … management , design, administration, communication, compliance, activities and vendor management . The Director will manage, plan, direct, develop, communicate ... actions, and grow and evolve. **Job Description** The Global Director of Total Rewards is responsible for the strategic...benefits and processes, plans, programs and tools (and the data and information that support them) are competitive, cost… more
- BAE Systems (Louisville, KY)
- …& procedures, data analytics, and proposal support. The role will provide expertise in multiple domains while providing leadership to subject matter experts ... **Job Description** BAE Systems is hiring a Director of Operations - Business Services to support...risks to supply chain operations and develop mitigation strategies Data & Metrics Development: + Develop, monitor, and report… more
- Molina Healthcare (Louisville, KY)
- …regarding utilization practices, guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization Management ... activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid,… more
- Elevance Health (Louisville, KY)
- **Medical Director -PSCCR** Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing ... unless an accommodation is granted as required by law. The **Medical Director -PSCCR** is responsible for the administration of physical and/or behavioral health… more
- BrightSpring Health Services (Louisville, KY)
- …certification in Geriatric Medicine preferred + Required to be a Certified Medical Director (CMD) + Advanced degree preferred (eg, MBA, MPH, MHA) to support ... leadership, business, or population health management responsibilities + More than five years progressive leadership in PALTC/senior care; prior multiple medical … more
- Molina Healthcare (Louisville, KY)
- …of value-based care models, provider enablement strategies, and population health management . + Strong knowledge of data integration, EMR systems, and ... programs focused on provider enablement, ensuring access to tools, training, and data for success in VBC models. + Design and implement VBC training programs,… more
- GE Appliances, a Haier company (Louisville, KY)
- …advantage. The successful candidate will have a strong background in sourcing, change management , data analytics, generative AI, and process improvement with a ... _we create possibilities_ . Interested in joining us on our journey? The Director of Sourcing Transformation and Innovation will lead and drive strategic initiatives… more
- HCA Healthcare (Louisville, KY)
- …and collaboration skills with diverse stakeholders. + Ability to utilize technology, data analysis, and learning management systems to support clinical ... here to learn more about Galen! (https://galencollege.edu/about) **Position Overview:** As a Director of Clinical Learning at Galen College of Nursing, you will … more
- GE Appliances, a Haier company (Louisville, KY)
- …on our journey? We are seeking an experienced and strategic Digital Innovations Director to lead the transformation of our consumer and customer support operations ... IT leader, their team, and multiple AI specialists. The Director will develop and execute an enterprise AI strategy...support teams to integrate product knowledge bases and warranty data into AI tools for better contextual automation. +… more
- Anywhere Real Estate (Louisville, KY)
- Director , Broker Services Reports to National VP The Director of Broker Services will report to the National Vice President. This individual will support the ... as a point person for all franchise-related operational issues. The Operations Director will oversee and streamline the operational activities that support ERA… more
- Molina Healthcare (Louisville, KY)
- …HMO/Managed Care experience **OR** 5 years experience as a Molina Medical Director + Demonstrated experience in Utilization/Quality Program management + Previous ... Assists in recruitment, hiring and training of staff as needed. + Analyzes data and identifies medical cost savings and quality improvement opportunities. + Accounts… more