- Molina Healthcare (Louisville, KY)
- …and ensure adherence to business, system and regulatory requirements of Provider Data Management / Network Adequacy. **Knowledge/Skills/Abilities** + ... among multiple systems to ensure accurate reporting of the Provider Network across the enterprise. Validate data...Integrates work with other teams including New Markets team, Network Management , Product Teams, PDM and IT.… more
- Molina Healthcare (Louisville, KY)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. + **Knowledge/Skills/Abilities** + Strategically plans, ... **Job Description** **Job Summary** The Network Solutions Director is responsible for...solutions utilizing provider data such as the Provider Online Directory, Utilization Management , Customer Experience,… more
- Molina Healthcare (Louisville, KY)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. **Knowledge/Skills/Abilities** * Strategically plans, ... in developing and implementing appropriate Corrective Action Plans for submission of provider network files, etc. * Engages with IT and other departments to… more
- Evolent (Frankfort, KY)
- …Account teams and payer clients to align priorities and deliver high-quality provider network engagement, performance reporting, and present to health plans ... OR THE SOUTHWEST REGION We are seeking a strategic and collaborative Associate Director , Provider Engagement to lead our oncology-focused provider engagement… more
- CVS Health (Frankfort, KY)
- …+ ** Provider and Vendor Management :** The Pharmacy Director collaborates with pharmacy network providers, including retail pharmacies, mail-order ... to establish a competitive advantage for the health plan. + **Pharmacy Benefit Management :** The Pharmacy Director is responsible for managing the pharmacy… more
- Acxiom (Frankfort, KY)
- As the Director , Campaign Management , Retail & Commerce Networks Acxiom's Commerce & Retail Media Network Practice, you will play a critical role in ... channels. In this role, you will focus on yield optimization, campaign management , media activation, and performance reporting, ensuring every campaign is planned… more
- HCA Healthcare (Frankfort, KY)
- …Our Frankfort Regional Medical Center team is looking for a Medical Surgical Nurse Director . HCA Healthcare is an advanced healthcare network that has committed ... part of the innovation of ideas. **Job Summary and Qualifications** The Med/Surg Director assists the CNO in executive-level management of resources, strategic… more
- Molina Healthcare (Louisville, KY)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with ... business and system requirements of customers as it pertains to contracting, network management and credentialing. **Job Duties** This role negotiates assigned… more
- Cardinal Health (Frankfort, KY)
- …we can get life-changing therapies to patients who need them-faster.** The Director of Business Development, Patient Hub Services, is responsible for business ... of Access and Patient Support, Clinical Services and Reimbursement Services. The Director will build key customer relationships to uncover customer needs to align… more
- Highmark Health (Frankfort, KY)
- …cross organizational programs and projects + 5 years Familiarity with health plan and provider contracting or revenue management + 2 years Understanding of ... provider contract documents and overall contract management process **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + None **SKILLS** + Excellent… more
- Otsuka America Pharmaceutical Inc. (Frankfort, KY)
- **Job Summary** **Job Description** The Associate Director (AD), Federal Government Affairs, will assist in the development, communication, and deployment of ... activities and policy priorities that promote access to therapies, preserve patient/ provider choice, and generally protect Otsuka's business interests in policy… more
- SHI (Frankfort, KY)
- …every year since, and today we're proud to be a $15 billion global provider of IT solutions and services.** **Over 17,000 organizations worldwide rely on SHI's ... **Job Summary** SHI is seeking an executive visionary to serve as Sr Director of Services Delivery Integrators & GTM Alliances, responsible for crafting the program,… more
- Molina Healthcare (Louisville, KY)
- …as meeting or exceeding productivity standards. Educates and interacts with network and group providers and medical managers regarding utilization practices, ... guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization ...(QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
- Molina Healthcare (Louisville, KY)
- …as meeting or exceeding productivity standards. Educates and interacts with network and group providers and medical managers regarding utilization practices, ... guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization ...(QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
- Merck (Frankfort, KY)
- …plans in partnership with Precision Medicine Health Systems Oncology Medical Affairs Director (PM HSO-MADs), oncology account management , and precision medicine ... **Job Description** + The Precision Medicine - Medical Affairs Director - Health Systems Oncology (PM MAD-HSO) develops ongoing professional relationships with… 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 ... enablement-directly managing an IT leader, their team, and multiple AI specialists. The Director will develop and execute an enterprise AI strategy across all areas… more
- Hilton (Frankfort, KY)
- …brands by being relentlessly motivated to grow market share\. On the Strategic Account Management team reporting to the Managing Director , you will lead a ... the combined benefits of scale, access, competence, and experience\. As a Director , Sales Worldwide Accounts \(Strategic Accounts\) _,_ you will support the team… more
- Cardinal Health (Frankfort, KY)
- … of Sales, Market Access_ will directly support the team's diverse account management responsibilities across our network of 500+ existing payers. This hands-on ... healthcare services and products company headquartered in Dublin, OH. The _National Director of Sales, Market Access_ serves as the dynamic commercial leader for… more
- Anywhere Real Estate (Louisville, KY)
- **About the Anywhere Leads Team** The Anywhere Leads Network comprises 500 brokers across Coldwell Banker, Century 21, ERA, Better Homes & Gardens Real Estate, ... the VP, Operations & Customer Insights. The Anywhere Leads Network team is focused on managing and growing our...the core of our revenue optimization strategy. As the ** Director of Leads Insights** , you will be a… 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