- Molina Healthcare (Lexington, KY)
- … healthcare experience + Understanding of the drivers and strategies across functions in managed care organizations (MCOs) as well as broad knowledge of the ... Summary** The role, reporting directly to the Head of Strategy , is a critical member of the Strategy... Strategy , is a critical member of the Strategy team, which supports senior executives in creating corporate,… more
- CommonSpirit Health (Lexington, KY)
- … Director , Payer Strategy and Relationships (PSR), is responsible for managed care policies, goals and objectives related to contract language and ... reimbursement, negotiation strategy , and payer relationships. The Director collects...Bachelor's Degree - equivalent education and experience in payer strategy , managed care or provider… more
- Molina Healthcare (Lexington, KY)
- …with value-based contracting. * In-depth knowledge of managed care business, regulatory/legal requirements, products, programs, strategy and objectives. ... **Job Description** **Job Summary** Leads the market's strategy and planning in the successful development of the provider network, including development,… more
- Hilton (Frankfort, KY)
- …team that's helping hotels consistently grow market share and outperform competitors\. On the Managed team reporting to the Assistant Director , you will work on ... of a Revenue Management Consolidated Center \(RMCC\) that is offering owned, managed , and franchised Hilton hotels world\-class revenue management talent and tools\.… more
- Humana (Frankfort, KY)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
- Hilton (Frankfort, KY)
- …be on our Development team who play a large part in driving Hilton's growth strategy through the addition of new hotels to our ever\-growing portfolio\! As a ... Director of Development, you will partner with owners and investors to grow our managed and franchised hotel estate and allow them to use our global expertise to… more
- Molina Healthcare (Lexington, KY)
- …and experience **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** * 8+ years of Medicaid managed care experience or in an equivalent related field * Ability ... with Medicaid Proposals and/or business development and requires demonstrated Medicaid managed care experience comprised of technical operational, sales, growth,… more
- Humana (Frankfort, KY)
- …relevant advanced degree + Healthcare industry experience, particularly in managed care or provider sectors + Experience leading strategy projects from ... concept to execution **Additional Information** This role reports to the Director of Strategy , works collaboratively with members of rest of the team, and with… more
- Evolent (Frankfort, KY)
- …people with most complex and costly health conditions. Working across specialties and primary care , we seek to connect the pieces of fragmented health care ... system and ensure people get the same level of care and compassion we would want for our loved...as we solve complex business problems. **Collaboration Opportunities:** The Director , Actuarial Services utilizes and develops analytical tools to… more
- CenterWell (Frankfort, KY)
- …which you are required to practice + Eight (8) years of clinical experience in managed care or equivalent experience + Five (5) years' experience in effectively ... caring community and help us put health first** The Director Drug Trend and Pipeline Forecasting will be the...teams at all levels on the concepts, opportunities and strategy of managing traditional and specialty medications + Ability… more
- Highmark Health (Frankfort, KY)
- …Consulting or related area + 3 years Value-based reimbursement, through managed care contracting, provider reimbursement, consulting, population health delivery ... budgetary responsibility and authority. + Develop the overall conceptualization, strategy alignment, financial models, and high-level design of new reimbursement… more
- Molina Healthcare (Lexington, KY)
- …experience. **Required Experience** 7 - 10 years minimum experience in Healthcare Administration, Managed Care , and/or Provider Network Mgmt & Operations with an ... of establishing a sufficient network of Participating Providers to serve the health care needs of Molina membership. * Develops and maintains a standard provider… more
- Zurich NA (Frankfort, KY)
- …profitability goals and ensure the delivery of quality, cost effective services to our Managed Care stakeholders. You will act as a subject matter expert and ... technical resource to Managed Care stakeholders regarding operational and regulatory...we insure 90% of the Fortune 500(R). Our growth strategy is not limited to our business. As an… more
- CVS Health (Frankfort, KY)
- …and with relevant external constituents** + **At least 3 years of experience in managed care which may include PBM, Pharma, market access, account management, ... with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we...Services Growth is a critical member of the Trade Strategy team, which is tasked with leveraging CVS Health's… more
- Humana (Frankfort, KY)
- …Standard Time Zone** + Bachelor's Degree or 5+ years of Medicaid managed care , network contracting, network/provider operations, and/or provider relations ... Network Implementation) who is accountable for working with the Director , Network Implementations, Provider Strategy & Operations,...serve to achieve their best health - delivering the care and service they need, when they need it.… more