• Manager , Health Plan

    Molina Healthcare (Lexington, KY)
    …of NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Health Plan Quality Interventions ... Manager serves as the primary contact for health plan interventions and leads the interventions...in managed healthcare, including at least 2 years in health plan quality improvement or… more
    Molina Healthcare (04/25/25)
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  • Senior Manager , Network Management,…

    CVS Health (Frankfort, KY)
    …Performance (P4P) behavioral health contracting solutions. * Experience with behavioral health Institutes of Quality (IOQ). * Well versed with the behavioral ... At CVS Health , we're building a world of health...a Fortune 4 company, as the Network Management Senior Manager . In this role, you will manage negotiations, conduct… more
    CVS Health (05/16/25)
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  • Client Quality Manager Stars…

    Prime Therapeutics (Frankfort, KY)
    … ratings + Build external client satisfaction by establishing client-facing relationships with health plan quality leaders and successfully implementing ... drives every decision we make. **Job Posting Title** Client Quality Manager Stars and Quality ...goals are met, and meeting with clients regularly, including health plan leadership, to ensure effective planning… more
    Prime Therapeutics (05/16/25)
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  • Manager , Quality Assurance -…

    Hilton (Frankfort, KY)
    …strengthening and growing the Hilton portfolio\. On the Brands team reporting to Area Manager Quality Assurance, you will perform numerous QA audits and have ... and more, for all of Hilton's unique brands\! As Manager , QA Auditor, you will support the team that...Team Members, including partners and adoptive parents + Mental health resources including free counseling through our Employee Assistance… more
    Hilton (05/23/25)
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  • Senior Risk & Quality Performance…

    Molina Healthcare (Lexington, KY)
    …initiatives in alignment with RQS's strategic objectives. **Job Duties** * Collaborate with Health Plan Risk and Quality leaders to improve outcomes ... **Job Description** **Job Summary** The Sr Risk & Quality Performance Manager is a tactical...to: Risk/ Quality rate trending and forecasting; provider Risk/ Quality measure performance, CAHPS and survey analytics, health more
    Molina Healthcare (05/14/25)
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  • Risk & Quality Performance Manager

    Molina Healthcare (Lexington, KY)
    …initiatives in alignment with RQS's strategic objectives. **Job Duties** * Collaborate with Health Plan Risk and Quality leaders to improve outcomes ... **Job Description** **Job Summary** The Risk & Quality Performance Manager position will support...to: Risk/ Quality rate trending and forecasting; provider Risk/ Quality measure performance, CAHPS and survey analytics, health more
    Molina Healthcare (04/25/25)
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  • Program Manager , Medicare Stars…

    Molina Healthcare (Lexington, KY)
    …requirements. + Delivers the appropriate artifacts as needed. + Works with Enterprise and Health Plan l leaders within the business to provide recommendations on ... **Job Description** **Job Summary** Molina Medicare Stars Program Manager functions oversees, plans and implements new and... functions oversees, plans and implements new and existing health care quality improvement initiatives and education… more
    Molina Healthcare (05/14/25)
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  • Facility Program Manager - Procurement

    Veterans Affairs, Veterans Health Administration (Lexington, KY)
    Summary Facility Program Manager manages all aspects of a distinct program to include policy development, quality resources and specialty functions unique to the ... will be used to fill (1) full-time and permanent GS-0660-13 Pharmacy Program Manager - Procurement vacancy with the Pharmacy Service at the Lexington, KY Veteran… more
    Veterans Affairs, Veterans Health Administration (05/14/25)
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  • Field Care Manager ; Behavioral…

    Humana (Frankfort, KY)
    health first** Humana Healthy Horizons in Kentucky is seeking a Field Care Manager , Behavioral Health 2 who will assess and evaluate member's needs and ... with resources appropriate for the care and wellbeing of members. The Field Care Manager , Behavioral Health 2 work assignments are varied and frequently require… more
    Humana (05/16/25)
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  • Care Manager - Behavioral Health

    Molina Healthcare (Lexington, KY)
    …management, disease management, managed care settings. * Field-based case management or home health experience. * Certified Case Manager (CCM) To all current ... **Job Description** We are looking for a Case Manager (licensure required LCSW, LPCC, and LMFT) who...are looking for experience working with variety of mental health issues as well as Substance Abuse. Minimal local… more
    Molina Healthcare (05/22/25)
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  • Product Marketing Manager , Surgical…

    Cardinal Health (Frankfort, KY)
    …support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to ... distribution channels and within new customer segments. **_Job Summary_** The Product Manager will be responsible for the Surgical Essentials portfolio within the… more
    Cardinal Health (05/08/25)
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  • Business Compliance Manager (Aetna SIU)

    CVS Health (Frankfort, KY)
    At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...**Position Summary** As the Manger of Business Compliance of Quality Review, Training, and Program Integrity, you will lead… more
    CVS Health (05/16/25)
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  • Clinical Manager , Home Health

    CenterWell (Lexington, KY)
    …provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager , CenterWell is focused ... part of our caring community and help us put health first** $10k Sign on Bonus! Benefits that start...Schedule Career Development A Sense of Purpose The **Clinical Manager ** coordinates and oversees all direct care patient services… more
    CenterWell (05/02/25)
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  • Marketing Manager , Solutions Marketing,…

    Cardinal Health (Frankfort, KY)
    …support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to ... **What Product or Services Marketing contributes to Cardinal Health ** Marketing is responsible for assessing customer needs, market conditions and competition to… more
    Cardinal Health (05/17/25)
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  • Product Manager , Global Product…

    Cardinal Health (Frankfort, KY)
    …support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to ... distribution channels and within new customer segments. **_Job Summary_** The Product Manager will be responsible for the Fluid Management portfolio within the… more
    Cardinal Health (05/10/25)
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  • Senior Product Manager - Pharmacy Solutions

    Cardinal Health (Frankfort, KY)
    …support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to ... As a Sonexus (TM) Access and Patient Support Senior Product Manager , you'll build products and/or product capabilities within the healthcare IT space, partnering… more
    Cardinal Health (04/15/25)
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  • Sr Manager , Business Intelligence

    CVS Health (Frankfort, KY)
    At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...Business Intelligence / Cloud Development and Reporting Operations Sr Manager , within the Revenue Integrity organization, you will be… more
    CVS Health (05/21/25)
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  • Accounting Manager

    Cardinal Health (Frankfort, KY)
    …support health and well-being. + Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) + 401k savings plan + Access to ... This is a medical inventory accounting manager role. This role is ideal for someone...+ Establishes processes and mechanisms to review and monitor quality of outsourced staff work product. Effectively partners with… more
    Cardinal Health (05/14/25)
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  • Registered Nurse, Case Manager - Oncology…

    CVS Health (Frankfort, KY)
    At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...AHH delivers flexible medical management services that support cost-effective quality care for members. - This position consists of… more
    CVS Health (05/16/25)
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  • Case Manager , Registered Nurse - Oncology

    CVS Health (Frankfort, KY)
    At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...AHH delivers flexible medical management services that support cost-effective quality care for members. **Key Responsibilities** + This position… more
    CVS Health (05/16/25)
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