- Molina Healthcare (Lexington, KY)
- …opportunities for process developments and improvements. + Provides oversight of research and analytics associated with medical claims processing requirements ... **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage… more
- Otsuka America Pharmaceutical Inc. (Frankfort, KY)
- **Job Summary** Manager , Clinical Supply Operations manages Phase I-IV clinical studies, including coordination of packaging, labeling, blinding of ... supply vendors. + Assist with forecasting and ordering bulk research drugs from manufacturing department. + Support with developing...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- CenterWell (Frankfort, KY)
- …We're seeking a Sr. Business Intelligence Engineer with a strong background in data operations & BI reporting and a passion for data quality and process improvement. ... Responsibilities:** + **Operational Reporting:** Oversee the medical and prescription claims processes, including quality, audits, and reporting. Manage lifecycle… more
- Prime Therapeutics (Frankfort, KY)
- …to adjust focus **Reporting Structure** + Reports to a Functional Business Owner, Manager or Director in PBM Operations , Specialty Operations , Clinical ... on internal and client projects, regulatory requirements, process improvement, advanced research , root cause analysis, complex issue research , documentation,… more