- Humana (Frankfort, KY)
- **Become a part of our caring community and help us put health first** The Quality Audit Professional 2 analyzes and investigates quality issues. The ... Quality Audit Professional 2 work assignments are varied and frequently require...independent determination of the appropriate courses of action. The Quality Audit Professional 2 supports… more
- Cherry Bekaert (Lexington, KY)
- …to hear from you. Help us continue in our success as an Financial Services Audit Senior. **As an Audit Senior, you will:** + Dialogue over engagement ... efficiencies and client specific risks + You will develop audit approach to be used by the engagement teams + Instruct and oversee fellow A&A Staff throughout… more
- Cherry Bekaert (Frankfort, KY)
- …we'd like to hear from you. Lets grow your career as an **Insurance Audit Manager** supporting our Louisville practice. **What your day looks like:** + Communicating ... ensure that engagement risks are identified and appropriate responses (including specific audit steps) are taken. + Mentor and develop associates by providing timely… more
- Humana (Frankfort, KY)
- …for an internship that supports the goal to put health first? The Quality Compliance Professional intern will utilize Humana's training and mentorships and ... is not guaranteed upon completion of the Internship or Fellowship. The Quality Compliance Professional 2 Intern will utilize Humana's Kentucky Medicaid… more
- Humana (Frankfort, KY)
- …generally aligned based on the associate and business task at hand. The Quality Compliance Professional participates in performance and quality improvement ... both external and internal, required by NCQA and the State Contract. The Quality Compliance Professional (2) participates in, with potential to lead, Kentucky… more
- Humana (Frankfort, KY)
- …community and help us put health first** The IFG Senior Compliance Professional ensures compliance with Health Plan contracts and governmental requirements. The ... Senior Compliance Professional work assignments involve moderately complex to complex issues...documentation for compliance activities, including reports, training materials, and audit findings. + Participate in the development of policies… more
- Parker Hannifin Corporation (Lexington, KY)
- …industry networks, benchmarking state-of-the-art practices, maintaining American Society for Quality certification, and/or participating in other professional ... Quality Engineer Location : LEXINGTON, KY, United States...and external audits. May act as main contact in audit . Develops and coordinates corrective action procedures and plans.… more
- Humana (Frankfort, KY)
- …caring community and help us put health first** The Business Technical Support Professional provides support for handling and analyzing data that pertains to the ... compliance of Humana producers. The Business Technical Support Professional will work assignments involve moderately complex to complex issues where the analysis of… more
- Humana (Frankfort, KY)
- …and help us put health first** The Risk Adjustment Compliance Professional 2 supports the organization's adherence to governmental and contractual requirements, ... determining appropriate actions within established framework. The Risk Adjustment Compliance Professional 2 contributes to the execution of the organization's risk… more
- Trustmark (Frankfort, KY)
- …Experience group. The primary function of this role is to train and audit new and existing staff in all products including appropriate claim handling. Ensures ... Key Accountabilities + Deliver new hire training.Deliver ongoing functional and professional development training + Maintain, update and create new knowledge… more
- Highmark Health (Frankfort, KY)
- …retrospective coding audit activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, ... identified in the audits compliant with regulatory requirements. Provides written audit guidance. Participates with management in the assessment of external … more
- Addiction Recovery Care (Lexington, KY)
- …comprehensive audits of client's medical records in an assigned facility per audit policies and procedures to determine standards of care compliance and medical ... government regulations and appropriate accreditation standards. + Prepares and communicates audit results, conclusions and recommendations to the VP of Compliance,… more
- Eliassen Group (Frankfort, KY)
- …and direct mail communications, proofreading other team members' work, documenting audit requirements and obtaining approvals from various key partners. The ... remain in compliance with company policies and procedures and maintain internal audit document files Communicate the creative details and timelines with all key… more
- Canon USA & Affiliates (Frankfort, KY)
- …including ongoing maintenance/support of finance systems, user training and internal/external audit support. Perform all duties in accordance with the company's ... rates or tariffs of company are both compliant with the respective professional and governmental regulations, as well as competitive and sustainable (ie monitoring… more
- Datavant (Frankfort, KY)
- …complex problems with technology-forward solutions. Datavanters bring a diversity of professional , educational and life experiences to realize our bold vision for ... healthcare. The individual will provide superior quality by performing audits pertaining to risk adjustment coding...manner ensuring that appropriate changes are implemented. + Support audit processes ensuring work flows and results are properly… more
- Cherry Bekaert (Lexington, KY)
- …guide and support you at each stage of your personal and professional journey. To support the continued growth of our Deal Advisory ... Participate in performance reviews and new business development activities + Perform quality of earnings and working capital analyses + Identify and evaluate matters… more
- DoorDash (Lexington, KY)
- …owned and operated by DoorDash, offering customers fast, reliable, and high quality delivery. Customers order their convenience, grocery, retail, and prepared foods ... your assigned shifts including warehouse and kitchen processes, safety/cleanliness, quality , and training. Maintain accountability for inventory, equipment, and… more
- Cherry Bekaert (Frankfort, KY)
- …a collaborative environment focused on enabling your career growth and continuous professional development. Our Marketing Department team is looking for a SEO ... SEO audits using tools like Screaming Frog, SEMrush Site Audit , and Google Search Console to identify and resolve...search results + Assist in identifying opportunities for acquiring high- quality backlinks + Assist with tracking and analyzing SEO… more
- Sedgwick (Lexington, KY)
- …Compiles reviews and analyzes management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service ... client. + Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim… more
- Sedgwick (Frankfort, KY)
- …reviews, and analyzes management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service ... client. + Maintains contact with the client on claims and promotes a professional client relationship; makes recommendations to client as suggested by the claim… more