- Molina Healthcare (Lexington, KY)
- **JOB DESCRIPTION** **Job Summary** Lead operational readiness initiatives across provider data and credentialing functions, supporting both new implementations ... operational readiness efforts for new processes, systems, and operational initiatives across provider data and credentialing + Driving launch execution for new… more
- Molina Healthcare (Lexington, KY)
- …Information process functions. + Partner with stakeholders to creatively design solutions utilizing provider data such as the Provider Online Directory, ... **Job Description** **Job Summary** The Network Solutions Director is responsible for leading a team designing...combination of education and experience **Required Experience** 7-9 years Provider Data **Preferred Education** Graduate Degree or… more
- Molina Healthcare (Lexington, KY)
- **Job Description** **Job Summary** The Director , Clinical Data Acquisition for Risk Adjustment, is responsible for the implementation, monitoring, and oversight ... with the Health Plan Risk/Quality leaders to strategically plan for supplemental data source (SDS) acquisition from providers as well as Electronic Medical Record… more
- Molina Healthcare (Lexington, KY)
- …programs focused on provider enablement, ensuring access to tools, training, and data for success in VBC models. + Design and implement VBC training programs, ... This role focuses on equipping providers with the tools, training, data , and support needed to deliver high-quality, efficient care. Oversees initiatives… more
- V2X (Lexington, KY)
- …the full lifecycle of contract management for the SOF GLSS program , including solicitation, negotiation, award, administration, and closeout. + Evaluate procurement ... USSOCOM mission requirements and internal approval protocols. + Collaborate with program managers, finance, and supply chain teams to develop acquisition strategies… more
- Molina Healthcare (Lexington, KY)
- …and effective resource management. + Develops and implements a Utilization Management program and action plan, which includes strategies that ensure a high quality ... activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare, Medicaid,… more
- Molina Healthcare (Lexington, KY)
- **Job Description** **Job Summary** The Director of Cyber Recovery will oversee and manage Disaster Recovery related to the Information Technology (IT) ... Azure Cloud services such as VMs, storage, databases, AKS, Data Factory, and App Services. + Proficient in ...+ Able to deliver formal training on Cyber Recovery Program to stakeholders. **Essential Job Responsibilities:** + Maintain, manage,… more
- CommonSpirit Health at Home (Lexington, KY)
- …service. + **Ethical Conduct & Compliance:** Uphold the Corporate Compliance Program . + **Operational Support:** Provide prompt and professional assistance ... mission of delivering hope and healing to those we serve. The Director , Clinical Services is responsible for the planning, direction, coordination, supervision,… more
- Molina Healthcare (Lexington, KY)
- …and identifies and implements solutions with alignment from key stakeholders. * Uses data to evaluate actual to expected program performance. * Synthesizes and ... to establish strategic plans and objectives. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Under the… more
- CVS Health (Frankfort, KY)
- …with business objectives. This role requires strategic oversight, data -driven decision-making, and cross-functional leadership to optimize vendor contributions ... + Oversee the collection, analysis, and reporting of vendor performance data . Create clear, actionable reports and scorecards for executive leadership and… more
- Molina Healthcare (Lexington, KY)
- …care in the most effective setting. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties * Determines ... services provided to plan members. * Supports plan utilization management program and accompanying action plan(s), which includes strategies to ensure high-quality… more
- Valvoline Global (Lexington, KY)
- …better future. With a global presence, we develop **future-ready products** and provide **best-in-class services** for our partners around the world. For us, ... Risk Management** + Lead a global travel monitoring and risk mitigation program , issuing timely advisories and security alerts. + Create region-specific traveler… more
- Molina Healthcare (Lexington, KY)
- **Job Description** **Job Summary** The In-Home Assessment Program Manager is part of our innovative Risk Adjustment department to assist our diverse team of data ... be assist with implementing and managing the in-home assessment program that leads to the overall achievement of improved...by acting as a key business partner to the Director , Prospective Programs, Market & Segment Leaders, health plan… more
- Option Care Health (Lexington, KY)
- **Extraordinary Careers. Endless Possibilities.** **With the nation's largest home infusion provider , there is no limit to the growth of your career.** Option Care ... the largest independent home and alternate site infusion services provider in the United States. With over 8,000 team...and more impactful. Our organization requires extraordinary people to provide extraordinary care, so we are investing in a… more
- CVS Health (Frankfort, KY)
- …workstreams across multiple product lines while partnering directly with the Senior Director on strategic planning and team coordination. This is a hands-on, ... **Key Responsibilities** Strategic and Operational Support + Partner with the Senior Director of Product to support team OKRs, capacity planning, product ops, and… more
- Fresenius Medical Center (Georgetown, KY)
- …values and customer service philosophy. Adheres to the FMCNA Compliance Program , including following all regulatory and FMS policy requirements. Ensure provision ... programs. Adheres to all requirements of the FMCNA Compliance Program , and FMS patient care and administrative policies as...issues of diverse scope where analysis of situation or data requires evaluation of a variety of factors, including… more
- CMTA, Inc (Lexington, KY)
- …are a collaborative, innovative, and energetic team that leverages a data -driven, holistic approach to consulting engineering, performance contracting, and zero ... for the built environment, CMTA has a robust co-op program for students pursuing a degree in Mechanical Engineering,...organized sets of drawings, + May assist in the data collection and/or field verification, and + Work in… more
- CMTA, Inc (Lexington, KY)
- …are a collaborative, innovative, and energetic team that leverages a data -driven, holistic approach to consulting engineering, performance contracting, and zero ... internally within the office and externally with clients and contractors. + Provide guidance, support, mentorship, and leadership to staff engineers. + Prepare,… more
- CMTA, Inc (Lexington, KY)
- …are a collaborative, innovative, and energetic team that leverages a data -driven, holistic approach to consulting engineering, performance contracting, and zero ... growth and career opportunities. **Position Overview** CMTA has a robust co-op program for college students pursuing a degree in Mechanical Engineering, Electrical… more
- CMTA, Inc (Lexington, KY)
- …are a collaborative, innovative, and energetic team that leverages a data -driven, holistic approach to consulting engineering, performance contracting, and zero ... integrity and ethical standards within role. We are unable to provide immigration sponsorship for this position. \#LI-CC1 #LI-Onsite **About Legence** Legence… more