- Molina Healthcare (Owensboro, KY)
- …SummaryProvides subject matter expertise and leadership to healthcare services function - providing support for project/ program /process design, execution, ... into functional requirements. * Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality… more
- Molina Healthcare (Owensboro, KY)
- …work of external vendors. Assigns, directs, and monitors system analysis and program staff. These positions' primary focus is project/ program management, rather ... teams in planning and executing business programs. Assigns and monitors work of program management staff providing support and direction. + Serves as the subject… more
- Molina Healthcare (Owensboro, KY)
- …(No Weekends or Holidays) Job Summary Leads and supervises multidisciplinary team of healthcare services professionals in some or all of the following functions: ... and application of protocols and guidelines. * Collaborates with and keeps healthcare services leadership apprised of operational issues, staffing, resources,… more
- Molina Healthcare (Owensboro, KY)
- …and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and state regulatory requirements are met for pre-pay edits and overpayment ... and executing projects and tasks to ensure Centers for Medicare and Medicaid Services (CMS) and state regulatory requirements are met for pre-pay edits, post-payment… more
- Molina Healthcare (Owensboro, KY)
- …governance framework and decision-making processes, as needed. + At the direction of program (CoE, Shared Service or other functional area) leadership, supports ... or a similar field). + Relevant work experience in healthcare compliance program operations and risk management;...experience. + Managed Care experience, preferably in a shared service , CoE or matrixed environment. + Experience with Microsoft… more
- Molina Healthcare (Owensboro, KY)
- …lives in Kentucky and must be licensed for the state of Kentucky Case Manager RN will work with KY Behavioral Health Medicaid population providing telephonic case ... for regular outreach and management. * Promotes integration of services for members including behavioral health, long-term services...resources and recommendations to peers as needed. * Care manager RNs may be assigned complex member cases and… more
- Molina Healthcare (Owensboro, KY)
- …verbal and written communication skills. * Microsoft Office suite/applicable software program (s) proficiency. Preferred Qualifications * Certified Case Manager ... in Kentucky and must be licensed for the state of Kentucky. Case Manager will work with KY Medicaid/Medicare population providing telephonic case management support.… more
- GE Aerospace (Madisonville, KY)
- … Program , providing 24/7 confidential assessment, counseling and referral services . Retirement benefits include the GE Retirement Savings Plan, a tax-advantaged ... **Job Description Summary** The Senior Government Accounting Manager is a key member of the Corporate...salary. This posting is expected to close on 1/30/2026. Healthcare benefits include medical, dental, vision, and prescription drug… more
- Molina Healthcare (Owensboro, KY)
- **JOB DESCRIPTION** **Job Summary** Under direct supervision of the Manager , SIU, the Team Lead is responsible to lead a small team of investigators and provide ... daily investigative activities as a back-up to the SIU Manager . This position will be accountable for tracking on...policies and be able to apply them in ensuring program compliance via payment integrity programs. The position must… more
- Genesis Healthcare (Madisonville, KY)
- …children at home and in school. With over 38 years of trusted service , our reach spans skilled nursing centers, assisted and independent living facilities, ... + **Support for New Grads:** Our Powerback Clinical Mentorship Program kicks off on day one, helping you learn...patients and their families receive the highest quality of service in a caring and compassionate atmosphere. If this… more
- GE Aerospace (Madisonville, KY)
- …focused on delivering accurate and timely payroll and time & attendance services for exempt and non-exempt employee populations. The team ensures seamless ... preparation, processing, and documentation of payroll. The US Senior Pay & Time Manager role is a critical leadership position responsible for overseeing a team of… more
- Molina Healthcare (Owensboro, KY)
- …Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified ... procedures, and individual judgment and experience to assess the appropriateness of services provided, length of stay, level of care, and inpatient readmissions. +… more
- Molina Healthcare (Owensboro, KY)
- …oversight and expertise related to behavioral health and chemical dependency services , and assists with implementation of integrated behavioral health care programs ... management and care management behavioral health programs and chemical dependency services - working closely with regional medical directors to standardize… more
- Molina Healthcare (Owensboro, KY)
- …medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting improvements in efficiency and satisfaction for ... Job Duties * Determines appropriateness and medical necessity of health care services provided to plan members. * Supports plan utilization management program… more
- GE Aerospace (Madisonville, KY)
- **Job Description Summary** The Pricing Technical Program Manager (TPM) plays a critical role within the S&M Commercial Operations organization, enabling GE ... to deliver accurate, strategic, and data-driven pricing across products and services . This role manages end-to-end technical execution for pricing capabilities,… more
- GE Aerospace (Madisonville, KY)
- … Program , providing 24/7 confidential assessment, counseling and referral services . Retirement benefits include the GE Retirement Savings Plan, a tax-advantaged ... the Defense & Systems (D&S) business, the Technical Product Manager - Contract Lifecycle Management (CLM) role will be...posting is expected to close on January 16, 2026. Healthcare benefits include medical, dental, vision, and prescription drug… more
- Molina Healthcare (Owensboro, KY)
- …entry and telephone and clerical support for team facilitating care management related services for members. * Facilitates initial review of assigned case levels and ... needs and works under the direction of the care manager to implement care plan. * Schedules member visits...care management staff during process of identifying appropriate member services . * Coordinates required member services in… more
- Molina Healthcare (Owensboro, KY)
- …Duties** * Hires, trains, develops, and supervises a team of pharmacy service representatives supporting processes involved with Medicare Stars and Pharmacy quality ... and average hold time are compliant with Centers for Medicare and Medicaid Services (CMS) regulations. * Ensures that adequate staffing coverage is present at all… more
- GE Aerospace (Madisonville, KY)
- … Program , providing 24/7 confidential assessment, counseling and referral services . Retirement benefits include the GE Retirement Savings Plan, a tax-advantaged ... **Job Description Summary** The Senior Government Accounting Manager is responsible for compliantly developing Forward Pricing Rate Proposals (FPRPs) and the annual… more
- GE Aerospace (Madisonville, KY)
- …the lives of millions around the world! The Digital Technology Sourcing Manager will negotiate with dedicated providers according to specific policies. Achieve the ... like HealthAhead, your physical, emotional, financial and social wellbeing. Healthcare benefits include medical, dental, vision, and prescription drug coverage;… more