- Fresenius Medical Care (Cadiz, KY)
- About this role: As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. As ... advance your career into an Area Team Lead or Director of Operations role. Our culture: We believe our...a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in… more
- CenterWell (Frankfort, KY)
- **Become a part of our caring community and help us put health first** The Director , Medical Coding extracts clinical information from a variety of ... medical codes (eg, ICD-10-CM, CPT) to patient records. The Director , Medical Coding requires an in-depth understanding of how organization capabilities… more
- Humana (Frankfort, KY)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...but may not be limited to, an overview of coding practices and clinical documentation, grievance and appeals processes… more
- Humana (Frankfort, KY)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...conflict resolution skills. Some roles include an overview of coding practices and clinical documentation, grievance and appeals processes,… more
- Baylor Scott & White Health (Frankfort, KY)
- **Job Summary** The Director , Denial Resource Center is responsible for the strategic planning, evaluation, and operational oversight of the clinical denial ... management function for Baylor Scott and White Health (BSWH). The Director , Denial Resource Center will lead a highly skilled team of Registered Nurses, Certified … more
- Public Consulting Group (Frankfort, KY)
- …Enablement + Business Solutions + Project Assurance PCG is hiring a Director with focus on delivering management consulting services and developing new business ... strong client relationships, and developing proposals that meet client needs. The Director will collaborate with senior client executives to implement or advise on… more
- FranklinCovey (Frankfort, KY)
- …schools and institutions. To learn more, visit franklincovey.com **Title:** Director of Engineering - FranklinCovey Enterprise **Payroll Title:** Director ... like the FranklinCovey AI Coach **Job Summary** FC is seeking a hands-on Director of Engineering to lead multiple product teams building the learning experiences and… more
- CVS Health (Frankfort, KY)
- …And we do it all with heart, each and every day. The Lead Director , National VBC Performance Planning & Insights will act as a strategic leader driving ... actionable insights that guide business decisions for national and local providers. The Director will also play a key role in supporting the development and tracking… more
- Molina Healthcare (Covington, KY)
- **Job Description** **Job Summary** The Director , Clinical Data Acquisition for Risk Adjustment, is responsible for the implementation, monitoring, and oversight of ... audit projects and deliverables related to accurate billing and coding . This role also works with the Health Plan...source (SDS) acquisition from providers as well as Electronic Medical Record (EMR) access. This position oversees management of… more
- Teradata (Frankfort, KY)
- …user experiences powered by modern web technologies and AI-driven design. As the Senior Director of User Platforms, you will: + Lead and inspire the Console team and ... impact across our workforce-leveraging AI to streamline design, accelerate coding , personalize experiences, and improve accessibility. + Champion experimentation… more
- Datavant (Frankfort, KY)
- …1 facility. SMART software experience preferred. **You Will:** + Conduct inpatient coding audits on medical records, utilizing ICD-10-CM, CPT, and appropriate ... will be instrumental in addressing consulting and educational needs related to coding quality, compliance assessments, external payer reviews, coding education,… more
- Fresenius Medical Center (Louisville, KY)
- …+ Facilitates the application process for physician privileges and compliance with FMS Medical Staff By-Laws. + Responsible for strong Director and physician ... communicated to and implemented by the facility staff. + Maintains integrity of medical records and other FMS administrative and operational records. + Complies with… more
- Fresenius Medical Center (Kuttawa, KY)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... advance your career into an Area Team Lead or Director of Operations role. **Our culture:** We believe our...a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in… more
- Waystar (Louisville, KY)
- **ABOUT THIS POSITION** This role reports to a Director , Product Management and work closely with User Experience team and Technology teams. The Sr. Product Manager ... concise but thorough fashion + An understanding of hospital & professional coding and billing workflows and the provider reimbursement process, obtained either… more
- CenterWell (Elizabethtown, KY)
- …and assisting with weekly case conferences. Refers clinical questions to Branch Director as necessary. + Maintains the client hospitalization log, including entering ... productivity / geographic issues and forwards schedule to Branch Director for approval prior to distribution to staff. +...a copy for the Case Manager, and route to Medical Records Department. Initiate Employee / Patient Infection Reports… more
- CVS Health (Frankfort, KY)
- …current skills and development needs. Assesses training needs and works with SIU Director on development plans for team members. Develops and maintains close working ... New York, and Oklahoma** + Experience with Interpreting Contracts + Billing and Coding certifications such as CPC (AAPC) + Knowledge of Aetna's policies and… more
- Nutanix (Frankfort, KY)
- …with VCDX and NPX certifications from various areas. You will report to the Director of Solutions Engineering, who is dedicated to mentoring the team and cultivating ... + Hands-on experience in IaC frameworks like Terraform, Ansible, and PowerShell + Coding in Python + Previous experience working with Product Management and Software… more
- Molina Healthcare (Lexington, KY)
- …programs, risk adjustment models, quality metrics such as HEDIS and STARS, knowledge of coding + Knowledge of medical economics and financial reporting. Must be ... with national quality and risk adjustment VPs, Regional Directors of Quality/Risk, Director of Value Based Programs, and local health plan resources. + Responsible… more
- Waystar (Louisville, KY)
- …and innovative payer strategies. This role will report to the Sr Director of Product Operations. **WHAT YOU'LL DO** **Payer Relationship Management:** + Identify ... (EHRs) and other healthcare technology platforms. + Knowledge of coding and billing practices. + Experience with revenue cycle...+ bonus, if applicable) + Customizable benefits package (3 medical plans with Health Saving Account company match) +… more
