- Systems Solutions (Paducah, KY)
- …more than 30 years. We offer our small and mid-size business clients cutting-edge network support services, and we deliver great results - using the most advanced ... focused on building a forward-looking atmosphere from the ground up. We strive to provide a positive experience for everyone all the time. Our relationships with our… more
- Molina Healthcare (KY)
- …and ensure adherence to business, system and regulatory requirements of Provider Data Management / Network Adequacy. **Knowledge/Skills/Abilities** + ... among multiple systems to ensure accurate reporting of the Provider Network across the enterprise. Validate data...Integrates work with other teams including New Markets team, Network Management , Product Teams, PDM and IT.… more
- Molina Healthcare (Covington, KY)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. + **Knowledge/Skills/Abilities** + Strategically plans, ... **Job Description** **Job Summary** The Network Solutions Director is responsible for...solutions utilizing provider data such as the Provider Online Directory, Utilization Management , Customer Experience,… more
- Molina Healthcare (Covington, KY)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. **Knowledge/Skills/Abilities** * Strategically plans, ... in developing and implementing appropriate Corrective Action Plans for submission of provider network files, etc. * Engages with IT and other departments to… more
- Evolent (Frankfort, KY)
- …Account teams and payer clients to align priorities and deliver high-quality provider network engagement, performance reporting, and present to health plans ... OR THE WEST REGION We are seeking a strategic and collaborative Associate Director , Provider Engagement to lead our oncology-focused provider engagement… more
- Molina Healthcare (Bowling Green, KY)
- … and senior leadership/ management . * Communicates new strategies to corporate provider network leadership for input. * Utilize standardized system(s) to ... Georgia _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for...including VBP program templates. Works with Legal and Corporate Network Management as needed to modify contract… more
- Microsoft Corporation (Louisville, KY)
- The **Strategic Account Director - Healthcare Provider Industry** manages the development and application of a mature/dynamic customer plan based on proven ... partners, to ensure execution of core tasks and account transactions and to provide a comprehensive account management experience. Orchestrates the execution of… more
- Sedgwick (Frankfort, KY)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Provider Network Specialist **PRIMARY PURPOSE** **:** To ensure clients and ... MCO provider on physician credentialing, MCO additions and removals, network and problematic issues. **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** **ARE YOU AN… more
- Datavant (Frankfort, KY)
- …to customer outcomes, regulatory drivers, and market trends in risk adjustment, care management , and provider enablement. + Identify and prioritize use cases ... is powered by the largest, most diverse health data network in the US, enabling data to be secure,...across different facets within prospective and concurrent solutions. + Provide mentorship, performance management , and career development… more
- Merck (Frankfort, KY)
- …world-class Asset Management , Maintenance and Reliability (MRAM) program across a network of ~30 manufacturing sites. This role will own the design, deployment ... role for a technical change agent with broad global experience in asset management , maintenance, reliability and systems engineering. **What you will do** + Lead the… more
- Datavant (Frankfort, KY)
- …of Internal Audit will evaluate the effectiveness of internal controls, risk management practices, and governance processes across Datavant's Provider , Payer, ... is powered by the largest, most diverse health data network in the US, enabling data to be secure,...realize our bold vision for healthcare. **Role Summary:** The ** Director of Internal Audit** will design, implement, and oversee… more
- Papa John's International (Louisville, KY)
- …to company standards in safety, quality, service, and cost-effectiveness. The Director creates synergy between distribution, inventory management , procurement, ... **Job Summary** The Director of Supply Chain & Commissary Operations at...in this role directs and optimizes the supply chain network , guaranteeing consistent and efficient service delivery, inventory accuracy,… more
- Cardinal Health (Frankfort, KY)
- …we can get life-changing therapies to patients who need them-faster.** The Director of Business Development, Patient Hub Services, is responsible for business ... of Access and Patient Support, Clinical Services and Reimbursement Services. The Director will build key customer relationships to uncover customer needs to align… more
- Cartamundi (Erlanger, KY)
- …been our greatest motivation. That's why we live different, play different. Director of Supply Chain Planning/Operations North America is responsible for leading, ... supply chain with the company's global strategies and business objectives. The Director will lead a team of planning professionals and collaborate cross-functionally… more
- CommonSpirit Health (Lexington, KY)
- …Bachelor's Degree - equivalent education and experience in payer strategy, managed care or provider network senior level role may be considered in lieu of degree ... a strong preference for someone in the KY or TN area. The Market Director , Payer Strategy and Relationships (PSR), is responsible for managed care policies, goals… more
- Molina Healthcare (Owensboro, KY)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with ... business and system requirements of customers as it pertains to contracting, network management and credentialing. **Job Duties** This role negotiates assigned… more
- Highmark Health (Frankfort, KY)
- …cross organizational programs and projects + 5 years Familiarity with health plan and provider contracting or revenue management + 2 years Understanding of ... provider contract documents and overall contract management process **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + None **SKILLS** + Excellent… more
- Sumitomo Pharma (Frankfort, KY)
- …the design and execution of program operations, systems, metrics, and HUB vendor network . The Director will work closely with key stakeholders including the ... seeking a dynamic, highly motivated, and experienced individual for the position of ** Director , Patient & HUB Operations, Rare Disease** . The Director , Patient… more
- Molina Healthcare (Covington, KY)
- …as meeting or exceeding productivity standards. Educates and interacts with network and group providers and medical managers regarding utilization practices, ... guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization ...(QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
- CVS Health (Frankfort, KY)
- …it all with heart, each and every day. **Position Summary** + The Sales Director (ie Sr. Analyst, Sales Executive - internal title) will have an assigned territory ... in excess of assigned target. + Additionally, the Sales Director will support key activity related to prospecting and...will support key activity related to prospecting and RFP management across all territories. + This role will report… more
