- Magnolia Medical Technologies, Inc. (Lexington, KY)
- …for blood collection and contamination prevention has created a new standard of care for prevention of false positive blood cultures, the gold standard diagnostic ... test for sepsis. Steripath(R) delivers significant clinical and cost savings benefits which have been extensively proven with large bodies of clinical data and… more
- Molina Healthcare (Bowling Green, KY)
- …with the Complex Provider Community that result in high quality, cost effective and marketable providers. Contract /Re-contracting with large scale entities ... cost control initiatives to positively influence the Medical Care Ratio (MCR) in each contracted region. * Leads...department and organization. * Oversees the maintenance of all Provider Contract templates including VBP program templates.… more
- Molina Healthcare (Owensboro, KY)
- …in the negotiation of medical group/IPA and hospital contracting. * Advises Network Provider Contract Specialists on negotiation of individual provider and ... negotiates assigned contracts and letters of agreements with non-complex provider community that result in high quality, cost... provider groups. * 3+ years experience in provider contract negotiations in a managed healthcare… more
- Centene Corporation (Frankfort, KY)
- …account management and accountability for issue resolution. Drive optimal performance in contract incentive performance, quality, and cost utilization. + Serve ... and align to performance-based agreements that incentivize better patient outcomes, cost -efficiency, and quality care . + Performance Management: Uses data… more
- CVS Health (KY)
- …contracting, provider issues/resolutions, related systems and information contained. + Provide guidance and share expertise to others on the team. + ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Molina Healthcare (Covington, KY)
- …area.) **Job Qualifications** **REQUIRED EDUCATION** : Bachelor's Degree or equivalent provider contract , network development and management, or project ... provider service, or claims experience in a managed care setting. * 3+ years experience in managed healthcare... Provider Services. * 3+ years experience in provider contract negotiations in a managed healthcare… more
- Molina Healthcare (Covington, KY)
- …Maintains contractual relationships with significant/highly visible providers. + Advises Network Provider Contract Coordinators and Specialists on negotiation of ... Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines. + Develops and maintains provider contracts in APTTUS contract management software. + Targets… more
- Molina Healthcare (KY)
- …area.) **Job Qualifications** **REQUIRED EDUCATION** : Associate's Degree or equivalent provider contract , network development and management, or project ... customer service, provider service, or claims experience in a managed care setting. * Working familiarity with various managed healthcare provider … more
- Option Care Health (Frankfort, KY)
- …us stronger, innovative, and more impactful. Our organization requires extraordinary people to provide extraordinary care , so we are investing in a culture that ... infusion therapy. With more than 2,900 clinical experts, Option Care Health is able to provide high-quality...resulting in high quality outcomes at a significantly reduced cost . Option Care Health has more than… more
- GE Appliances, a Haier company (Louisville, KY)
- …of home innovation. As the Commodity Sourcing Senior Manager for Clothes Care & Kitchen Clean-Up, you'll lead sourcing strategies for finished products representing ... spend. In this highly visible role, you will shape supplier partnerships, drive cost competitiveness, and ensure long-term supply chain resilience. You'll serve as a… more
- Molina Healthcare (Lexington, KY)
- …outcomes and financial performance of the product. Contributes to overarching strategy to provide quality and cost -effective member care . **ESSENTIAL JOB ... regulations. **REQUIRED QUALIFICATIONS:** + At least 12 years of experience in health care leading state Medicaid long-term care services programs in a… more
- Molina Healthcare (Covington, KY)
- …claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and ... cost containment reports and makes recommendations based on relevant...materials and documentation archives. + Demonstrate Healthcare experience in contract modeling, analyzing relevant Financial and Utilization Metrics of… more
- Intermountain Health (Frankfort, KY)
- …in care . Supports the efforts of providers and practice teams on office based care delivery interventions resulting in cost of care savings and improved ... and training techniques. Based on medical record metrics and contract obligations, conducts patient outreach and follow up in...the efforts of providers and practice teams on office-based care delivery interventions resulting in cost of… more
- Humana (Frankfort, KY)
- … efficiency, and population health outcomes through strategic provider partnerships, data-informed decision-making, and cross-functional collaboration. The RVP ... and maintain trusted relationships with CMOs and senior executive/clinical leaders at provider and care delivery partner organizations. First and foremost, this… more
- Molina Healthcare (Owensboro, KY)
- …delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost -effective member care . Essential Job Duties * ... Assesses services for members to ensure optimum outcomes, cost -effectiveness and compliance with all state/federal regulations and guidelines. * Analyzes clinical… more
- Molina Healthcare (Louisville, KY)
- …to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost -effective member care . **Job Duties** * ... based on needs of the business) **Job Summary** Provides support for care management/ care coordination activities and collaborates with multidisciplinary team… more
- Highmark Health (Frankfort, KY)
- …and provider contracting or revenue management + 2 years Understanding of provider contract documents and overall contract management process **LICENSES ... a focus of innovation. + Develop and maintains strategic provider relationships to understand the current health care...of healthcare + Comfort and with real-time calculations of cost , membership, etc. (ie, "back of the envelope" estimations)… more
- CVS Health (KY)
- …with organizational goals and initiatives. Key responsibilities include: + Manage provider relationships and preferred partnership programs, ensuring contract ... ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions… more
- Leonardo DRS, Inc. (KY)
- …and government agencies around the world. **Job Summary** **Job Responsibilities** + Provide support of the Financial & Program Analysis management functions to the ... how job costs are collected and billed on all contract types + Obtain agreement on previously determined goals...accepted accounting principles and a working knowledge of the cost accounting standards (CAS) and IFRS + Support Proposal… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- Supports patient care in all areas of the facility according to the policies, procedure, philosophy, and objectives of the facility. Responsible for obtaining ... approved vendors. Maintains par inventory with primary focus on adequate volume and cost control. Maintains awareness of surgery schedule and responds to changes and… more
