- CVS Health (Frankfort, KY)
- …day. **Position Summary** This individual contributor position reports to the Lead Director, Medicare Member Materials. This is an exciting opportunity to join ... to see the value in project **Required Qualifications** + 3+ years of Medicare member materials experience at a regional or national health plan + 3+ years… more
- CVS Health (Frankfort, KY)
- …with Duals Center of Excellence, clinical, compliance, analytics and network teams, the Senior Manager drives innovation and operational excellence to optimize ... lifecycle management of Aetna's integrated products (HIDE/FIDE) that serve Medicare Advantage populations, including Dual-Eligible Special Needs Plans (D-SNP). This… more
- Humana (Frankfort, KY)
- …and help us put health first** Humana Healthy Horizons is a seeking a Senior Project Manager (Medicaid Network Implementation) who is accountable for working ... of end-to-end provider-related functions in new Medicaid market implementations. The Senior Project Manager makes decisions supporting technical and operational… more
- Humana (Frankfort, KY)
- …of our caring community and help us put health first** The Senior Contract Management Professional negotiates and maintains complex Subcontract Agreements, and ... Company Policy and Contractors' Purchasing Systems Review (CPSR) requirements. The Senior Contract Management Professional also participates in the development and… more
- Humana (Frankfort, KY)
- …of our caring community and help us put health first** As a Senior Enterprise Transformation Professional supporting Humana's Insurance Segment, you can be a part ... work hours will align with Eastern Standard Time. The Enterprise Transformation project manager is responsible for managing all phases of the project life cycle to… more
- Humana (Frankfort, KY)
- …optimize procurement and promote sustainable growth and competitive advantage. The Senior Procurement Professional - Medical Equipment will spearhead the strategic ... strategic sourcing, vendor negotiations, and innovative DME solutions. This Category Manager will develop and execute strategic category management plans for Medical… more
- Cardinal Health (Frankfort, KY)
- …rethink how far their products can go. **Accountabilities** The Case Manager supports patient access to therapy through Reimbursement Support Services in ... needs of the patient population or will transfer caller to appropriate team member (when applicable) + Maintain accurate and detailed notations for every interaction… more
- Humana (Frankfort, KY)
- …members' well-being and overall experience with our products. As the Product Manager of DevOps within the Enterprise Engineering Enablement organization, you will ... complex ideas in a clear and concise manner to senior leadership. + You are detail-oriented and possess the...from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Come ready with your… more
- Humana (Frankfort, KY)
- …and growth activities by partnering closely with Clinical Strategy Lead and Senior Professionals. This role helps bring strategy to life by translating high-level ... developing of an operational vision. They support business reviews of member and provider-facing documents, assist with document submissions through internal… more
- HCA Healthcare (Lexington, KY)
- …assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program (paid time off, ... physician's orders and under the supervision of the Clinical Manager . **What you will do in this role:** +...quality care during their recovery at home. We are Medicare certified. Our patients are under the supervision of… more
- CenterWell (Frankfort, KY)
- …clinical efficiencies, processes, education, and compliance as it relates to Medicare Risk Adjustment. Uses data-based insight to direct process improvement efforts ... position/job. + Work from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Travel: While this is a remote position,… more
- CenterWell (Lexington, KY)
- …for the development, implementation and management oversight of the company's Medicare /Medicaid Stars Program. The Quality RN Professional work assignments are ... Documentation and coding + Additional areas related to provider performance, member experience, market growth, provider experience and operational excellence **Use… more
- CenterWell (Frankfort, KY)
- …not. Links the pharmaceutical rebate marketplace with the formulary and with Medicare Advantage Prescription Drug (MAPD) and Prescription Drug Plan (PDP) strategies. ... from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information. Travel: While this is...at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of… more