- Molina Healthcare (Lexington, KY)
- …DESCRIPTION** **Job Summary** **Work Location - Remote in the state of Kentucky** The AVP , Compliance is responsible for oversight and management of health plan ... or product compliance activities and serves as a resource on compliance issues. Provides leadership and expertise to help facilitate compliance with… more
- Zurich NA (Frankfort, KY)
- AVP , Utilization Review & Pharmacy 123092 Zurich Insurance is seeking an AVP , Utilization Review & Pharmacy. This is a fully remote position, offering the ... flexibility of a home-based office. As the AVP of Utilization Review & Pharmacy, you will lead and direct a team of Utilization Review and Pharmacy nurses who are… more
- Prime Therapeutics (Frankfort, KY)
- …fuels our passion and drives every decision we make. **Job Posting Title** AVP Client Engagement - National Accounts - REMOTE **Job Description** The Assistant Vice ... consistency and improvement + Lead the development, negotiation, standardization and compliance of contracts for the assigned client/s, including the development and… more
- Molina Healthcare (Lexington, KY)
- …Knows and supports Health Plans in achieving their contractual goals for service and compliance . This role will support contact center operations for all LOB's & is ... comprised of inbound/outbound. Ideal candidates would have contact center leadership experience within healthcare/managed care organizations. **Knowledge/Skills/Abilities** Provides multi-site, senior leadership and oversight for the Member and Provider… more
- Humana (Frankfort, KY)
- …veteran status. It is also the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and VEVRAA, to employ and to ... advance in employment individuals with disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading,… more
- Molina Healthcare (Lexington, KY)
- …programs to meet critical needs + Escalates gaps and barriers in implementation and compliance to AVP , VP and senior management + Consultative role, develops ... + Manages programs using staff and matrixed resources with oversight from AVP and VP as needed + Serves as industry Subject Matter Expert… more
- CenterWell (Frankfort, KY)
- …across entities within the Primary Care Organization. **Strategy:** + In partnership with AVP , Risk Adjustment and AVP , MRA Strategy, responsible for driving ... training program for coding staff to ensure continuous skill development and compliance with coding standards. + Partner with analytics and audit to identify… more
- SitusAMC (Frankfort, KY)
- …employee relations, recruiting and retention, training and development, policy administration and compliance + Consult with management at all levels on HR matters + ... relations, internal communications, employee morale and retention programs, HR compliance and procedures, benefits, employee selection, and performance evaluation +… more
- Molina Healthcare (Lexington, KY)
- …issues, by either directly handling or escalating to the attention of the AVP so appropriate action can be taken. Works directly with their channel management ... create and regularly reviews the reports and scorecards used to evaluate sales and compliance results in each state and nationally, as well as regularly spends time… more
- Molina Healthcare (Lexington, KY)
- …contract year business readiness. Reviews Medicare mandated materials for compliance per the Medicare Communications and Marketing Guidelines, initiating HPMS ... completion including adhoc projects and submissions as assigned by the AVP of Marketing or designee. **KNOWLEDGE/SKILLS/ABILITIES** People leader responsible for the… more
- SitusAMC (Frankfort, KY)
- …and real estate collateral + Working with assigned Asset Analyst, ensure compliance with all requirements of the Servicing agreements, in connection with assigned ... loans or REO, as determined by the Compliance Manager + Frequent interaction with clients to discuss...and/or relevant experience, typically with 2+ years in an AVP level role or external equivalent. + Minimum of… more
- Molina Healthcare (Lexington, KY)
- …development strategies and develop territory marketing plans in collaboration with AVP , Marketplace Distribution. * Work as liaison between Molina state health ... with promotion items for enrollment events and trainings * Responsible for regulatory compliance and may be responsible for interfacing with the Centers for Medicare… more
- Molina Healthcare (Lexington, KY)
- …caring manner.' **Knowledge/Skills/Abilities** * Under the leadership of the AVP , Provider Network Management & Operations, oversees development and implementation ... and other stakeholders as needed to modify contract templates to ensure compliance with all contractual and/or regulatory requirements. * Monitors and reports… more
- Prime Therapeutics (Frankfort, KY)
- …and enterprise architecture development + Experience working with regulatory compliance requirements (HIPAA and/or PCI) + Previous experience in Pharmacy ... depth perception and ability to adjust focus **Reporting Structure** Reports to AVP Enterprise Architecture Potential pay for this position ranges from $143,000.00 -… more