- Humana (Frankfort, KY)
- **Become a part of our caring community and help us put health first** The Intern - General 2 performs duties in field of study or profession. The Intern - General 2 ... us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and...millions of people we serve to achieve their best health - delivering the care and service they need,… more
- Highmark Health (Frankfort, KY)
- …insights, and partner with account teams to close complex deals. Translate Enterprise clinical strategy . Act as a crucial link between enterprise-level ... feedback and market trends into actionable insights for internal product development, clinical strategy , and sales enablement, influencing the overall … more
- Humana (Frankfort, KY)
- …health first** Humana Healthy Horizons in Kentucky is seeking a Utilization Management Behavioral Health Professional 2 who utilizes behavioral health ... of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work assignments are varied and… more
- Highmark Health (Frankfort, KY)
- …owned subsidiary of Highmark Health and a leading provider of administrative and clinical technologies to health plans and health systems, is seeking an ... **Company :** Highmark Health **Job Description :** **GENERAL OVERVIEW:** enGen, a...in this role will partner closely with the enGen strategy leader and their team to develop a deep… more
- CenterWell (Frankfort, KY)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... part of our caring community and help us put health first** The Market Partnership and Finance Strategy...in the PCO risk adjustment area implements and supports strategy and targeted initiatives aimed at increasing clinical… more
- CenterWell (Frankfort, KY)
- … Documentation Improvement, Audit, and Education to develop programs to improve clinical documentation. + Partner with MRA Strategy and Analytics teams ... Coding Leader manages a diverse team responsible for ensuring clinical documentation supports accurate coding and is reflective of...and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral … more
- Highmark Health (Frankfort, KY)
- …to obtain detailed knowledge of business partner and market objectives and strategy as well as MFA and/or EI capabilities, including staff experience, skills ... business partners. Assist the director of MFA in establishing the vision and strategy for Highmark's market facing analytics function and determine how this function… more
- Highmark Health (Frankfort, KY)
- …modular utilization and care management solutions, patient-focused digital products, and clinical data exchange capabilities, as well as outsourced technology and ... solution architecture, and ensuring meticulous attention to detail. + Pricing Strategy & Execution: Provide market guidance and input into competitive pricing… more
- Molina Healthcare (Lexington, KY)
- …VBC program design, working across diverse provider types including primary care, behavioral health , long-term supports and services (LTSS), hospitals, and ... without direct authority. + Data-driven mindset with ability to interpret complex clinical , utilization, and financial data to inform strategy . + Experience… more
- CenterWell (Frankfort, KY)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... IPA CMO will develop and support the MSO's National Clinical Vision and Strategy , directly lead a...passion for serving high-risk seniors in achieving their best health and outcomes and the clinical experience… more
- CenterWell (Frankfort, KY)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... **Become a part of our caring community and help us put health first** As a Sr. Business Intelligence Engineer for CenterWell Primary Care, you can directly impact… more
- CenterWell (Frankfort, KY)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... part of our caring community and help us put health first** The Program Management Lead optimizes the effectiveness...with the Wholly Owned & IPA Medical Coding teams. ** Strategy :** + Advises coding leaders to develop functional strategies… more