- Humana (Frankfort, KY)
- …looking for an internship that supports the goal to put health first? The Quality Compliance Professional intern will utilize Humana's training and ... is not guaranteed upon completion of the Internship or Fellowship. The Quality Compliance Professional 2 Intern will utilize Humana's Kentucky Medicaid… more
- Humana (Frankfort, KY)
- …role are generally aligned based on the associate and business task at hand. The Quality Compliance Professional participates in performance and quality ... external and internal, required by NCQA and the State Contract. The Quality Compliance Professional (2) participates in, with potential to lead, Kentucky… more
- Humana (Frankfort, KY)
- …our caring community and help us put health first** The Risk Adjustment Compliance Professional 2 supports the organization's adherence to governmental and ... judgement in determining appropriate actions within established framework. The Risk Adjustment Compliance Professional 2 contributes to the execution of the… more
- CBRE (Frankfort, KY)
- …dynamic environment. - Pragmatic Approach: A practical, risk-based mindset in addressing compliance challenges. Technical & Professional Skills - Education & ... degree with 5-8 years of relevant experience in data governance, data quality management, electronic information systems, and/or compliance in a multinational… more
- Prime Therapeutics (Frankfort, KY)
- … Compliance and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC) + Certified Project Management Professional (PMP) ... drives every decision we make. **Job Posting Title** Senior Compliance Analyst - Remote **Job Description** Job Description The...new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more
- Prime Therapeutics (Frankfort, KY)
- … Compliance and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC) + Certified Project Management Professional (PMP) ... make. **Job Posting Title** Senior Functional Business Consultant/ Regulatory Compliance exp required- REMOTE **Job Description** The Functional Business Consultant… more
- United Therapeutics (Frankfort, KY)
- …thrive in a dynamic environment, proactively identifying risks and opportunities to enhance compliance awareness. As a leader, you like to mentor and can partner ... effectively with fellow compliance teammates, in addition to other stakeholders and vendors....a direct report + Ability to build and maintain professional relationships with internal stakeholders + Ability to work… more
- Prime Therapeutics (Frankfort, KY)
- … Compliance and Ethics Professional (CCEP) or Certified Healthcare Compliance Professional (CHC) + Previous Healthcare, Health Insurance, and/or Pharmacy ... drives every decision we make. **Job Posting Title** Manager, Compliance - Remote **Job Description** The Compliance ...new ideas and work collaboratively to provide the highest quality of care and service to our members. If… more
- Addiction Recovery Care (Lexington, KY)
- …and stewardship are key elements of everything we do! We are hiring a Compliance Auditor for our growing team! The Compliance Auditor works under the ... direction of the Vice President of Compliance and performs assigned audits of operational and compliance risk areas including but not limited to privacy… more
- Humana (Frankfort, KY)
- **Become a part of our caring community and help us put health first** The Compliance Lead plays a pivotal role in ensuring that our compliance program not only ... meets governmental requirements but also drives process improvements across the compliance organization. We are looking for a candidate who is curious, analytical,… more
- Western Digital (Frankfort, KY)
- …and consumers alike under our Western Digital(R), WD(R), WD_BLACK (TM) , and SanDisk(R) Professional brands. We are a key partner to some of the largest and ... of data storage. **Job Description** This Analyst enables the Ethics and Compliance team to deliver training and targeted messaging to Western Digital's global… more
- Otsuka America Pharmaceutical Inc. (Frankfort, KY)
- …a high level of understanding of regulations related to promotion compliance . May be assigned additional responsibilities as deemed necessary. **Job Description** ... a high level of understanding of regulations related to promotion compliance . May be assigned additional responsibilities as deemed necessary. Job Description… more
- City Wide Facility Solutions (Lexington, KY)
- Territory will cover greater Lexington. The Account Compliance Manager is responsible for the quality control of general business operations, increasing client ... and working productively with Independent Contractors (IC). The Account Compliance Manager must be able to work independently and...solving problems. 2. Review scope of work and ensure quality assurance per account to retain existing business and… more
- Humana (Frankfort, KY)
- …- Ability to navigate complex situations and independently produce high quality deliverables. + Consultative - Build/sustain relationships and inform the work ... frameworks to maximize available resources to achieve growth. The **Senior Professional Business Intelligence Engineer** is an experienced individual with broad… more
- Catholic Health Initiatives (Lexington, KY)
- …+ Current state license in a clinical field in state of practice. + Certified Professional in Healthcare Quality (CPHQ), or Healthcare Quality and Management ... Certification (HCQM), or Certificate of Professional Healthcare Quality and Patient Safety (CPQPS) within 2 years of employment is required. **Required Minimum… more
- Parker Hannifin Corporation (Lexington, KY)
- …trends and corrective action by coordinating with customers and suppliers. Ensures compliance to specified quality requirements by performing in-house and ... industry networks, benchmarking state-of-the-art practices, maintaining American Society for Quality certification, and/or participating in other professional … more
- Humana (Frankfort, KY)
- …caring community and help us put health first** The Risk Adjustment Coding Professional conducts quality assurance audits of medical records and ICD-9/10 ... medical records. May participate in provider education programs on coding compliance . Understands own work area professional concepts/standards, regulations,… more
- Humana (Frankfort, KY)
- …caring community and help us put health first** The Senior Risk Management Professional identifies and analyzes potential sources of loss to minimize risk. The ... Senior Risk Management Professional work assignments involve moderately complex to complex issues..., you are responsible for managing a portfolio of compliance metrics associated with Medicare and/or Medicaid, ensuring adherence… more
- CenterWell (Frankfort, KY)
- …an in-depth evaluation of variable factors. The Senior Pharmacy Contracting Professional ensures contract compliance and performs analysis regarding pharmacy ... and help us put health first** The Senior Pharmacy Contracting Professional is responsible for reporting, implementation, and maintenance of Humana's Healthy… more
- Molina Healthcare (Lexington, KY)
- …+ Preferred License, Certification, Association + Certified Professional in Health Quality (CPHQ) + Certified HEDIS Compliance Auditor (CHCA) To all current ... and implementation of NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Manager, Health Plan Quality … more