- Humana (Frankfort, KY)
- **Become a part of our caring community and help us put health first** The Compliance Professional 2 ensures compliance with governmental requirements. ... The Compliance Professional 2 work assignments are varied and frequently require interpretation...independent determination of the appropriate courses of action. The Compliance Professional 2 develops and… more
- Humana (Frankfort, KY)
- …of our caring community and help us put health first** The Risk Adjustment Compliance Professional 2 supports the organization's adherence to governmental ... judgement in determining appropriate actions within established framework. The Risk Adjustment Compliance Professional 2 contributes to the execution of… more
- Humana (Frankfort, KY)
- …is not guaranteed upon completion of the Internship or Fellowship. The Quality Compliance Professional 2 Intern will utilize Humana's Kentucky Medicaid ... and internal, required by NCQA and the State Contract. The Quality Compliance Professional 2 Intern participates in, with potential to lead, Kentucky… more
- Humana (Frankfort, KY)
- …caring community and help us put health first** The Actuarial Analyst 2 , Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide ... and long-term financial and competitive position. The Actuarial Analyst 2 , Analytics/Forecasting work assignments are varied and frequently require interpretation… more
- CDM Smith (Lexington, KY)
- …**Job Description:** CDM Smith is seeking a Senior Data Privacy and IT Compliance Specialist to join our Corporate Business Technology team. This role is critical ... in safeguarding our information assets and ensuring compliance with data privacy regulations and IT security standards. You will lead third-party risk assessments,… more
- CenterWell (Frankfort, KY)
- …community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and ... services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require interpretation and… more
- Baylor Scott & White Health (Frankfort, KY)
- …and high acuity patients within practice scope. Facilitates education to ensure compliance with food safety, sanitation, and workplace safety standards in the Food ... nutritional diagnosis of the patient's problems and progress. Maintains safety and professional standards. + Interacts with medical and food staff to ensure medical… more
- Baylor Scott & White Health (Frankfort, KY)
- …vary based on position type and/or level **Job Summary** The Business Analyst 2 examines clinical and financial performance. This helps achieve compliance with ... on guidelines and metric definitions. + Acts as a Subject Matter Professional for processes, new projects, and implementations or upgrades to existing systems… 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
- 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 ... satisfaction, and working productively with Independent Contractors (IC). The Account Compliance Manager must be able to work independently and with others, in any… more
- Humana (Frankfort, KY)
- …our caring community and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes physician, hospital, and/or other ... an organization that provides health insurance. The Provider Contracting Professional 2 work assignments are varied and...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- CenterWell (Frankfort, KY)
- …of our caring community and help us put health first** The Credentialing Professional obtains and reviews documentation to determine status in a health plan. The ... Credentialing Professional work assignments are often straightforward and of moderate...AHCA, CLIA, Biomedical, HCCE applications. Will assist with Level 2 prints and license and certification verifications and expirables.… more
- Humana (Frankfort, KY)
- …and help us put health first** The Senior Contract Management Professional negotiates and maintains complex Subcontract Agreements, and applicable file documentation ... Purchasing Systems Review (CPSR) requirements. The Senior Contract Management Professional also participates in the development and administration of the… more
- Veterans Affairs, Veterans Health Administration (Lexington, KY)
- …goal setting for managing complex client situations. An ADN or Diploma in Nursing AND 2 years of professional nursing experience in which one year is equivalent ... maintaining the effectiveness of the clinical environment and ensuring compliance with established standards of care. As a licensed...2 ; OR a BSN and 1 year of professional nursing experience equivalent to the Nurse I, Level… more
- Rubrik (Frankfort, KY)
- …organize, plan, lead, and execute on public sector certification and compliance activities for Rubrik's government-focused cloud and on-premises product offering(s). ... candidate brings previous experience across public sector product certification and compliance activities for a Cloud Product Provider organization. They will also… more
- Humana (Frankfort, KY)
- …their ability to serve our clients effectively and accurately. The Agency Management Professional 2 (Finance Systems UAT tester) executes User Acceptance Testing ... solutions our department implements meet the needs of our internal sales teams, compliance /regulations, external producers, and financial reporting teams to enhance… more
- Humana (Frankfort, KY)
- …caring community and help us put health first** The VSP Credentialing Representative 2 obtains and reviews documentation to determine status in a health plan. This ... any week. This role is also eligible for limited benefits. VSP Credentialing Representative 2 + Outbound and Inbound calls to provider office + Data entry + Reviews… more
- Veterans Affairs, Veterans Health Administration (Lexington, KY)
- …part of the overall quality assessments and improvement program and assuring compliance with Joint Commission and Long-Term Care Institute (LTCI) requirements as it ... based on the needs of the service. He/she exercises full professional responsibilities for his/her findings, interpretations, decisions, recommendations, and reports… more
- Lincoln Financial (Frankfort, KY)
- …lead and execute risk-based audits focusing on operational processes and regulatory compliance across the company. In this role, you will provide independent ... processes. The Audit Analyst role offers an outstanding opportunity for professional growth and exposure through in-depth reviews of business processes from… more
- Cherry Bekaert (Frankfort, KY)
- …that will guide and support you at each stage of your personal and professional journey. As a result of the sustained growth within our Risk Advisory's **Government ... accounting consulting engagements by delivering solutions over operational and regulatory compliance risks, supporting our clients in the areas of internal audit,… more