- Molina Healthcare (Covington, KY)
- …work of external vendors. Assigns, directs and monitors system analysis and program staff. These positions' primary focus is project/ program management. **Job ... of external vendors. + Focuses on process improvement, organizational change management, program management and other processes relative to the business. + Leads and… more
- Molina Healthcare (Covington, KY)
- …This role focuses on identifying and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will ... lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +...6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization… more
- Elevance Health (Cincinnati, OH)
- …+ **Real-time Decisioning & Analytics (RDA)** + **Cost of Care / Payment Integrity ** + **Care Management / Utilization Management (CM/UM) Modernization** ... ** Manager , Medical Director - Transformation Initiatives** Location: This...preferred. + Experience advising medical cost management, utilization management, payment integrity , or provider performance programs preferred.… more
- ADM (Erlanger, KY)
- …Company reserves the right to modify base pay (as well as any other discretionary payment or compensation program ) at any time, including for reasons related to ... **99107BR** **Job Title:** Manager , Analytics - Erlanger, KY **Department/Function:** Data &...product development, and finance to improve data accuracy and integrity preferred + Self-starter with continuous improvement mindset +… more
- Pep Boys (Florence, KY)
- …is directly responsible for maintaining adequate shop productivity. The Store Manager will recruit, hire, develop, and provide inspirational leadership and direction ... related to all point of sale (POS) transactions, inventory integrity , reverse logistics and purchase for re-sale parts (OP)...and purchase for re-sale parts (OP) procurement and vendor payment practices. + Partner with the Fleet business team… more
- Molina Healthcare (Covington, KY)
- …Level of Care, Inpatient Readmission, and any opportunity identified by the Payment Integrity analytical team; requires decision making pertinent to clinical ... database + Provides supporting documentation for denial and modification of payment decisions + Independently re-evaluates medical claims and associated records by… more
- Huntington National Bank (Cincinnati, OH)
- …Mainframe teams to complete application installs/decommissions + Work with Portfolio Manager deliver IAM projects and key milestones. + Consult with business ... (AD), public key infrastructure (PKI), privileged accounts and integration application program interface (API) capabilities. + Track record acting with integrity… more