- Elevance Health (Louisville, KY)
- ** Provider Contract / Cost of Care Consultant** **Location:** This role requires associates to be in-office 1 day per week, fostering collaboration and ... an accommodation is granted as required by law. The ** Provider Contract / Cost of Care...or any combination of education and experience, which would provide an equivalent background. **Preferred Skills, Capabilities and Experiences:**… more
- Molina Healthcare (Louisville, KY)
- …in the negotiation of medical group/IPA and hospital contracting. * Advises Network Provider Contract Specialists on negotiation of individual provider and ... negotiates assigned contracts and letters of agreements with non-complex provider community that result in high quality, cost... provider groups. * 3+ years experience in provider contract negotiations in a managed healthcare… more
- GE Appliances, a Haier company (Louisville, KY)
- …of home innovation. As the Commodity Sourcing Senior Manager for Clothes Care & Kitchen Clean-Up, you'll lead sourcing strategies for finished products representing ... spend. In this highly visible role, you will shape supplier partnerships, drive cost competitiveness, and ensure long-term supply chain resilience. You'll serve as a… more
- Molina Healthcare (Louisville, KY)
- …outcomes and financial performance of the product. Contributes to overarching strategy to provide quality and cost -effective member care . **ESSENTIAL JOB ... regulations. **REQUIRED QUALIFICATIONS:** + At least 12 years of experience in health care leading state Medicaid long-term care services programs in a… more
- Molina Healthcare (Louisville, KY)
- …claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare utilization and ... cost containment reports and makes recommendations based on relevant...materials and documentation archives. + Demonstrate Healthcare experience in contract modeling, analyzing relevant Financial and Utilization Metrics of… more
- Molina Healthcare (Louisville, KY)
- …delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost -effective member care . Essential Job Duties * ... Assesses services for members to ensure optimum outcomes, cost -effectiveness and compliance with all state/federal regulations and guidelines. * Analyzes clinical… more
- Molina Healthcare (Louisville, KY)
- …to ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost -effective member care . **Job Duties** * ... based on needs of the business) **Job Summary** Provides support for care management/ care coordination activities and collaborates with multidisciplinary team… more
- Molina Healthcare (Louisville, KY)
- …ensure member progress toward desired outcomes and contributes to overarching strategy to provide quality and cost -effective member care . Essential Job ... JOB DESCRIPTION Job Summary Provides support for care management/ care coordination long-term services and...licensure and/or certification required ONLY if required by state contract , regulation or state board licensing mandates. If licensed,… more
- Molina Healthcare (Louisville, KY)
- …underperforming and problematic contracts. Supports multi-dimensional pricing strategies to drive down total cost of care and minimize variation in cost by ... financial impact. * Work independently to support and validate Provider Network contracting and unit cost management...Provides peer review of team members' presentations for total cost of care and profit improvement initiatives… more
- Molina Healthcare (Louisville, KY)
- …underperforming and problematic contracts. Supports multi-dimensional pricing strategies to drive down total cost of care and minimize variation in cost by ... financial impact. + Work independently to support and validate Provider Network contracting and unit cost management...Provides peer review of team members' presentations for total cost of care and profit improvement initiatives… more
- BrightSpring Health Services (Louisville, KY)
- Our Company Abode Care Partners Overview We are seeking a results-driven and experienced clinical leader to drive provider education, quality improvement, and ... operational excellence across Abode Care Partners. This individual will play a key role...chart reviews and create scalable feedback loops that improve provider performance, documentation accuracy, and clinical quality outcomes. +… more
- Louisville/Jefferson County MSD (Louisville, KY)
- …Labor Negotiation Team, attend Board and/or Board Committee meetings and provide reports on assigned cases/projects. Knowledge, Skills and Abilities Necessary to ... the Work Knowledge of contract , employment, labor, personal injury, construction, environmental and/or real...on any of the areas summarized below: Group Health Care Plans: Hospital/Surgical MSD offers its employees and their… more
- BrightSpring Health Services (Louisville, KY)
- …Company's service lines, including pharmacy, home health care and primary care , and rehabilitation and behavioral health, we provide comprehensive and more ... and want to drive business success while helping patients get compassionate care they need and deserve? Hospice Finance focuses on the organization's financial… more
- BrightSpring Health Services (Louisville, KY)
- …to improve outcomes and survey performance while optimizing hospital utilization and total cost of care . This leader will also mentor medical directors within ... Our Company Abode Care Partners Overview This physician executive provides clinical...training programs for diverse clinical audiences + Negotiation and contract management skills to navigate partnerships with SNF chains… more
- Generac Power Systems (Louisville, KY)
- …customer expectations by directing the site management team, design team, contract administration, construction accounting, and others as required. Works directly ... management of a project's design, procurement, and construction, including cost , schedule, and quality control. Coordinates all team bandwidth requirements… more
- CDM Smith (Louisville, KY)
- …federal background check. * Knowledge of design review, construction administration, cost estimating, scheduling, and contract management. * Demonstrates ... and prepares technical reports and/or project status reports. * Provide engineering judgment for field modifications, non-conformance issues, value engineering… more
- HCA Healthcare (Louisville, KY)
- **Description** This position is incentive eligible. **You Can Change the Life of One to Care for the Lives of Many!** At Galen College of Nursing, we educate and ... Director of Clinical Learning at Galen College of Nursing, you will provide leadership in the implementation and evaluation of standardized clinical education,… more
- CDM Smith (Louisville, KY)
- …writing detailed damage descriptions. Develops and reviews scopes of work and cost estimates, including code and standard requirements. * Reviews and analyzes ... claim eligibility. Develops or evaluates hazard mitigation proposals and benefit- cost analyses. Works with applicants to prioritize their projects, facilitates… more
- Molina Healthcare (Louisville, KY)
- …practices, policies and contractual commitments. Contributes to overarching strategy to provide quality and cost -effective member care . **Essential ... related business documents. **Required Qualifications** + At least 5 years of health care experience, including experience in clinical operations, and at least 3 or… more
- GE Appliances, a Haier company (Louisville, KY)
- …responsibilities include: -Evaluating AI tools for performance, suitability, and cost efficiency. -Managing budgets for AI implementation and operations. -Driving ... owner and agent experiences. + Evaluate AI platform / toolsets for efficiency and cost , then adjust our roadmap and platform / tool selections to optimize results… more