- Molina Healthcare (Covington, KY)
- …SummaryProvides subject matter expertise and leadership to healthcare services function - providing support for project/ program /process design, execution, ... into functional requirements. * Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality… more
- Molina Healthcare (Covington, KY)
- …Summary** Provides subject matter expertise and leadership to healthcare services function - providing support for project/ program /process design, execution, ... into functional requirements. + Conducts quality audits to assess healthcare services staff educational needs and service quality, and implements quality… more
- Molina Healthcare (Covington, KY)
- **Job Description** **Job Summary** The In-Home Assessment Program Manager is part of our innovative Risk Adjustment department to assist our diverse team of ... medical loss ratio (MLR) targets. In conjunction with the Manager of the In-Home Assessment Program , this...Programs, Market & Segment Leaders, health plan teams, member services , provider services , external vendors, actuary, and… more
- Molina Healthcare (Covington, KY)
- **JOB DESCRIPTION** Job Summary: The AI Program Manager serves as a strategic leader driving the execution of AI initiatives to deliver meaningful business ... process improvement and organizational change management to operationalize the AI program vision. This includes end-to-end program planning (estimating,… more
- Molina Healthcare (Covington, KY)
- …Job Summary Provides support for care management/care coordination long-term services and supports specific activities and collaborates with multidisciplinary team ... processes. * Develops and implements care plans, including a waiver service plan in collaboration with members, caregivers, physicians and/or other appropriate… more
- Molina Healthcare (Covington, KY)
- …standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Manages team responsible for the ... appeals and denials. * Previous experience leading projects. * Strong customer service experience. * Strong organizational and time management skills; ability to… more
- Walgreens (Maysville, KY)
- …when using the pharmacy. Enhances customer experience by increasing focus on healthcare services . **Operations** + Responsible for assisting pharmacist in the ... allowed by law). Under the supervision of a pharmacist assists with healthcare service offerings including administering vaccines, health screenings, and any… more
- Molina Healthcare (Covington, KY)
- …Professional in Healthcare Management (CPHM), Certified Professional in Healthcare Quality (CPHQ), Commission for Case Manager Certification (CCMC), ... business segment (ie Medicare, Marketplace, advanced imaging/central utilization management services ) in the development and execution of care management,… more
- Molina Healthcare (Covington, KY)
- …supported by the plan such as utilization review, medical claims review, long-term services and supports (LTSS), or other specific program experience as needed ... Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM), Certified… more
- Walgreens (Covington, KY)
- …medication usage, side effects, and cost-effective options + Deliver clinical healthcare services , including immunizations, diagnostic testing, and medication ... + 365 Get Healthy Here & Life365 Employee Assistance Program (EAP) - Mental health support and wellness programs...Walgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to… more
- Genesis Healthcare (Fort Wright, KY)
- …children at home and in school. With over 38 years of trusted service , our reach spans skilled nursing centers, assisted and independent living facilities, ... New Grads & Clinical Fellows:** Our Powerback Clinical Mentorship Program kicks off on day one, helping you learn...new way of delivering recovery, rehabilitation, respiratory, and wellness services to patients across the nation. We deliver an… more
- CVS Health (Paris, KY)
- …Supervisor or Manager **Preferred Qualifications:** + Completion of the CVS Pharmacy Manager Emerging Leader (PM-EL) program + 3-5 years of related work ... genuine care, and setting the bar for their pharmacy team. As a Pharmacy Manager , you will lead and develop a pharmacy team that provides exceptional patient care… more
- Molina Healthcare (Covington, KY)
- …Clinical Coder (CCC), Certified Medical Audit Specialist (CMAS), Certified Case Manager (CCM), Certified Professional Healthcare Management (CPHM) or Certified ... National Committee for Quality Assurance (NCQA), Centers for Medicare and Medicaid Services (CMS), state Medicaid entity requirements and all other standards and… more
- Molina Healthcare (Covington, KY)
- …oversight and expertise related to behavioral health and chemical dependency services , and assists with implementation of integrated behavioral health care programs ... management and care management behavioral health programs and chemical dependency services - working closely with regional medical directors to standardize… more
- Molina Healthcare (Covington, KY)
- …medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting improvements in efficiency and satisfaction for ... Job Duties * Determines appropriateness and medical necessity of health care services provided to plan members. * Supports plan utilization management program… more
- AECOM (Hebron, KY)
- …benefits, perks, flexible work options, well-being resources, employee assistance program , business travel insurance, service recognition awards, retirement ... a better time to be at AECOM. With accelerating infrastructure investment worldwide, our services are in great demand. We invite you to bring your bold ideas and… more
- Raising Cane's (Georgetown, KY)
- …action when needed + Directs crewmembers during a shift + Provides exemplary customer service + Utilizes reward and recognition program for the crewmembers in ... Managers: + Medical, Dental, Vision & Pharmacy Benefits + Dependent Care & Healthcare Flexible Spending Account + Pet Insurance + 401(k) With Employer Match (age… more
- ThermoFisher Scientific (Highland Heights, KY)
- …portfolio, our work spans laboratory, digital and decentralized clinical trial services . Your determination to deliver quality and accuracy will improve health ... in the future. **Location/Division Specific Information** Our PPD(R) Laboratory Services team has a direct impact on improving patient...meet the needs of the business. Acts as Project Manager for key studies and a back-up for the… more
- US Bank (Covington, KY)
- …verification system operated by the US Citizenship and Immigration Services . Learn more about the E-Verify program ... Educate clients on available deposit and loan products and services . + Recommend financial solutions based on each client's...may vary based on role, location or hours): + Healthcare (medical, dental, vision) + Basic term and optional… more
- Walgreens (Amelia, OH)
- …to physicians. + Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner, and performs ... cash register, provides customers with courteous, fair, friendly, and efficient checkout service . + In accordance with state and federal regulations, assists the… more