- CVS Health (Frankfort, KY)
- …+ A minimum 3 years of experience in a Healthcare Program Integrity, Medicaid Special Investigation or Medicaid / Medicare / Commercial Compliance role + Strong ... Brief Overview** Oversees corporate activities related to the prevention, investigation , and prosecution of health care fraud to recover...Leads a team in the planning and execution of investigations of acts of healthcare fraud and abuse by… more
- Molina Healthcare (Louisville, KY)
- …accountability for compliance by overseeing, follow-up and resolution of investigations . **KNOWLEDGE/SKILLS/ABILITIES** + Provides oversight and review of the SIU ... referral intake and investigation process while giving guidance and direction to team...while giving guidance and direction to team on case investigation steps and actions. + Works with leadership to… more
- Elevance Health (Louisville, KY)
- …eliminate and prevent unnecessary medical-expense spending. **Staff Vice President (VP), Special Investigations Unit (SIU)** **Location:** May be located in ... and/or teams across the national SIU. + Functions within the SIU include investigations , case intake and assignment, and data analysis. + Hires, trains, coaches,… more
- Thorntons LLC (Shelbyville, KY)
- The Store Manager (SM) is responsible for managing all aspects of the business, with minimal direct supervision from the General Manager (GM), to ensure that ... is followed relating to safety, accidents, and incidents including reporting, investigations , and documentation *Create a place of welcoming and belonging for… more
- Thorntons LLC (Shelbyville, KY)
- The General Manager (GM) is responsible for managing all aspects of the business to ensure that Guests are delighted with a fast, friendly, fresh, clean, and ... is followed relating to safety, accidents, and incidents including reporting, investigations , and documentation *Create a place of welcoming and belonging for… more
- Ryder System (Frankfort, KY)
- …(http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **Summary** The Senior Manager Environmental Engineering is responsible for ensuring that ... Director, Environmental Engineering and will supervise Project Engineers and Manager , Environmental Engineering staff, manage Company SPCC, Industrial Waste Water… more
- Cardinal Health (Frankfort, KY)
- …therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient support services in ... outcome to de-escalate + Must meet the daily task and benefit investigation goals associated with a high enrollment volume/low patient interaction program. +… more
- Papa John's International (Louisville, KY)
- **Job Summary** The Senior Manager , HR Business Partner provides daily support and direction pertaining to human resources initiatives for several assigned client ... and consultation. + Responsible for employee relations issues, including performing thorough investigations when needed and working closely with the ER team. +… more
- Elevance Health (Louisville, KY)
- …questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other internal areas on matters of mutual concern. ... analysis and clinical evaluation of the collected data. + Performs in-depth investigations on identified providers as warranted. + Examines claims for compliance… more
- CVS Health (Frankfort, KY)
- …are seeking a highly analytical and detail-oriented Data Analyst to join our Special Investigation Unit within a leading health insurance organization. This is ... datasets. + Design, develop, and maintain complex data analyses to support investigations of potential fraud, waste, and abuse in Medicaid claims and provider… more
- Travelers Insurance Company (Louisville, KY)
- …external customers/business partners. + Recognizes when to refer claims to Travelers Special Investigations Unit and/or Subrogation Unit. + Identifies and refers ... handling throughout the claim life cycle (customer contacts, coverage, investigation , evaluation, reserving, negotiation and resolution) including maintaining full… more
- Travelers Insurance Company (Frankfort, KY)
- …manage claims by completing essential functions including contacts, investigation , damages development, evaluation, reserving, litigation management, negotiating and ... and stakeholders; take necessary statements, as strategically appropriate. + Complete outside investigation as needed per case specifics. + Actively engage in the… more
- Veterans Affairs, Veterans Health Administration (Louisville, KY)
- …thickness or microns, and tissue H&E staining. Performs a wide variety of special stains such as, PAS, AFB, Mucicarmine, Giemsa, Gram Stain, Iron, Sliver Stains ... solvent recycler, tissue processors, cryostats, microtomy, slide printers, H&E stainer, special stain system, IHC stain system embedding module, ThinPrep automated… more
- Air National Guard Units (Louisville, KY)
- …administer the Intrusion Detection System (IDS) program. Advise the MAJCOM SF IDS program manager of any base or site activities that will impact the Integrated Base ... procedures. Manage installation entry control, visitor center operations, and special functions/events. Administer and manage Resource Protection and Crime… more
- Kiewit (Louisville, KY)
- …bid and contract documents and home office legal department opinions. + Conduct site investigation prior to forming a plan of operations to identify any problems or ... May lead small estimating teams and lead estimates for projects. + Prepare special engineering studies or reports required by certain bid items or conditions.… more
- CDM Smith (Louisville, KY)
- …are used; and that construction conforms to plans, specifications, and special provisions. Use higher-grade of equipment and perform complex calculations to ... a signed CDM Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or written commitments from any… more
- CDM Smith (Louisville, KY)
- …TKM by developing white papers and technical design documentation of new or special case designs, studies, etc.. Submits technical papers and designs for publishing ... a signed CDM Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or written commitments from any… more
- CDM Smith (Louisville, KY)
- …TKM by developing white papers and technical design documentation of new or special case designs, studies, etc. Submit technical papers and designs for publishing to ... a signed CDM Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or written commitments from any… more
- CDM Smith (Louisville, KY)
- …Contribution: Develop white papers and technical design documentation for new or special case designs, and submit technical papers for publication in journals. ... a signed CDM Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or written commitments from any… more
- CDM Smith (Louisville, KY)
- …TKM by developing white papers and technical design documentation of new or special case designs, studies, etc. Collaborates with sales staff to create proposals in ... a signed CDM Smith Placement Agreement from the CDM Smith Recruitment Center Manager to receive payment for your placement. Verbal or written commitments from any… more