- Arvato Bertelsmann (Louisville, KY)
- …priorities, shipping requirements, and volume peaks. Your goal will be to provide the highest quality service for our customers by establishing best-in-class ... as required. * Responsible for client KPI's: On Time Delivery, Inventory Control, Claims , and On Time shipping. * Peak Season Planning + Execution. * Training… more
- Molina Healthcare (Louisville, KY)
- …of knowledge although they may have technical team members. **Expanded Scope:** The Senior Project Manager for Claims Operations drives complex, ... & Regulatory Acumen (Healthcare/ Claims )** + Deep understanding of claims lifecycle, EDI transactions, payment integrity, provider data, appeals/grievances,… more
- CVS Health (Frankfort, KY)
- …strategic initiatives, and partnering to elevate insights that can positively impact provider experience. The Senior Manager , accounts receivable ... to help review, understand, and identify process improvements across key provider journeys including self-service / digital transactions, claims management,… more
- Zurich NA (Frankfort, KY)
- …**This role will be filled at either the** ** Senior or AVP Claims Professional** **Level.** **The hiring manager will determine the appropriate level based ... + Microsoft Office experience + Knowledge of insurance regulations, markets, and products OR Senior Claims Professional: + Bachelor's Degree and 6 or more years… more
- CVS Health (Frankfort, KY)
- …providers in accordance with company standards to maintain and enhance provider networks while meeting and exceeding accessibility, compliance, quality, and ... financial goals and cost initiatives. Collaborates cross-functionally to develop provider compensation and pricing strategies and manages contracts through language… more
- CVS Health (Frankfort, KY)
- …to solution design and architecture discussions, collaborating with architects and senior engineers. + Provide input on technical feasibility, performance ... project work that crosses many Aetna Technology domains/applications. A Release Manager in this area requires substantial business and systems knowledge along… more
- PPL Corporation (Louisville, KY)
- …**_The Category Manager position may be hired at the Intermediate, Senior or Lead level. The position responsibilities listed below reflect those of the ... parental guarantees. + Analyze and develop company position on claims and disputes and subsequently consult with senior...Manager position may be hired at the Intermediate, Senior or Lead level. Level offered will be determined… more
- PPL Corporation (Louisville, KY)
- …results for the company. + Analyze and develop company position on supplier claims and disputes and subsequently consult with senior Sourcing management to ... results for the company. + Analyze and develop company position on supplier claims and disputes and subsequently consult with senior Sourcing management to… more
- PPL Corporation (Louisville, KY)
- …results for the company. + Analyze and develop company position on supplier claims and disputes, and subsequently consult with senior Sourcing management to ... results for the company. + Analyze and develop company position on supplier claims and disputes, and subsequently consult with senior Sourcing management to… more
- Cushman & Wakefield (Louisville, KY)
- **Job Title** Senior Data Center Facility Manager **Job Description Summary** This position has managerial oversight of multiple facilities, an entire campus, or ... and has at least one Facilities Manager and/or Assistant Facilities Manager reporting into it. **Job Description** The Senior Facilities Manager… more
- Humana (Frankfort, KY)
- …The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral part of the Pricer Business ... the Integrated Network Payment Solutions (INPS) department which falls under the Provider Process and Network Organization (PPNO). The Senior Business… more
- Elevance Health (Louisville, KY)
- …of utilization and/or fraudulent activities by health care providers through prepayment claims review, post payment auditing, and provider record review. **How ... **Nurse Audit Senior - Payment Integrity Complex and Clinical Audit**...fraud and over-utilization by performing medical reviews via prepayment claims review and post payment auditing + Correlates review… more
- Molina Healthcare (Louisville, KY)
- …and rejection inventory, and works with other areas including IT, health plan, claims , provider , enrollment, regulators, and external vendors, as needed, to ... departments for error resolution, follow up, and performance monitoring. + Understands provider , member, and, inbound claims data compliance in relation to… more
- Elevance Health (Louisville, KY)
- ** Senior Health Economist - Managed Care** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, ... and business leaders passionate about transforming American healthcare delivery. The ** Senior Health Economist (** Advanced Analytics Analyst Senior ) measures… more
- AIG (Jeffersonville, IN)
- Senior Enterprise Business Analyst, Global Warranty Join us as a Senior Enterprise Business Analyst to take your career to the next level with a global market ... mark in General Insurance General Insurance is a leading provider of insurance products and services - focused on...far-reaching property casualty networks. Overview We are seeking a Senior Enterprise Business Analyst to join the Global Warranty… more
- Elevance Health (Louisville, KY)
- **Account Service Manager Sr - Pharmacy Benefit Management** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration ... health outcomes by putting the patient first. The **Account Service Manager , Sr,** is responsible for providing highly advanced account management representation… more
- AIG (Jeffersonville, IN)
- …market leader. Make your mark in General Insurance General Insurance is a leading provider of insurance products and services - focused on helping to manage risk for ... This role will report to the Sr. Product Strategy Manager and work closely with the Sr Systems &...well as our counterparts in other departments at AIG ( claims , IT, finance, controller, reinsurance, etc.), posturing self as… more
- Cardinal Health (Frankfort, KY)
- …billing questions and set up payment arrangements if needed. + Analyze claims , process payments and complete adjustments + Analyze explanation of benefits (EOBs) ... Flag trends or recurring issues for team Supervisor or Manager . + Meet daily/weekly productivity goals (eg, number of.... + Meet daily/weekly productivity goals (eg, number of claims worked, follow-ups completed). + Assist with special projects,… more
- PPL Corporation (Louisville, KY)
- …bonds, or obtaining parental guarantees. + Analyze and develop company position on claims and disputes, and subsequently consult with senior management to ... bonds, or obtaining parental guarantees. + Analyze and develop company position on claims and disputes, and subsequently consult with senior management to… more
- Fujifilm (Frankfort, KY)
- **Position Overview** The Regulatory Compliance Manager (Corporate) is a member of the FUJIFILM Holdings America Corporation ("HLUS") Department reporting to the ... Corporate Compliance Director. The Compliance Manager will be responsible for managing the day-to-day operations...you're shaping tomorrow's tech or redefining today's processes, we'll provide a flexible work environment and dynamic culture where… more
