- Molina Healthcare (Louisville, KY)
- …networks and other end users for operational and strategic analysis. **Knowledge/Skills/Abilities** The Director of Reporting & Analytics is a key leader ... empowered to advise senior management and other departments on reporting and analytics strategies in support of... * Minimum of 1 year experience in Health Care Industry **Preferred Education** Clinical degree or advanced IT… more
- Elevance Health (Louisville, KY)
- …cost of care for our patients, integrating utilization management, care management, pharmacy management, and data analytics -working closely with networks ... over 150 years. With capabilities spanning pharmacy, behavioral health, complex care delivery, medical benefits management, payment integrity, palliative care ,… more
- Humana (Louisville, KY)
- …and improve controls, operations, and risk management. The Internal Audit Director , Insurance Segment reports directly to Humana's Chief Audit Executive. The ... Internal Audit Director , Insurance Segment will develop and lead risk based...and consulting projects utilizing automated audit tools and data analytics to help minimize risk and enhance performance +… more
- BrightSpring Health Services (Louisville, KY)
- …around clinical denial management. This position will also support detailed level reporting and analytics , clinical appeals, root cause analysis, and address ... Our Company BrightSpring Health Services Overview Director of Clinical Denials Management and Audit supervises...clinical claim pre and post audit, appeals submission, and reporting to Palmetto in response to ADR's/TPE's/RCD processes across… more
- BrightSpring Health Services (Louisville, KY)
- …impact analysis and operational planning. In addition, budget preparation/input and reporting assignments are an expectation of this position. Responsibilities + ... for Workforce Management forecasting + Degree in Data Science, Statistics, Business Analytics , or related field. + Proficiency in data analysis tools (ie, Excel,… more
- Molina Healthcare (Louisville, KY)
- …Investigations Unit (SIU) to oversee the special investigations unit vendor outlier analytics and case management system, training and implementation. Serves as a ... Education** * Master's degree **Preferred Experience** * Formalized training/experience in Health Care Insurance Fraud * Experience with Power BI, SAS, SQL other … more
- Abbott (Louisville, KY)
- …This role is responsible for commercial accounts and trial sites in assigned territory reporting into the Regional Sales Director . Your role will be highly ... you can do work that matters, grow, and learn, care for yourself and your family, be your true...You'll Work On** + Collaborates with the Regional Sales Director to identify account opportunities and to achieve quarterly… more