- Molina Healthcare (Georgetown, KY)
- **JOB DESCRIPTION** **Job Summary** Responsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage ... and benefit interpretation. Monitors and controls backlog and workflow of claims . Ensures that claims are settled in a timely fashion and in accordance with… more
- HealthEdge Software Inc (Frankfort, KY)
- …processing support available on both public and private clouds. The fact is, a Core Administrative Processing System (CAPS) needs to do much more than just core ... **Your Impact** **: ** + Develop the product roadmap forclaimsvalue stream and lead high-level epic planning for current and futurequarters + Lead and… more
- Sumitomo Pharma (Frankfort, KY)
- …role with 2-3 days a week required in office. **Job Duties and Responsibilities** + Lead operations person for all Medicaid decisions as it relates to Model N ... Co., Ltd. is a global pharmaceutical company based in Japan with key operations in the US (Sumitomo Pharma America, Inc.), Canada (Sumitomo Pharma Canada, Inc.)… more
- RELX INC (Frankfort, KY)
- …of risk. Within our Healthcare vertical, our solutions focus on transforming operations and improving health outcomes across the healthcare industry. While our ... and key internal and external stakeholders. You will be responsible for: + Lead Data and Content Acquisition Strategy: + Collaborating with internal teams to … more