- Molina Healthcare (Lexington, KY)
- **Job Description** **Job Summary** The Lead Risk and Quality Performance Manager supports Molina's Risk & Quality Solutions (RQS) team by ... overseeing large programs and multiple projects supporting Molina's Risk Adjustment and Quality performance ....completeness and accuracy of EHR/HIE and supplemental data. * Lead activities and tasks across multiple teams and departments.… more
- Molina Healthcare (Lexington, KY)
- **Job Description** **Job Summary** The Sr Risk & Quality Performance Manager is a tactical execution role that will lead specific projects to support ... limited to: Risk / Quality rate trending and forecasting; provider Risk / Quality measure performance , CAHPS and survey analytics, health equity and… more
- CVS Health (Frankfort, KY)
- …**Position Summary** We have an outstanding opportunity for an enthusiastic team player to lead a suite of market focused Risk Adjustment Programs for a ... of Aetna Better Health Medicaid Plans. Reporting to the Lead Director of Medicaid Risk Adjustment, the...quality assurance) across revenue integrity processes related to risk adjustment (RA) focused on complete and accurate diagnosis… more
- Molina Healthcare (Lexington, KY)
- **Job Description** **Job Summary** The Analyst, Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... tracking outcome. Assist with research, development, and completion of special performance improvement projects. **ESSENTIAL JOB DUTIES:** + Work cross functionally… more
- Humana (Frankfort, KY)
- …and influence decisions on day-to-day operations, strategic planning and specific business performance issues. The Financial Analytics Lead works on problems of ... complex problems through collaboration. The HQRI Finance team supports Humana's Healthcare Quality Reporting and Improvement business area, part of the Medicare and… more
- Humana (Frankfort, KY)
- …to design, validate scale new innovative value-based care/ alternative payment models in risk -based healthcare. The Clinical Strategy Lead will: + Engage in an ... part of a team that leads non-PCP and specialty risk initiatives, amongst other home-based and virtual care clinical...experts to identify the greatest opportunities in clinical outcomes, quality , cost, and experience for members. + Lead… more
- Humana (Frankfort, KY)
- …Plans by serving its members through a single source solution. We engage in risk -based (eg, capitation, shared savings) deals with health plans and other risk ... infusion services. The Value-Based finance team is seeking a Financial Analytics Lead . The position will work directly with senior management, including the Segment… more
- Humana (Frankfort, KY)
- …including pay for performance , bundles, accountable care, and shared savings and risk models. + 2 + years' experience in Medicaid managed care + Ability to ... caring community and help us put health first** The Value-Based Programs Lead supports successful value-based provider relationships with a focus on improving the… more
- Humana (Frankfort, KY)
- …advancing the care experience of our members and provider partners through integrated risk adjustment (RA) and quality (Stars) solutions that leverage data and ... data to evaluate program nuances and their implications on performance **Leadership Support:** + Prepare high- quality , data-driven...to use their passion for helping others and to lead their best lives. If you're ready to help… more
- Cushman & Wakefield (Frankfort, KY)
- **Job Title** Procurement Lead **Job Description Summary** The Procurement Director will lead a team of procurement professionals of varying levels and ... the on-account leadership team of varying service lines. The Procurement Director will lead in all aspects of procurement including, but not inclusive of: Strategic… more
- Lumen (Frankfort, KY)
- …work closely with various departments to meet project objectives and deliver high quality results. Scope will encompass but is not limited to Lumen's global ... Develop comprehensive project plans including scope timelines resource allocation and risk management + Monitor project progress identify potential issues and… more
- Sedgwick (Frankfort, KY)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Team Lead - Workers Compensation (REMOTE- Needs California Experience) **PRIMARY PURPOSE:** ... reviews and analyzes management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract… more
- Lumen (Frankfort, KY)
- …customer care, operations, program management plans, change management plans, resource plans, quality assurance plans, and risk management plans. + Directly ... Join us as we digitally connect the world and shape the future. **The Role** Lead Site Survey Engineer, Federal Programs in support of the Department of the Air… more
- Lincoln Financial Group (Frankfort, KY)
- …for this opportunity. **Requisition #:** 73532 **The Role at a Glance** This position will lead a team that is responsible for a pricing and rating model for all the ... and directs the implementation of process improvements that significantly improve quality across the team, supporting the automation and production capabilities of… more
- Cardinal Health (Frankfort, KY)
- …Production/Process Controls, Risk Management, Change Management and the company's quality management system + Identify and lead assigned continuous ... product lifecycle, including evaluating and qualifying suppliers, monitoring supplier performance , auditing supplier's quality management system to applicable… more
- J&J Family of Companies (Frankfort, KY)
- …adequate and appropriate process controls. May be responsible for participating and/or taking lead role in developing the risk management plan for new projects ... Johnson & Johnson is recruiting for a Sr Quality Engineer for Shockwave Medical Inc. located in...technical problems. Participates in decisions on scope of work, risk management, design changes, process improvements, material disposition, and… more
- Cardinal Health (Frankfort, KY)
- …product lifecycle, including evaluating and qualifying suppliers, monitoring supplier performance , auditing supplier's quality management system to applicable ... ISO 13485 ( Quality Management Systems), Pharmaceutical guidelines, FDA, cGMP, and Risk Management (ISO 14971) to instill a culture dedicated to ensuring patient… more
- Sumitomo Pharma (Frankfort, KY)
- …and in accordance with all government regulations and in compliance with GxPs. + Lead Management Reviews and routine Quality metrics reporting to monitor ... Quality System performance and identify areas for continuous improvement. + Manage...eQMS processes associated with deviations, investigations, CAPA, product complaints, risk management and change control as related to manufacturing… more
- Verint Systems, Inc. (Frankfort, KY)
- …of feature design - proactively work with others to identify issues or potential risk areas with the architecture ( performance , etc) + Distill requirements from ... or other improvements intended to benefit productivity, efficiency and/or quality of the solutions developed by the team and...the right work is being done, work with Team Lead to know that product qualities like, unit tests,… more
- Meta (Frankfort, KY)
- **Summary:** Meta seeks a highly engaged and experienced team player for a lead role to join our Design, Engineering & Construction (DEC) organization. As a Contract ... and financial information to maximize contract value and reduce risk to the owner. In this role, you will...team, peers, and outside business units to enhance the quality and efficiency of contracting processes 13. Ensure all… more