- Sedgwick (Frankfort, KY)
- …Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Workers Compensation Claims Manager | VA Jurisdiction | Remote **PRIMARY PURPOSE** : To manage ... + Establishes policy and procedure to assure compliance to best practices, claims management services standards, state regulations and client service requirements. +… more
- HomeSafe Alliance (Frankfort, KY)
- …and best practices that enhance claims service. **About the Role** The Assistant Claims Manager role is a remote opportunity responsible for ensuring the ... are currently seeking a highly skilled and motivated Assistant Claims Manager to assist in all aspects...duties as needed. **Note** : This position is fully remote / work from home. HomeSafe will supply appropriate… more
- Ryder System (Frankfort, KY)
- …and excess insurance carriers, and re-insurers on files meeting reporting thresholds + Assists Claims Manager , when appropriate or the manager is out of ... Privacy Policy by clicking HERE. (https://ryder.com/job-applicant-privacy-policy)\_ **Position Description** The Claims Analyst handles complex and high exposure bodily injury… more
- Ryder System (Frankfort, KY)
- … are being handled appropriately according to the applicable jurisdiction. + Alerts the Claims Manager to changes and proposed changes in laws that could impact ... Ryder s Liability program. + Assists Claims Manager in the identification of exposures and recommends solutions. + On-going interaction with field and operations… more
- Ryder System (Frankfort, KY)
- … are being handled appropriately according to the applicable jurisdiction. + Alerts the Claims Manager to changes and proposed changes in laws that could impact ... Ryder s Liability program. + Assists Claims Manager in the identification of exposures and recommends solutions. + On-going interaction with field and operations… more
- HealthEdge Software Inc (Frankfort, KY)
- **Overview** **Position** **Overview:** We areseekinga highly skilled and experienced Senior Manager of Product Management to lead our Claims Value Stream.Your ... business. Our product teams are cross-functional and durable,generally comprisedof a product manager , a product designer, several engineers, and QE. We have divided… more
- HomeSafe Alliance (Frankfort, KY)
- …is better than the last. We are currently seeking a highly skilled and motivated Assistant Claims Manager to assist in all aspects of claims management, to ... **Title:** Claims Adjuster (SCA) HHG/Military Move **_HomeSafe Alliance_** is...**_HomeSafe Alliance_** is the single global household goods movement manager of over 300,000 Military Household Goods moves per… more
- Wolters Kluwer (Frankfort, KY)
- …end-to-end customer experience to drive world-class business outcomes. **Basic Function** This remote -friendly Account Management Team Manager , you will build a ... team to drive profitable sales growth. Time will be spent identifying customer needs, developing pipeline, and pursuing the expansion of products and services. In this role the position will learn and stay informed on the comprehensive product line; learning,… more
- Prime Therapeutics (Frankfort, KY)
- …our passion and drives every decision we make. **Job Posting Title** Account Manager I- REMOTE **Job Description Summary** Overall management of assigned book ... or appropriately escalates customer service issues in conjunction with operations ( claims , service, and systems). + Provides mentoring to Account Support Specialists… more
- Molina Healthcare (Georgetown, KY)
- …Analytics and Reporting team. Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost ... various departments including, but not limited to, IT; Finance; Claims , Call Centers; and UM. * Manages team of...+ **Azure Cloud** + **Managed Care industry experience - Claims , Enrollment, Provider, and Utilization data.** To all current… more
- Molina Healthcare (Georgetown, KY)
- …software and medical record vendors, and other Molina departments, such as Claims , Enrollment, IT etc,. to get appropriate responses and manage contracts and ... + Maximizes use of information from multiple sources, including claims /encounters, pharmacy, utilization management, clinical indicators, industry benchmark, and/or… more
- Molina Healthcare (Georgetown, KY)
- …Analytics and Reporting team. Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost ... integrity * Interact with various departments including, but not limited to, IT; Finance; Claims , Call Centers; and UM. * Manages team of Data Analysts * Acts as… more
- Molina Healthcare (Georgetown, KY)
- **Job Description** **Job Summary** The Manager , Quality Analytics and Performance Improvement is responsible for leading, organizing and directing Molina's Quality ... and reporting related to Managed care data like Medical Claims , Pharmacy, Lab and HEDIS rates. + Conduct root...or equivalent discipline **REQUIRED EXPERIENCE:** + 3+ years of Manager /Supervisory or Lead experience + 7+ Years of experience… more
- Molina Healthcare (Georgetown, KY)
- …or team leadership experience + 10 years' work experience preferable in claims processing environment and/or healthcare environment + Strong knowledge of SQL ... 2005/2008 SSRS and Power BI report development + Familiar with relational database concepts, and SDLC concepts **Preferred Education** + Masters' Degree in Finance, Economics, Math, Computer Science, Information Systems, or related field. + Preferred… more
- Molina Healthcare (Georgetown, KY)
- …recommendations for improvement to decision-makers. At the direction of the Manager , Encounters, collaborates with cross-functional teams to identify and resolve ... for Monthly Governance and Operations Reviews + Performs root cause analysis of claims and encounters data and develops recommendations based on data and industry… more
- Prime Therapeutics (Frankfort, KY)
- …every decision we make. **Job Posting Title** Health Data Analyst - Remote **Job Description** The Health Data Analyst provides information, analyses, and ... as PMPM, generic utilization) + Experience working with large sets of pharmacy, claims , medical, and/or financial data + Previous experience in a client facing or… more
- Valvoline Global (Lexington, KY)
- …and being unified in all our enterprise endeavors. The **Global Risk Manager ** is responsible for leading the implementation and continued management of effective ... We are also open to candidates working in a remote capacity but willing to visit HQs as needed....events **.** + Lead insurable risk delegate internally for claims management, including quarterly workers' compensation claims … more
- HomeSafe Alliance (Frankfort, KY)
- **Title:** Northwest Regional Network Development Manager **_HomeSafe Alliance_** is the single global household goods movement manager of over 300,000 Military ... liaison efforts with Personal Property Shipping Offices. The **NW Regional Network Development Manager ** opportunity will be based in the Northwest (WA, OR, ID, MT,… more
- J&J Family of Companies (Frankfort, KY)
- Strategic Intelligence Manager - 2406199376W **Description** Johnson & Johnson is currently seeking a **Strategic Intelligence Manager ** to join our **Abiomed** ... Team. We are open to remote candidates for this position. At Johnson & Johnson,...belong. Abiomed is seeking a highly motivated **Strategic Intelligence Manager ** individual with strong analytical skills to collaborate with… more
- HealthEdge Software Inc (Frankfort, KY)
- **Overview** **Position Overview** **:** As aSenior Manager ,Product ManagementforHealthEdgeSource, you willbededicatedto developing innovative solutions for the ... root-cause issues areidentifiedand addressed upstream, and all aspects of claims operations are centralized for comprehensive business intelligence. The complete… more