- Elevance Health (Louisville, KY)
- ** Cost of Care Analyst ** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while ... if candidates reside within a commuting distance from an office. The ** Cost of Care Analyst ** (Advanced Analytics Consultant) employs advanced analytics to… more
- Veterans Affairs, Veterans Health Administration (Louisville, KY)
- Summary The Budget Analyst performs budget analysis, including formulation, justification, presentation, and/or execution of the Medical Center budget. This work ... of funds and making management decision. Completes and assembles the annual Medical Care , research, Prosthetics, OI&T, and Resident House staff budget plans and data… more
- Molina Healthcare (Louisville, KY)
- …underperforming and problematic contracts. Supports multi-dimensional pricing strategies to drive down total cost of care and minimize variation in cost by ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...Provides peer review of team members' presentations for total cost of care and profit improvement initiatives… more
- Molina Healthcare (Louisville, KY)
- …underperforming and problematic contracts. Supports multi-dimensional pricing strategies to drive down total cost of care and minimize variation in cost by ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...Provides peer review of team members' presentations for total cost of care and profit improvement initiatives… more
- Molina Healthcare (Louisville, KY)
- …to medical care costs. * Analyzes the financial performance, including cost , utilization and revenue of all Molina products - identifying favorable and ... JOB DESCRIPTION Job Summary Provides senior level analyst support for medical economics analysis activities, including extracting, analyzing and synthesizing data… more
- Elevance Health (Louisville, KY)
- …may include, but are not limited to: + Performs key actuarial functions related to cost of care , understanding impact of provider and govt regulation changes and ... **Actuarial Analyst II** **Location:** This role requires associates to...and completes special projects such as understanding changes in cost and utilization at a claim level + Responsible… more
- Molina Healthcare (Louisville, KY)
- **Job Description** **Job Summary** The Analyst , Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... for Medicaid, Marketplace and Medicare/MMP. + Analysis and reporting related to Managed care data like Medical Claims, Pharmacy, Lab and HEDIS rates. + Assist… more
- Molina Healthcare (Louisville, KY)
- …and change management initiatives. Contributes to overarching strategy to provide quality and cost -effective member care . Essential Job Duties * Assists in the ... JOB DESCRIPTION Job Summary Provides entry level analyst support for clinical information systems activities. Responsible...design methods and techniques. * Knowledge base in health care informatics. * Ability to work independently, within a… more
- Molina Healthcare (Louisville, KY)
- …to provide recommendations for process improvements and opportunities for cost savings. + Leads coordinated development and ongoing management /interpretation ... provider disputes, appeals, and overpayment recoveries in a managed care or payer environment. + In-depth knowledge of medical...years of experience in previous roles in a managed care organization, health insurance or directly adjacent field, or… more
- PNC (Louisville, KY)
- …quantitative analysis of property operations such as credit facilities, crossed pools and cost recoup analyses to determine the viability of a proposed loan. + ... protection; 401(k) with PNC match, pension and stock purchase plans; dependent care reimbursement account; back-up child/elder care ; adoption, surrogacy, and… more
- Molina Healthcare (Louisville, KY)
- … across the continuum. Contributes to overarching strategy to provide quality and cost -effective member care . Essential Job Duties * Assesses services for ... in KY or have a compact RN license. The Care Review Clinician Inpatient Review BH will provide prior...members - ensuring optimum outcomes, cost -effectiveness and compliance with all state/federal regulations and guidelines.… 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, ... member of the Elevance Health family of brands, offering clinical programs and primary care options for seniors. We are a team of committed clinicians and business… more
- Humana (Louisville, KY)
- …Clinical Insights, and Quality to deliver improved health outcomes, optimized cost performance and measurable program value across Medicaid. This executive leverages ... advanced analytical, data science, and leadership capabilities to optimize medical cost management, drive program performance, and support compliant operations. This… more
- LittleStar ABA Therapy (Louisville, KY)
- …implement your patient's individualized program written by a Board Certified Behavior Analyst (BCBA). Using Applied Behavior Analysis (ABA), you will help your ... period. Staff are paid for training and LittleStar will cover the cost associated with obtaining and maintaining certification. Work Environment Position operates in… more
- LittleStar ABA Therapy (Louisville, KY)
- …implement your patient's individualized program written by a Board Certified Behavior Analyst (BCBA). Using Applied Behavior Analysis (ABA), you will help your ... period. Staff are paid for training and LittleStar will cover the cost associated with obtaining and maintaining certification. Work Environment Position operates in… more