- 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
- Prime Therapeutics (Frankfort, KY)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Sr Director Rebate Analytics - Remote **Job Description** The Senior Director ... the prioritization of strategic and department level initiatives to include defining performance goals and targets, as well as elevating department effectiveness. +… more
- Sedgwick (Lexington, KY)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Specialist Sr - GL -Coverage Group (Attorney Exp Required) Looking for someone with ... + Performs other duties as assigned. + Supports the organization's quality program(s). **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an… 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 ... growth opportunities. Learn more at www.verint.com **Overview of Job Function:** The Senior Software Engineer is responsible for all aspects of the development of… more
- Molina Healthcare (Lexington, KY)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... multiple Molina Healthcare products. Designs and develops reports to monitor health plan performance and identify the root causes of medical cost trends. With those… more
- RELX INC (Frankfort, KY)
- …career? Would you enjoy working on our cutting-edge products? About the Business LexisNexis Risk Solutions is the essential partner in the assessment of risk . ... decisions and solve complex challenges. You can learn more about LexisNexis Risk at the link below. https:// risk .lexisnexis.com/healthcare About our Team We… more
- Confluent (Frankfort, KY)
- …One Data Streaming Platform. Data Connects Us. **About the Role:** We are seeking a Senior HRIS Analyst to play a key role in optimizing and enhancing our Workday ... to improve user experience, streamline processes, automate workflows, and reduce risk , ensuring the system supports evolving business needs. + Partner with… more
- Travelers Insurance Company (Frankfort, KY)
- …compensation and benefits program, employees are also eligible for performance -based cash incentive awards. **Salary Range** $87,400.00 - $144,400.00 **Target ... reserving, negotiating and resolving assigned Specialty Property Damage claims. Provides quality claim handling throughout the claim life cycle (customer contacts,… more
- Humana (Frankfort, KY)
- …the risk adjustment organization. This should include consistent and centralized risk assessment processes, work-plan development and tracking, quality and ... experiences + Experience in project leadership, execution planning and oversight, risk identification and mitigation, and performance reporting **Preferred… more
- Intermountain Health (Frankfort, KY)
- **Job Description:** Quality Analyst/Engineer- Senior is responsible to ensure software quality through testing software / software platforms for specific ... business needs including: enhancements, maintenance, and defect fixes. Senior -level professional experienced in all aspects of quality...tools for common and complex projects. Evaluates level of risk in determining the scope and coverage of the… more
- American Express (Frankfort, KY)
- …segments of the merchant business and how they are appropriately driving quality and consistency while controlling operational risk . Through project management, ... Analyst will be part of the Merchant Services US Quality & Oversight team. MS -U.S. Quality ...Analyze business data and generate insights relating to operational risk issues and events, key performance indicators,… more
- Cherry Bekaert (Lexington, KY)
- …knowledge, expertise, and approaches in Regulatory Compliance, Internal Audit, Enterprise Risk Management, Technology Risk Management, and Operations and Process ... Improvement through our Risk Advisory Services (https://www.cbh.com/services/ risk -cybersecurity/ risk -advisory-services/) practice....As a Manager, you can expect to support the performance of an array of internal audit and advisory… more
- Rocket Software (Frankfort, KY)
- …high- risk , and often multi-region initiatives-managing timelines, deliverables, and quality standards to meet aggressive yet achievable deadlines. + Define and ... improve standardized policies, procedures, and best practices that support consistent, high- quality project delivery. + Track key performance indicators (KPIs)… more
- CenterWell (Frankfort, KY)
- …drive value-based specialty care programs, specialty provider network development, and financial performance . The Senior Analyst will work closely with market ... provider network design and value-based payment arrangements. + Analyze utilization, quality , and financial data to identify performance improvement… more
- Cherry Bekaert (Lexington, KY)
- …and professional journey. In support of our growing Risk Advisory Services (https://www.cbh.com/services/advisory/ risk -accounting-advisory/ risk -advisory/) ... practice, we have an excellent opportunity for a ** Senior Associate (Financial/Operations)** to join our team providing internal audit, regulatory compliance and … more
- Rocket Software (Frankfort, KY)
- …high- risk , and often multi-region initiatives-managing timelines, deliverables, and quality standards to meet aggressive yet achievable deadlines. + Define and ... improve standardized policies, procedures, and best practices that support consistent, high- quality project delivery. + Track key performance indicators (KPIs)… more
- Zurich NA (Frankfort, KY)
- …Colleagues and Business Unit Heads of Underwriting to deliver portfolio quality and performance measurements, technical underwriting strategies, product ... Senior Technical Auto Underwriter 120386 Zurich is currently...units. Key Accountabilities: + Monitor underwriting strategy relating to performance metrics, data and insights, syndicate findings and adjust… more
- UNUM (Frankfort, KY)
- …cases and the continued profitable retention of in force cases. + Conduct high quality risk assessments on all cases to assure business guidelines, target profit ... culture + Inclusion and diversity as a priority + Performance Based Incentive Plans + Competitive benefits package that...others, and join Team Unum today! **General Summary:** The Senior Underwriter will demonstrate strong risk evaluation,… more
- Humana (Frankfort, KY)
- …part of our caring community and help us put health first** The Senior Behavioral Economics Professional (SBEP) is a core member of Humana's industry-leading ... and pragmatically about experimental design, developing studies that balance risk , rigor, and feasibility to support real-world decision-making. Humana's… more
- Humana (Frankfort, KY)
- …drives the achievement of Humana's strategic and financial objectives. The Senior Internal Auditor provides value-added service by evaluating the efficiency and ... effectiveness of Humana's operational processes. The Senior Internal Auditor owns audit engagements by leading walkthrough...under audit + Participate in the development of the risk -based audit plan, including risk identification +… more