- Molina Healthcare (Owensboro, KY)
- **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality ... initiatives to improve Star Ratings. * Serves as the Medicare Stars subject matter expert to Program Managers and in functional areas; leads programs to meet… more
- Humana (Louisville, KY)
- …of 8-12 Medicare Sales Agents, you'll work under the guidance of a Senior Manager and Regional Director who are committed to your success. Together, you'll ... The MarketPoint Career Channel Team is looking for skilled Medicare Field Sales Agents. This is a field-based role,...in scope of Humana's Driving Safety and Vehicle Management Program and therefore subject to driver license validation and… more
- Elevance Health (Louisville, KY)
- …Medicaid Services to transform federal health programs. The **Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) with the ... of the Department of Health and Human Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare cost reports and… more
- CenterWell (Frankfort, KY)
- …appropriate. The Clinical Care Coordinator is under the general supervision of the Manager of Care Coordination and under established performance criteria. This is a ... services. Able to navigate healthcare options; care services post-acute offerings, Medicare coverage, billing issues, as well as accessing healthcare resources. +… more
- CenterWell (Frankfort, KY)
- …teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and Medicare Advantage requirements and will understand how to ... includes some experience in an inpatient environment and/or related to care of a Medicare type population (disabled or >65 years of age). + Current and ongoing Board… more
- CenterWell (Frankfort, KY)
- …part of our caring community and help us put health first** The Program Management Lead, Offshore Coding Operations conducts quality assurance audits of medical ... records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies. The Program … more
- CenterWell (Lexington, KY)
- …caring community and help us put health first** Join a Team That's Redefining Senior Primary Care: Humana's Primary Care Organization is one of the largest and ... fastest-growing senior -focused, value-based care providers in the country. With over...For** **Required:** + Graduate of accredited MD or DO program from an accredited university + Board Certification or… more
- CenterWell (Frankfort, KY)
- …CenterWell Medical Group, a new virtual care delivery group within CenterWell Senior Primary Care, Humana's Primary Care Organization. This group will provide ... , a new virtual care delivery group within CenterWell Senior Primary Care, Humana's Primary Care Organization. This group...the state. . Graduate of accredited MD or DO program of accredited university . Board certification or eligible… more
- CenterWell (Frankfort, KY)
- …+ Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/ Medicare + Current nursing experience in Hospital, SNF, ... eligible dependents + Parental and caregiver leave + Employee charity matching program + Network Resource Groups (NRGs) + Career development opportunities Travel:… more
- CVS Health (Frankfort, KY)
- …improve outcomes, manage costs, and offer an unmatched experience for our patients. As a Senior Product Manager , you will be a key leader in our organization, ... have the needed support from specialist. You'll work with senior business and engineering leaders to lead a product...digital health solutions + 4+ years as a Product Manager + Experience with data analytics and core healthcare… more
- CenterWell (Frankfort, KY)
- …is not guaranteed. There also may be opportunity to cover other aspect of the program , such as covering PTO for APPs in CenterWell Medical group (phase 1). There are ... **Knowledge of HEDIS measures and quality indicators** **Experience managing Medicare Advantage panel of patients with understanding of Best Practice… more
- Waystar (Louisville, KY)
- …well. **WHAT YOU'LL DO** + Proposes technical solutions to the Manager , Application Engineering + Designs/develops/tests/implements improvements or new features into ... solution meets the business requirements + Communicates the development progress daily to senior -level team members + Attends to any work items assigned through the… more
- City of Henderson (Henderson, KY)
- …any applicable legislation, changes to elements of the City's voluntary benefits program , and at the discretion of the City Manager or City Council Revised 03/24 ... Human Resources Director and the Human Resources Management team to provide senior leadership across the department; oversees the employee and labor relations… more
- CenterWell (Fort Mitchell, KY)
- …release claims timely. + Adhere to and participate in Agency's mandatory HIPAA / Privacy Program and Employee Compliance Program . + Read and adhere to all Agency ... to problem solve effectively. + Must possess knowledge of Medicare guidelines governing home health and hospice agencies. +...at the center. As the nation's largest provider of senior -focused primary care, one of the largest providers of… more
- CenterWell (Lexington, KY)
- …equivalent + Completion of Certified Nursing Assistant or Certified Home Health Aide Program within the last 24 months + Must meet applicable state certification ... and have completed HHA/CNA course to work for a Medicare certified agency. + At least one year experience...paid time off, 401(k) retirement savings plan, employee assistance program , business travel and accident. **About Us** About CenterWell… more