- Molina Healthcare (Lexington, KY)
- **Job Description** **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements ... 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
- CVS Health (Frankfort, KY)
- …largest CVS Health PBM clients. The Medicare Business Analytics - FEP - Sr . Manager provides technical, analytical and business support for the FEP Account ... team. The role serves as the authority for FEP program data analytics, trend analysis, contractual guaranteed financial metrics,...the Medicare Business Analytics - FEP - Sr . Manager incorporates these into all aspects… more
- Cardinal Health (Frankfort, KY)
- …receives detailed instruction on new assignments + Consults with supervisor or senior peers on complex and unusual problems **_Responsibilities_** The Case ... Manager supports patient access to therapy through Reimbursement Support...therapy through Reimbursement Support Services in accordance with the program business rules and HIPAA regulations. This position is… more
- Prime Therapeutics (Frankfort, KY)
- …and drives every decision we make. **Job Posting Title** PBM Contract Representative Sr - LA Medicaid **Job Description** The Senior Contract Representative is ... years of comprehensive experience working with Rebate contracts, or within Medicare /Medicaid (eg insurance, government program operations, managed care… more
- CVS Health (Frankfort, KY)
- …the strategic subject matter expert for all forecasting cycles with the approval of the Senior Manager and Health Plan CFO /CEO for reporting to the Enterprise ... make health care more personal, convenient and affordable. **Position Summary** As the Manager , FP&A, you will report directly to Director of Finance and will… more
- Molina Healthcare (Lexington, KY)
- **Knowledge/Skills/Abilities** * Responsible for program development, implementation, and management of process improvement initiatives. * Coordinates, directs, and ... Conduct meetings and disseminates communication related to process improvement activities to senior leadership and staff as needed. * Knowledge of HEDIS measurement… more
- Humana (Frankfort, KY)
- …a part of our caring community and help us put health first** The Senior Portfolio Management Professional collaborates with the business portfolio team to align the ... IT portfolio and demand. The Senior Portfolio Management Professional work assignments involve moderately complex to complex issues where the analysis of situations… more
- Prime Therapeutics (Frankfort, KY)
- …vision, depth perception and ability to adjust focus **Reporting Structure** + Reports to Sr Professional, Manager , Director or Senior Director in the ... fuels our passion and drives every decision we make. **Job Posting Title** Senior Compliance Analyst (Interpretation and Advising) - Remote **Job Description** The … more
- CenterWell (Frankfort, KY)
- …part of our caring community and help us put health first** The Senior RX Clinical Programs Pharmacist integrates programs developed to improve overall health ... outcomes with a focus on prescription drugs. The Senior RX Clinical Programs Pharmacist work assignments involve moderately complex to complex issues where the… more
- CVS Health (Frankfort, KY)
- …convenient and affordable. **Position Summary** We are seeking an experienced Senior Healthcare Fraud Investigator (Pharmacy) to join our Special Investigations ... acts of Pharmacy Fraud, Waste and Abuse. + Collaboration with Pharmacy Benefit Manager , providing meaningful evidence of Fraud, Waste and Abuse to support Pharmacy… more
- Mathematica (Frankfort, KY)
- …We are seeking a highly motivated person to join our team as an *IT Program Manager * in the Delivery Management practice in Health Solutions Insights. As an ... IT Program Manager , you will lead teams and...work with our largest client, Centers for Medicaid & Medicare Services (CMS). Most staff working on CMS contracts… more
- CenterWell (Frankfort, KY)
- …of our caring community and help us put health first** The Program Delivery Lead strategically identifies, develops, and implements programs that influence ... or market leadership towards value-based relationships and/or improved quality metrics. The Program Delivery Lead works on problems of diverse scope and complexity… more
- CenterWell (Lexington, KY)
- …services within the Center. . Participates in the local primary care "on-call" program of CenterWell Senior Primary Care. . Assures personal compliance with ... Care Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating over 300 centers across… more
- CenterWell (Lexington, KY)
- …Care Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating over 300 centers across ... supporting patient's physical, emotional, and social wellness. At CenterWell Senior Primary Care we want to help those in...Center. . Participates in the local primary care "on-call" program of CenterWell as needed. . Assures personal compliance… more
- HCA Healthcare (Lexington, KY)
- …+ Education assistance (tuition, student loan, certification support, dependent scholarships) + Colleague recognition program + Time Away From Work Program ... physician's orders and under the supervision of the Clinical Manager . **What you will do in this role:** +...quality care during their recovery at home. We are Medicare certified. Our patients are under the supervision of… more
- CenterWell (Lexington, KY)
- …Organization is one of the largest and fastest growing value-based care, senior -focused primary care providers in the country, operating multiple centers across ... Center. . Participates in the local primary care "on-call" program of CenterWell as needed. . Assures personal compliance...Medicine preferred . Active and unrestricted DEA license . Medicare Provider Number . Minimum of two to five… more
- United Therapeutics (Frankfort, KY)
- …analytics to support decisions regarding policy and reimbursement landscape + Support senior management in all financial, sales, and new business modeling + Provide ... support data driven decisions + Facilitate quarterly data review with Contract Manager / National Account Directors to evaluate contract performance, data integrity… more