- 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
- CVS Health (Frankfort, KY)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... heart, each and every day. **Position Summary** The **Business Analyst ** acts as a liaison between business units for...or payer organization. + Familiarity with mental well-being, autism care , or EAP ( _Employee Assistance program_ )/BH (… 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
- CVS Health (Frankfort, KY)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... it all with heart, each and every day. **Senior Analyst - Third Party Revenue Cycle** The Senior ...prioritize initiatives. + Overseeing third-party vendor activities related to cost , contract duration, and return on investment. + Maintaining… more
- CVS Health (Frankfort, KY)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... the financial models design, metrics, and targets for Medicare Specialty Value Based Care (VBC) Contracts. The role will use Actuarial modeling to understand the… 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
- CVS Health (Frankfort, KY)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... opportunity to join our Pharmacy Services Finance Enablement team as a Senior Analyst on our Policies, Procedures, and Controls Team. The candidate will be… more
- CVS Health (Frankfort, KY)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... with accessing benefits and education for members through the use of care management tools and resources. Fundamental Components: - Evaluation of Members: Through… 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
- CVS Health (Frankfort, KY)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... company contributions), and an **employee stock purchase plan** . + **No- cost programs for all colleagues** including wellness screenings, tobacco cessation and… more
- CVS Health (Frankfort, KY)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... company contributions), and an **employee stock purchase plan** . + **No- cost programs for all colleagues** including wellness screenings, tobacco cessation and… more
- CVS Health (Frankfort, KY)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... company contributions), and an **employee stock purchase plan** . + **No- cost programs for all colleagues** including wellness screenings, tobacco cessation 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
- CVS Health (Frankfort, KY)
- …ourselves with dedicated colleagues who are passionate about transforming health care . As the nation's leading health solutions company, we reach millions ... **Position Summary** We are seeking a highly analytical and detail-oriented Data Analyst to join our Special Investigation Unit within a leading health insurance… more