- Molina Healthcare (Louisville, KY)
- …care , or other health care field. **Required Experience** 3 - 5 years provider contract negotiation experience in the health care field including, but ... QUALIFICATIONS** **Required Education** Bachelor's Degree or equivalent work experience in health care field including, but not limited to, provider 's office,… more
- Molina Healthcare (Louisville, KY)
- …Implements cost control initiatives to positively influence the Medical Care Ratio (MCR) in each contracted region. * Utilizes standardized contract ... sufficient network of Participating Providers to serve the health care needs of the Plan's patients or members. *...concert with Director. * Oversees the maintenance of all Provider and payer Contract Templates. Works with… more
- UMB Bank (Frankfort, KY)
- …Risk, Compliance, Information Security, Finance, and Business Operations to ensure contract terms meet applicable standards and adequately protect UMB interests. You ... renewals, software license, maintenance, support, subscriptions, and/or other third-party contract commitments. Working for UMB is about collaborative spirit with… more
- Cayuse Holdings (Frankfort, KY)
- …offering a varied set of business lines, workforces, and credentials to provide solutions for government clients throughout the world. Our companies have years ... projects, and commitment to excellence. **The Work** The Cayuse Government Contract Pricing Specialist is a Pricing and Estimating professional who assesses… more
- Molina Healthcare (Louisville, KY)
- …with cost control strategies that positively impact the Medical Care Ratio (MCR) within each region. + Maintains contractual relationships with ... systems, hospitals and physician groups that result in high quality, cost effective and marketable providers. **KNOWLEDGE/SKILLS/ABILITIES** + In conjunction with … more
- ChenMed (Louisville, KY)
- … cost trends, market dynamics, cost drivers. + Conduct contract negotiations with provider groups as needed to enhance availability, accessibility, ... these relationships to optimize access, clinical outcomes, and total cost of care for ChenMed patients. The...review meetings to report on referral operations and medical cost performance data and provide progress reporting… more
- Highmark Health (Frankfort, KY)
- …years Experience working in an Actuarial Science capacity + 2 years Understanding of provider contract documents and overall contract management process + 1 ... a focus of innovation. + Develop and maintains strategic provider relationships to understand the current health care...of healthcare + Comfort and with real-time calculations of cost , membership, etc. (ie, "back of the envelope" estimations)… more
- Sedgwick (Frankfort, KY)
- …Surety Claims Advisor **PRIMARY PURPOSE** **:** To analyze complex or technically difficult contract surety bond claims; to provide resolution of highly complex ... Taking care of people is at the heart of...RESPONSIBILITIES** + Analyzes and processes complex or technically difficult contract surety (pay and performance) claims by investigating and… more
- CVS Health (Frankfort, KY)
- …+ Provide excellent customer services for high volume inbound provider calls for the Claims Inquiry/Claims Research Medicaid team. Extensive claims research ... framework to make financial decisions to resolve provider issues. Explain provider 's rights and responsibilities in accordance with contract . + Process claim… more
- Elevance Health (Louisville, KY)
- …with the clinical healthcare management and interdisciplinary team in order to provide care coordination support. + Manages non-clinical needs of members ... (BH)/LTSS needs, as required by applicable state law and contract , and federal requirements. **How you will make an...and Experiences:** + Experience working with older adults in care management, provider or other capacity, highly… more
- Bausch + Lomb (Louisville, KY)
- …assistance and reimbursement support services, including but not limited to web-based provider programs and tools, and provide information on relevant ... through a reimbursement consulting agency. + Understanding of access and out-of-pocket cost considerations from a patient and provider perspective. + General… more
- Black & Veatch (Louisville, KY)
- …develop and implement the proposal win strategy on key opportunities. + Participate in cost review and influences team to provide responses with competitive ... a team of proposal managers with responsibilities from pursuit assignment to contract signing. + Manage team workload and proposal assignment activities. +… more
- Prime Therapeutics (Frankfort, KY)
- …solutions to Prime's clients to ensure Prime is delivering the highest quality and lowest cost of care to its members. The Trade Client Relations Senior Director ... of rebate guarantees, pharmaceutical manufacturer rebate agreements and drug trends; provide proactive strategic and cost saving consultation + Provides… more
- Sedgwick (Frankfort, KY)
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our ... benefits due, and manages action plan pursuant to the claim or client contract . + Manages subrogation of claims and negotiates settlements. + Communicates claim… more
- Prime Therapeutics (Frankfort, KY)
- …empowered, and rewarded for their achievements. We value new ideas and work collaboratively to provide the highest quality of care and service to our members. If ... area of Prime Therapeutics. This position is also responsible for assisting contract negotiators and working with other internal departments regarding the financial… more
- Sedgwick (Frankfort, KY)
- Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our ... manages action plan pursuant to the claim or client contract . + Manages subrogation of claims and negotiates settlements....not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in… more
- Sedgwick (Frankfort, KY)
- Taking care of people is at the heart of...Develops and maintains action plans to ensure state required contract deadlines are met and to move the file ... everything we do, and we start by taking care of you, our valued colleague. A career at...not limited to skill set, level of experience, and cost of specific location. For the jurisdiction noted in… more
- Cushman & Wakefield (Frankfort, KY)
- …with internal stakeholders and external vendors to ensure a seamless, cost -effective, and compliant travel experience across all regions. **Job Description** ... service standards. + Monitor and manage global travel vendors for quality, cost -efficiency, and adherence to service level agreements (SLAs). + Track and analyze… more
- BrightSpring Health Services (Louisville, KY)
- …Company's service lines, including pharmacy, home health care and primary care , and rehabilitation and behavioral health, we provide comprehensive care ... more. Join a dedicated group of professionals and apply today! Responsibilities + Provide data analytics for new sourcing and procurement projects + Create and… more
- CDM Smith (Louisville, KY)
- …or structure damaged by a disaster. * Reviews, evaluates and analyzes applicant-provided cost claims for reasonableness and accuracy as related to the scope of work. ... for the use of applicant-owned equipment while performing eligible work. * Develops cost estimates using RS Means software. * May coordinate and complete basic to… more