- CVS Health (Louisville, KY)
- …is compliantly and effectively operating in the market. As such, the Lead Director of Medicare Operations supports MAPD and SNP initiatives and ... of the Chief Medicare Officer, may facilitate internal and external Medicare audit activity including CMS and operations integrity audits. Coordinates file… more
- Elevance Health (Louisville, KY)
- ** Medicare Medical Director ** Location: This position will work a hybrid model (remote and office). The ideal candidate will must live within 50 miles of one of ... be able to work Eastern Time Zone hours. The ** Medicare Medical Director ** is responsible for the...consultation and serve as clinical/strategic advisor to enhance clinical operations . May identify cost of care opportunities. May serve… more
- Evolent (Frankfort, KY)
- …You'll Be Doing:** **What You'll Be Doing:** Evolent is looking for a Managing Director of Value-Based Operations to join our Primary Care Leadership Team. This ... Medicare in the Shared Savings Program. The Managing Director will report to the SVP Primary Care /...operational teams for each reporting in. The MD will lead our Quality program, with accountability for ECP's Quality… more
- Humana (Frankfort, KY)
- …of our caring community and help us put health first** The Associate Director , Actuarial provides actuarial support across a broad range of actuarial and business ... needs for specific product lines. The Associate Director , Actuarial requires a solid understanding of how organization.... Analytics . Forecasting . Risk . Compliance . Operations Decisions are typically related to identifying and resolving… more
- ChenMed (Louisville, KY)
- …of their time allocated to leadership responsibilities including Clinical Director performance, engagement, building a strong clinical- operations synergy ... 5 years preferred. + Strongly prefer two (2) years' previous experience as Medical Director or equivalent with a Medicare or Medicaid patient population + Board… more
- Humana (Louisville, KY)
- …of our caring community and help us put health first** The Director , Facilities Portfolio Management ensures the optimal utilization of the organization's ... facilities. The Director , Facilities Portfolio Management requires an in-depth understanding of...function or segment. In addition to leading the day-to-day operations of the function, this leader also provides the… more
- Mathematica (Frankfort, KY)
- …will have a deep understanding of systems and logical-technical approaches to lead winning analytics and technology-related proposal efforts. * Responsibilities:* * ... Lead and manage the full lifecycle of proposal development,...Mathematica's contractual and regulatory requirements. * Act as Project Director on select awarded projects, ensuring successful execution from… more
- Evolent (Frankfort, KY)
- …directly to the Chief Medical Officer. The CCO will lead the Clinical Operations team and work with medical director leadership to ensure consistent and ... be responsible for leadership, professional development, and performance of the clinical operations team. Within the Clinical Services team, the CCO will also have… more
- Waystar (Louisville, KY)
- …for building great products and the natural instincts for making decisions that lead to highly useable software. This professional self-starter will report to a ... Director , Product Management and work closely with User Experience...team and Technology teams. The Senior Product Manager will lead cross departmental strategic product initiatives coordinating with key… more
- Prime Therapeutics (Frankfort, KY)
- …organization to validate regulatory reporting requirements are met and that business operations are aligned with expectations of applicable regulatory guidance + ... Lead project management efforts for highly sensitive Compliance initiatives...organization, or other highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) +… more