- Elevance Health (Louisville, KY)
- ** Provider Contract / Cost of Care Consultant** **Location:** Elevance Health operates in a Hybrid Workforce Strategy, providing various levels of ... be discussed as part of the hiring process. The ** Provider Contract / Cost of Care...or any combination of education and experience, which would provide an equivalent background.. **Preferred Skills, Capabilities and Experiences:**… more
- Elevance Health (Louisville, KY)
- ** Provider Contract Cost of Care Analyst Senior** **Location:** This position will work a hybrid model (remote and in office one day per week). Ideal ... of our Pulse Point locations. The ** Provider Contract Cost of Care Analyst...or any combination of education and experience which would provide an equivalent background. **Preferred Skills, Capabilities, and Experiences:**… more
- Sedgwick (Frankfort, KY)
- …hospital and medical group contracts for multiple lines of business in managed care markets; to maintain provider participation within the network; and to ... Taking care of people is at the heart of...or university preferred. **Experience** Four (4) years of progressive provider network contract negotiation experience or equivalent… more
- Sharecare (Frankfort, KY)
- …-effective manner while ensuring high quality care . The RN coordinates with the Primary Care Provider and all other members of the health care team to ... increasing acuity, and for intervening with the participants and their Primary Care Provider according to the disease management program intervention guidelines.… more
- IMSolutions, LLC (Frankfort, KY)
- …to work at the agency's office in Washington, DC._** As a **Federal Contract Specialist** , you provide acquisition support services, including contract ... and contract closeouts. + Market research/analysis, selection and administration of contract terms and conditions, cost , and price analysis. + US Citizenship… more
- Lumen (Frankfort, KY)
- …price, cost plus fixed fee, cost plus award fee and cost reimbursable contract line-item numbers (CLINs). + Provides guidance and direction to assigned ... Modernization Program (BIM) is a multi-award indefinite delivery/indefinite quantity (ID/IQ) contract in support of AF Base Area Network (BAN) efforts to… more
- Humana (Frankfort, KY)
- …trends, cost saving measures and create operational efficiencies + Provide strategic support for departmental, WI Market and enterprise wide initiatives and ... resolving the resolution to a claim inquiry; Service center associates for Provider and Member calls; enrollment and configuration activities; and oversight of… 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
- Elevance Health (Louisville, KY)
- …and other locations as necessary. + Experience working with older adults in care management, provider or other capacity, highly preferred. + Experience managing ... the IN PathWays for Aging program; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member… 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 ... technical staff for liability claims for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide … more
- BrightSpring Health Services (Louisville, KY)
- …full-service pharmacy solution providing value beyond medication. PharMerica is the long-term care pharmacy services provider of choice for senior living ... for maintaining formulary and utilization management services that impact client cost savings and enhance patient outcomes. The Formulary Systems Coordinator works… more
- Humana (Frankfort, KY)
- …Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims ... coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and metrics-driven environment. If you are… 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
- Baylor Scott & White Health (Frankfort, KY)
- **Position Overview:** Reporting to the VP, Value-based Care Analytics, the Director of Healthcare Economics and Trend Analytics will support the Baylor Scott & ... to uncover trends and assist in managing and understanding incurred medical and pharmacy cost . - The Director will design, develop, and support the creation of core… more
- Sedgwick (Louisville, 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 ... technical staff for workers compensation for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide … more
- Sedgwick (Louisville, 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 ... of examiners and technical staff for clients; to monitor colleagues' workloads, provide training, and monitor individual claim activities; to provide … more
- Humana (Louisville, KY)
- …services and supply chain management. The leader will proactively deliver on cost savings initiatives to meet and exceed corporate goals. **Location Requirement - ... it is expected this leader of Humana's facilities management services will also provide the strategic vision for the function - exploring and incorporating industry… more
- Prime Therapeutics (Frankfort, KY)
- …and satisfaction. Develops and tracks appropriate metrics that monitor the quality and care cost impact of the clients' program. Provides guidance, assistance ... all clinical recommendations is essential for both the client's cost of care and the overall administration...achievements. We value new ideas and work collaboratively to provide the highest quality of care and… more
- Prime Therapeutics (Frankfort, KY)
- …+ Book of Business and Financial Management: Ensures revenue goals are met, cost of care and administrative expenses managed, and (Earnings before Interest, ... contracts with assigned customers as well as ensuring ongoing contract performance through risk management activities including assurance of...achievements. We value new ideas and work collaboratively to provide the highest quality of care and… more
- GE Appliances, a Haier company (Louisville, KY)
- …This high-impact role will drive procurement strategies that enhance value, optimize cost , and ensure top-tier service delivery across critical business areas. If ... dental, vision, life, and disability + **Onsite health services** : primary care , occupational health, and fitness + **Talent acquisition** : recruiting, onboarding,… more