- 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
- 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 ... 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
- BrightSpring Health Services (Louisville, KY)
- Our Company BrightSpring Health Services Overview The Procurement Analyst supports procurement operations through advanced financial and strategic analysis, ... leaders with data-driven insights, process improvement, and cross-functional collaboration. The analyst will play a critical role in ensuring timely and accurate… 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 heart, each and every day. **Position Summary** The Cost Management team resides within the Network and Pharmacy...on the team's analyses and business expertise. The Sr. Analyst Business Consultant will use data and analytical skills… 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 ... our large group commercial rating engine (ERNIE) . As a Sr. Actuarial Analyst the ideal candidate will project manage and support system enhancements from beginning… 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 ... do it all with heart, each and every day. **Position Summary** The Senior Analyst , Account Management will serve as a fully dedicated advocate to senior employees… 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
- Sedgwick (Louisville, KY)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Data Analyst Sr **PRIMARY PURPOSE OF THE ROLE** : To create comprehensive reporting and ... in efficient and effective program management; identifies poor work quality and cost effectiveness trends; and works with appropriate staff in analyzing and… more
- AIG (Jeffersonville, IN)
- This Global Warranty Business and Client Operations Analyst - Quebec Canada focused role will be an ideal opportunity to develop your experience and expertise in ... & IT team identifies and drives high-quality innovation and cost efficiency in all our processes, systems and operations....our team and clients alike. Enjoy benefits that take care of what matters At AIG, our people are… 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