- Molina Healthcare (Lexington, KY)
- **Job Description** **Job Summary** The Lead Risk and Quality Performance Manager supports Molina's Risk & Quality Solutions (RQS) team by ... overseeing large programs and multiple projects supporting Molina's Risk Adjustment and Quality performance ....completeness and accuracy of EHR/HIE and supplemental data. * Lead activities and tasks across multiple teams and departments.… more
- Molina Healthcare (Lexington, KY)
- **Job Description** **Job Summary** The Sr Risk & Quality Performance Manager is a tactical execution role that will lead specific projects to support ... limited to: Risk / Quality rate trending and forecasting; provider Risk / Quality measure performance , CAHPS and survey analytics, health equity and… more
- CVS Health (Frankfort, KY)
- …**Position Summary** We have an outstanding opportunity for an enthusiastic team player to lead a suite of market focused Risk Adjustment Programs for a ... of Aetna Better Health Medicaid Plans. Reporting to the Lead Director of Medicaid Risk Adjustment, the...quality assurance) across revenue integrity processes related to risk adjustment (RA) focused on complete and accurate diagnosis… more
- Ford Motor Company (Frankfort, KY)
- …countries around the world. In this position Ford Credit is seeking a Director of Data, Risk , and AI Architecture to lead the evolution of our data and AI ... that deliver demonstrable business value. What you'll do + Lead the development and implementation of a comprehensive data...and implementation of robust data pipelines supporting our credit risk models and ensuring data quality , integrity,… more
- Molina Healthcare (Lexington, KY)
- **Job Description** **Job Summary** The Analyst, Quality Analytics and Performance Improvement role will support Molina's Quality Analytics team. Designs and ... tracking outcome. Assist with research, development, and completion of special performance improvement projects. **ESSENTIAL JOB DUTIES:** + Work cross functionally… more
- CenterWell (Frankfort, KY)
- …care continuum and quality improvement activities to address high risk , high-utilizers/high-cost patient management. The Program Delivery Lead works on ... influence providers, members or market leadership towards value-based relationships and/or improved quality metrics. The Program Delivery Lead works on problems… more
- Lumen (Frankfort, KY)
- …digitally connect the world and shape the future. **The Role** The Sr Lead Business Ops Manager will help deliver Security, Technology, Engineering, Product, and ... (STEPN's) operational plan by driving engagement, communication, and increased performance across teams. You will manage complex organizational and communication… more
- Humana (Frankfort, KY)
- …advancing the care experience of our members and provider partners through integrated risk adjustment (RA) and quality (Stars) solutions that leverage data and ... data to evaluate program nuances and their implications on performance **Leadership Support:** + Prepare high- quality , data-driven...to use their passion for helping others and to lead their best lives. If you're ready to help… more
- Cushman & Wakefield (Frankfort, KY)
- **Job Title** Procurement Lead **Job Description Summary** The Procurement Director will lead a team of procurement professionals of varying levels and ... the on-account leadership team of varying service lines. The Procurement Director will lead in all aspects of procurement including, but not inclusive of: Strategic… more
- Humana (Frankfort, KY)
- …are at the forefront of delivering cutting-edge AI technologies for improving care quality and experience of millions of consumers. We are actively seeking top ... adherence to best practices in accountable AI for effective risk management and measurement. Join us in shaping the...of healthcare through AI excellence. We are seeking a Lead Data Scientist to guide the strategic decisions and… more
- Humana (Frankfort, KY)
- …consumer funnel. We are seeking a talented data professional to join our team as a Lead Data Scientist. As the Lead Data Science, you will be responsible for ... provide data science and analytical solutions with the objective of optimizing performance across digital and non-digital channels. This position requires you to… more
- Lumen (Frankfort, KY)
- …customer care, operations, program management plans, change management plans, resource plans, quality assurance plans, and risk management plans. + Directly ... Join us as we digitally connect the world and shape the future. **The Role** Lead Site Survey Engineer, Federal Programs in support of the Department of the Air… more
- HomeSafe Alliance (Frankfort, KY)
- …for enhancement. + Adjust product strategy and backlog based on feedback and performance metrics. ** Risk Management:** + Identify risks and work with the ... **Title:** Lead IT International Household Goods Movement Analyst (Product...with the development team to ensure timely delivery of high- quality features. + Coordinate release planning with operations, customer… more
- Lincoln Financial Group (Frankfort, KY)
- …for this opportunity. **Requisition #:** 73532 **The Role at a Glance** This position will lead a team that is responsible for a pricing and rating model for all the ... and directs the implementation of process improvements that significantly improve quality across the team, supporting the automation and production capabilities of… more
- J&J Family of Companies (Frankfort, KY)
- …adequate and appropriate process controls. May be responsible for participating and/or taking lead role in developing the risk management plan for new projects ... Johnson & Johnson is recruiting for a Sr Quality Engineer for Shockwave Medical Inc. located in...technical problems. Participates in decisions on scope of work, risk management, design changes, process improvements, material disposition, and… more
- Evolent (Frankfort, KY)
- …for the mission. Stay for the culture. What You'll Be Doing: Our Performance Suite Analytics team offers candidates the opportunity to support the evolution of ... patient value and demonstrate this by ensuring that our risk -based financial arrangements are equitable and sustainable. We are...Opportunities: This individual will serve as a key member Performance Suite Analytics team at Evolent. This role is… more
- Humana (Frankfort, KY)
- …we are seeking an accomplished and strategic Enterprise Transformation Financial Performance Leader to drive enterprise-wide innovation efforts, cost reduction and ... initiatives in complex organizational environments of Fortune 500 companies. This AVP will lead a team of six associates. It is intended that this position be… more
- Evolent (Frankfort, KY)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Performance Suite Analytics team offers candidates the opportunity to generate meaningful impact ... to Evolent's broader mission. **Collaboration Opportunities:** The Senior Analyst, Performance Suite Analytics utilizes and develops analytic tools to solve… more
- Evolent (Frankfort, KY)
- …MD will lead our Quality program, with accountability for ECP's Quality performance across contracts. The MD will partner with our Payor Operations and ... and Commercial contracts, including plans related to medical expense management, quality improvement, appropriate risk adjustment, and patient and provider… more
- Verint Systems, Inc. (Frankfort, KY)
- …of feature design - proactively work with others to identify issues or potential risk areas with the architecture ( performance , etc) + Distill requirements from ... or other improvements intended to benefit productivity, efficiency and/or quality of the solutions developed by the team and...the right work is being done, work with Team Lead to know that product qualities like, unit tests,… more