- Molina Healthcare (Owensboro, KY)
- **Job Description** **Job Summary** The AVP , Risk Adjustment Encounters is responsible for establishing enterprise-wide strategy , governance, and oversight of ... enterprise revenue, and enabling the organization's overall risk adjustment strategy . Knowledge/Skills/Abilities + Responsible for encounters accuracy & completeness… more
- Molina Healthcare (Covington, KY)
- …Reports directly to state's plan president, on a dotted line to National AVP of Enrollment Growth. + Member of state's plan senior leadership team ... partnership with executive leadership, develops, implements and monitors a successful strategy to achieve Molina's enrollment growth goals for a large/complex state… more
- Molina Healthcare (Covington, KY)
- **Job Description** **Job Summary** **Job Summary** The AVP , Clinical Data Acquisition is a key Risk Adjustment (QI) leader within the organization enterprise wide. ... functions include, but may not be limited to: chart retrieval strategy , risk adjustment retrieval performance, process effectiveness, market performance, project… more
- Humana (Frankfort, KY)
- …us put health first** Humana is a Fortune 50 market leader in integrated healthcare whose dream is to help people achieve lifelong well-being. As a company focused ... live life fully and be their most productive. The Associate Vice President ( AVP ), Corporate Technology Solutions is a bold and strategic leader responsible for… more
- Molina Healthcare (Covington, KY)
- JOB DESCRIPTION Job Summary Provides strategy and leadership to a team responsible for enterprise clinical operations and program design initiatives. Supports and ... team to provide cohesive direction towards company goals. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job Duties… more
- Molina Healthcare (Lexington, KY)
- …including Product, Sales, Compliance, Finance, and Clinical Operations to align strategy with execution. + Identify and evaluate new market opportunities, including ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- Humana (Louisville, KY)
- …Clinical and Interoperability IT teams by owning platforms, applications, and overall Testing Strategy for these areas. This role will also be critical in the ... **Facilitates Clinical Testing processes and Execution:** Establish overall testing strategy inclusive of Humana's Clinical and Interoperability IT organizations,… more
- Molina Healthcare (Owensboro, KY)
- …* Manages 5-7 state health plans using all areas of RQS staff with oversight from AVP as needed. * May supervise one or more Program Managers. * Serves as industry ... methodologies for incremental programs. Develops and coordinates implementation of business strategy . * Collaborates and facilitates activities with other units at… more
- Humana (Frankfort, KY)
- …caring community and help us put health first** The Associate Vice President ( AVP ) of Medicare and Medicaid Encounter Submissions is responsible for the integrity, ... Medicaid State Agencies for all Medicare, D-SNP, and Medicaid contracts. The AVP is accountable for working collaboratively across the enterprise and with multiple… more
- CVS Health (Frankfort, KY)
- …Summary** A Sr. Analyst, Project Management (IC) role, reporting to the AVP of Medical and Pre-Payment Policy combines high-level project management with detailed ... initiatives, including developing, implementing, and enforcing payment and policy rules for healthcare services. + Lead and manage key strategic projects related to… more