- Molina Healthcare (Louisville, KY)
- …to the Health Care environment **Job Duties** The Operational/Regulatory Oversight Sr. Analyst works with health plans and operations departments to assess, oversee, ... and recommend business practices to ensure adherence to and compliance with State and Federal regulatory guidelines. The Sr. Analyst develops and performs audits… more
- Prime Therapeutics (Frankfort, KY)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal - Remote **Job Description** The Compliance ... the Regulatory Intelligence communication strategy. This position acts as Compliance and regulatory liaison for all lines of business...related area of study, such as Juris Doctor + Medicare Part D, Medicaid, and/or Affordable Care… more
- Prime Therapeutics (Frankfort, KY)
- …fuels our passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal (Performance and Oversight) - Remote **Job Description** ... The Compliance Principal is responsible for supporting Oversight and Monitoring...related area of study, such as Juris Doctor + Medicare Part D, Medicaid, and/or Affordable Care… more
- Prime Therapeutics (Frankfort, KY)
- …our passion and drives every decision we make. **Job Posting Title** Sr. Compliance Analyst - Remote **Job Description** The Regulatory Inquiry & Complaints ... Senior Compliance Analyst assists in the implementation of...organization, or other highly regulated industry, including experience with Medicare , Medicaid, and the Affordable Care Act (ACA) +… more
- Humana (Louisville, KY)
- **Become a part of our caring community and help us put health first** The Financial Analytics Professional manages data to support and influence decisions on ... hybrid based on business discretion. The MRA Finance team supports Humana's Medicare Risk Adjustment business area. The Finance team develops revenue and risk… more
- Molina Healthcare (Owensboro, KY)
- **Job Description** **Job Summary** The Junior Analyst will play a supporting role on the RADV (Risk Adjustment Data Validation) team, assisting in the execution of ... collection. This is an ideal opportunity for an early-career analyst with a strong interest in healthcare data, regulatory...+ Participate in internal simulations and mock audits as part of proactive audit readiness. + Contribute to the… more
- Humana (Louisville, KY)
- **Become a part of our caring community and help us put health first** The M&A Analyst plays a critical role in advancing Humana's strategic growth objectives by ... impact on organizational profitability and risk. To do so, the M&A analyst is responsible for conducting comprehensive financial and operational due diligence to… more
- Evolent (Frankfort, KY)
- …Stay for the culture. **What You'll Be Doing:** Job Description ** Analyst , Integration Quality** Integration testing in the healthcare ecosystem requires complete ... testing is exercised to ensure source to target integrity. The IQ Analyst (IQA) performs analysis, reporting, and technical testing across multiple domains. Active… more
- Catholic Health Initiatives (Lexington, KY)
- …accounts, preparation/submission of insurance claims, cash applications, billing compliance , implementation of best practices, third-party contracting arrangements, ... with the coding department relative to regulatory requirements such as Medicare Fraud Initiatives specific to bundling and unbundling codes, billing unchargeable… more