• Medical Director - Medicare Appeals

    CVS Health (Frankfort, KY)
    At CVS Health , we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming ... health care. As the nation's leading health ...care resources. This is a remote based (work from home ) role. Preferred candidates will have Internal Medicine or… more
    CVS Health (08/08/25)
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  • Medicaid Provider Hospital Reimbursement

    Humana (Frankfort, KY)
    **Become a part of our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support existing Medicaid business and… more
    Humana (08/14/25)
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  • Supervisor, Revenue Cycle

    CVS Health (Frankfort, KY)
    …of Clinical Reimbursement Specialists, ensuring accurate and timely qualification of Medicare patients and Medicare appeals. This role is responsible for ... metrics, implementing process improvements as needed. + Ensure compliance with all Medicare regulations and CVS Health policies. + Collaborate with… more
    CVS Health (08/14/25)
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  • Regional Accounts Receivable/Business Office…

    Signature Healthcare (KY)
    …across the continuum of care: skilled nursing, rehabilitation, assisted living, memory care, home health , cognitive care, and telemedicine. A growing number of ... 4 or 5-star overall rating from the Centers for Medicare & Medicaid Services. Additionally, we have been awarded...Plan + 401(K) and Roth 401(K) + Tuition Forgiveness/Education Reimbursement + A variety of additional specialized Insurances +… more
    Signature Healthcare (08/08/25)
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  • KY Licensed Therapist - 100% Remote (LMFT, LCSW,…

    Mindoula Health (KY)
    Mindoula Health is seeking Therapists licensed in Kentucky (LPC, LCSW, LMFT) to join our Substance Use Disorder Program and remotely serve our substance-exposed ... + Remote work with the autonomy to work from home while making a positive impact on our members'...paid parental leave + Personal Development Program: $500 credit reimbursement per calendar year Qualifications: + LCSW, LMFT, LPC,… more
    Mindoula Health (08/07/25)
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  • Resource MDS Coordinator (LPN or RN)

    Signature Healthcare (Owensboro, KY)
    …across the continuum of care: skilled nursing, rehabilitation, assisted living, memory care, home health , cognitive care, and telemedicine. A growing number of ... 4 or 5-star overall rating from the Centers for Medicare & Medicaid Services. Additionally, we have been awarded...all SHC stakeholders. + Assist and collaborate with Clinical Reimbursement Specialist with onboarding of new MDSC. + Exhibit… more
    Signature Healthcare (07/04/25)
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  • Senior Systems Engineer - IAM

    Ensono (Frankfort, KY)
    …US Citizenship and pass related background checks including but not limited to Medicare and Medicaid and VA **Preferred Skills:** + Experience with secure file ... a strong background in implementing and maintaining Centers for Medicare & Medicaid Services (CMS) security standards and compliance...inclusion. You can do great things for your own health or for a healthier planet. Whatever it means… more
    Ensono (08/07/25)
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  • Utilization Management Nurse

    CenterWell (Frankfort, KY)
    …Experience a plus + Current nursing experience in Hospital, SNF, LTAC, DME or Home Health . + Bilingual We offer tangible and intangible benefits such as ... largest provider of senior-focused primary care, one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is… more
    CenterWell (08/02/25)
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  • Senior Corporate Counsel, Compliance & Commercial

    NASCO (Frankfort, KY)
    …laws and regulations related to our products and services, including for our Medicare Advantage and ACA Exchanges business + Interacts with vendors and customers on ... on compliance issues, including related to HIPAA + Experience supporting Medicare Advantage and ACA Exchanges business **Required Training, Certification and… more
    NASCO (06/27/25)
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  • Nurse Audit Manager

    Humana (Frankfort, KY)
    **Become a part of our caring community and help us put health first** Step into a leadership role with Humana where your clinical expertise and passion for accuracy ... ensure medical documentation and coding are precise, compliant, and support optimal reimbursement . This is an exciting opportunity to apply your advanced technical… more
    Humana (08/13/25)
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