- Humana (Frankfort, KY)
- …The Senior Business Intelligence Engineer will develop and maintain expertise in Medicaid reimbursement methodologies rooted in complex grouping concepts (EAPG, ... Business Intelligence Engineer will be responsible for: + Researching state-specific Medicaid reimbursement methodologies for hospitals and facilities +… more
- Baylor Scott & White Health (Frankfort, KY)
- …Years of Experience + State Supplemental Payment Program Experience **preferred.** + Medicaid and Medicare Reimbursement Experience **highly preferred** + Degree ... vary based on position type and/or level **Job Summary** The Manager of Reimbursement reviews cost reports for supported entities. Assists Reimbursement Managers… more
- Public Consulting Group (Frankfort, KY)
- …agency and school district clients in their efforts related to special education, Medicaid reimbursement , data management and use. While a remote role, it ... is expected that the successful candidate reside within Washington State, have a strong reputation within that state, and be able to travel to client locations as needed to meet with and support clients. **Duties And Responsibilities** + Serves as project… more
- Cardinal Health (Frankfort, KY)
- …center or customer service environment, preferred + Clear knowledge of Medicare, Medicaid & Commercial payer policies and guidelines for coverage, preferred + ... Knowledge of Diagnostic Medical Expense and Medicare Administrative Contractor practices, preferred + Clear understanding of Medical, Supplemental, and pharmacy insurance benefit practices, preferred + Excellent written and oral communication, mediation, and… more
- Cardinal Health (Frankfort, KY)
- …processes. Remain knowledgeable about long and short-range changes in the reimbursement environment including Medicare, Medicaid , Managed Care, and Commercial ... diploma or equivalent preferred + Knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers policies and guidelines for coverage, preferred + Strong people… more
- Centene Corporation (Frankfort, KY)
- …Job Description **Centene is hiring a Remote Psychologist - Join Our Kentucky Medicaid Team!** **Are you a licensed Psychologist with a Kentucky license with a ... looking for a Remote Psychologist to support our Kentucky Medicaid plan. In this role, you'll play a key...pay, health insurance, 401K and stock purchase plans, tuition reimbursement , paid time off plus holidays, and a flexible… more
- Signature Healthcare (Owensboro, KY)
- …have achieved a 4 or 5-star overall rating from the Centers for Medicare & Medicaid Services. Additionally, we have been awarded as a certified Great Place to Work ... Assessment Instrument (RAI), Prospective Payment Systems (PPS), Quality Measures (QM's), Medicaid Casemix and Medicare guidelines for all SHC stakeholders. + Assist… more
- CenterWell (Frankfort, KY)
- …experience; + Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity + ... degree in a related field + Experience with Florida Medicaid + Experience with Physical Therapy, DME, Cardiac or...dental and vision benefits, 401k with company matching, tuition reimbursement , 3 weeks paid vacation time, paid holidays, work-life… more
- Molina Healthcare (Louisville, KY)
- …expert on developing financial models to evaluate the impact of provider reimbursement changes + Provide data driven analytics to Finance, Claims, Medical ... and clinical performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **Job Qualifications**… more
- Molina Healthcare (KY)
- …providers. Contract/Re-contracting with large scale entities involving custom reimbursement . Executes standardized Alternative Payment Method contracts. Issue ... attorney. * Participates in fee schedule determinations including development of new reimbursement models. Seeks input on new reimbursement models from Corporate… more