- Signature HealthCARE, LLC (Louisville, KY)
- …facilities 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 ... Federal, State, and Local Standards, guidelines and regulations and as required by Director of Nursing. Confirm that all nursing personnel assigned to you comply… more
- Signature HealthCARE, LLC (Winchester, KY)
- …facilities 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 ... Federal, State, and Local Standards, guidelines and regulations and as required by Director of Nursing. Confirm that all nursing personnel assigned to you comply… more
- CVS Health (Frankfort, KY)
- …Hearings / Special Projects and Committee participation when needed. The Medical Director will provide clinical, coding, and reimbursement expertise as well ... Medicine or Internal Medicine/Pediatrics (Med/Peds) Board Certification. In the Medical Director role, you will provide oversight for medical policy implementation.… more
- Signature Healthcare (Annville, KY)
- …facilities 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 ... and Modern Healthcare's "Best Places to Work!" Overview The ideal Assistant Director of Nursing Candidate is very detailed orientated, organized, great knowledge of… more
- Signature Healthcare (Morgantown, KY)
- …facilities 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 ... and Vision - Voluntary Life/Disability + 401(K) and Roth 401(K) + Tuition Forgiveness/Education Reimbursement + Pay Advance and Next Day Pay! + Paid Time Off (PTO) +… more
- BrightSpring Health Services (Louisville, KY)
- …3rdParty Payor contracting process for LTC PharMerica business unit. This includes Medicare Part D, Commercial and Managed Medicaid. + Manage and negotiate national ... understanding of the PBM and 3rdPayor landscape, national and regional, and reimbursement processes across LTC Pharmacy business segment. + Directs and performs… more
- Molina Healthcare (Bowling Green, KY)
- …providers. Contract/Re-contracting with large scale entities involving custom reimbursement . Executes standardized Alternative Payment Method contracts. Issue ... Tighter knit proximity ongoing after contract. * In conjunction with Director /Manager, Provider Contracts, negotiates Complex Provider contracts including but not… more
- Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
- Responsible for correctly processing healthcare claims to obtain reimbursement to various third party payers and patients, ensuring proper account documentation in ... such as The Joint Commission, Rural Health, and Center for Medicare Services. ESSENTIAL FUNCTIONS Provides exceptional customer service. Answering and referring… more
- Signature Healthcare (Louisville, KY)
- …facilities 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 ... Federal, State, and Local Standards, guidelines and regulations and as required by Director of Nursing. + Confirm that all nursing personnel assigned to you comply… more
- Cardinal Health (Frankfort, KY)
- …+ **Payor Marketing Strategy & Execution** + In conjunction with the Director , develop and execute commercialization playbooks for new and existing plan access, ... to date on industry trends, policy updates, and deal structures across commercial, Medicare , and Medicaid markets. + Summarize relevant articles monthly for the MCO… more
