- Humana (Frankfort, KY)
- …utilize to reduce administrative cost and improve the customer's experience. The Senior Business Intelligence Engineer position will be supporting BI work for our ... utilize to reduce administrative costs and improve the customer's experience. The Senior Business Intelligence Engineer position will be supporting BI work for our… more
- Humana (Frankfort, KY)
- …industry in how digital can be used to drive customer acquisition in the Medicare Advantage space. Within this business area, we are aggressively driving new digital ... of working, and employing next-gen technology to revolutionize how Medicare Advantage is sold. This role is part of...and will be critical in our growth plans. The Senior Product Owner maximizes value of product created by… more
- Humana (Frankfort, KY)
- …providing frameworks to maximize available resources to achieve growth. The ** Senior Professional Business Intelligence Engineer** is an experienced individual with ... to meet compliance requirements and define and drive business value. The Senior Professional will partner across various multi-disciplinary teams at Humana to… more
- Molina Healthcare (KY)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation to the Health Plan and Finance team through analyzing key ... creating tools to monitor trend drivers and provide recommendations to senior leaders for affordability opportunities. Responsible for conducting complex analyses of… more
- Humana (Frankfort, KY)
- …the future of healthcare through AI excellence. We are seeking a dynamic and experienced Senior Project Manager to join our team (known internally as a Senior IT ... of project management principles and exceptional communication skills. The Senior Project Manager will collaborate with cross-functional teams, including… more
- Humana (Frankfort, KY)
- …part of our caring community and help us put health first** The Senior Application Architect designs and develops IT applications architecture solutions to business ... in alignment with the enterprise architecture direction and standards. The Senior Application Architect work assignments involve moderately complex to complex issues… more
- CVS Health (Frankfort, KY)
- …all with heart, each and every day. Aetna's Revenue Integrity team is hiring Senior Coding Data Quality Auditors to support our growing risk adjustment efforts. This ... ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the purpose of...Classification of Disease (ICD) codes required. + Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and… more
- CenterWell (Frankfort, KY)
- …delivery of associate-facing contact center technologies that support Pharmacy and Medicare Part D operations. This enterprise-wide platform empowers associates to ... a related field. **Preferred Qualifications:** + Understanding of pharmacy operations and Medicare Part D. + Experience with contact center platforms and CRM… more
- Molina Healthcare (Covington, KY)
- …Performs analysis across multiple states and lines of business ( Medicare , Medicaid, Marketplace ACA). **KNOWLEDGE/SKILLS/ABILITIES** + Compiling and organizing ... in running all applicable risk models including the various CMS models for Medicare Advantage members, the HHS model for Commercial ACA members, the CDPS model… more
- NASCO (Frankfort, KY)
- **Overview** The Senior Corporate Counsel, Compliance & Commercial operates under general direction and is responsible for providing legal and regulatory guidance to ... laws and regulations related to our products and services, including for our Medicare Advantage and ACA Exchanges business + Interacts with vendors and customers on… more