- Molina Healthcare (Owensboro, KY)
- **Job Description** **Job Summary** The Specialist , Member & Community Interventions implements new and existing clinical quality member intervention initiatives ... including all lines of business ( Medicare , Marketplace, Medicaid) Executes health plan's member and community...or Healthcare Administration + 1 year of experience in Medicare and in Medicaid managed care + Certified Professional… more
- Cognizant (Frankfort, KY)
- **Schedule:** Monday to Friday - Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact by performing advanced level work ... based on the review of clinical documentation in accordance with Medicare , Medicaid, and third-party guidelines. . Effectively document and log claims/appeals… more
- Molina Healthcare (Bowling Green, KY)
- Molina Healthcare is in search of an experienced Sr Digital Marketing Specialist . The Sr. Specialist , Digital Marketing will be responsible for analyzing and ... communicator, and a desire to improve processes **Preferred:** + Medicaid or Medicare Health Plan experience + Strong analytical skills **PHYSICAL DEMANDS:** Working… more
- Molina Healthcare (Owensboro, KY)
- …administration of contracts with State and/or Federal governments for Medicaid, Medicare , Marketplace, and other government-sponsored programs to provide health care ... services to low income, uninsured, and other populations. **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for coordinating, conducting and/or responding to research requests pertaining to government healthcare programs; preparing and submitting regulatory reports… more
- City of Henderson (Henderson, KY)
- Community and Neighborhood Programs Grant Specialist (Grant Funded) Print (https://www.governmentjobs.com/careers/henderson/jobs/newprint/5025597) Apply Community ... and Neighborhood Programs Grant Specialist (Grant Funded) Salary $68,356.93 - $104,229.11 Annually Location...off (Friday - Sunday.) *This position is eligible for remote work for up to half of the regularly… more
- Centene Corporation (Frankfort, KY)
- …reports to monitor network compliance with State requirements. The Provider Data Management Specialist I position is primarily remote , with an expectation to ... enrollment specifications and demographic changes + Update delegated provider Medicare and Medicaid documents on a monthly and ad...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- Cardinal Health (Frankfort, KY)
- …a call 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...hours of Monday-Friday, 7:00 AM to 8:00 PM CST. ** REMOTE DETAILS:** You will work remotely, full-time. It will… more
- Highmark Health (Frankfort, KY)
- …share and risk share models and will be implemented for the Organization's Medicare Advantage, Medicaid, ACA, and commercial populations with the goal of maximizing ... interpretation, and outcomes strategic plan development. + 1 year experience with Medicare STARS, Medicaid HEDIS, risk revenue value streams, and population health… more
- Evolent (Frankfort, KY)
- …Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional cardiology to help ensure the ... improvement, and clinical excellence. + **This position is 100% Remote and can be completed from any state. Multiple...by any state or federal health care program, including Medicare or Medicaid, and is not identified as an… more
- Molina Healthcare (Covington, KY)
- …Ownership** + Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay ... Organization (MCO) or health plan setting, including experience in Medicaid and/or Medicare , or equivalent combination of relevant education and experience + Proven… more