- Humana (Louisville, KY)
- …caring community and help us put health first** The Vice President, Medicaid Clinical Economics & Quality provides strategic and operational leadership for clinical ... effectiveness within the Medicaid segment. This function integrates Medical Economics, Clinical Insights, and Quality to deliver improved health outcomes, optimized… more
- Elevance Health (Louisville, KY)
- …of new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. The ** Business Analyst II** will support Clinical ... **Formulary Business Analyst II - CarelonRx** **Location:**...Experience with Excel skills strongly desired. + _PBM or pharmacy experience (eg pharmacy technician, Formulary Product… more
- Prime Therapeutics (Frankfort, KY)
- …those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. **Job Posting Title** Compliance Analyst Principal - Remote **Job ... Supports new client implementations + Supports all lines of business (commercial/HIM, Medicare and Medicaid ) + Other...legal or compliance related roles for a healthcare or Pharmacy Benefit Management organization, or within a highly regulated… more
- Prime Therapeutics (Frankfort, KY)
- …for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. **Job Posting Title** Regulatory Analyst Sr - Remote **Job ... Description** The Senior Regulatory Analyst is responsible for leading portions of departmental regulatory review and analysis, external audits and accreditation… more
- Prime Therapeutics (Frankfort, KY)
- …passion and drives every decision we make. **Job Posting Title** Compliance Analyst Principal (Performance and Oversight) - Remote **Job Description** The Compliance ... launch and beyond, focusing on balancing customer needs with business goals. + Consults with business areas...legal or compliance related roles for a healthcare or Pharmacy Benefit Management organization, or within a highly regulated… more
- Molina Healthcare (Lexington, KY)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial and even clinical… more
- Molina Healthcare (Owensboro, KY)
- **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and ... financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable financial and even clinical… more
- Molina Healthcare (Covington, KY)
- …**Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment ... identifying Utilization mgmt. trends and monitor pair mix. + Experience with Medicaid contract analytics is highly preferred. + Experience working on Managed care… more