- Highmark Health (Frankfort, KY)
- …Business Solutions leadership in strategic activities to expand IT capabilities for Medicaid growth in the dental market by: Applying SME knowledge to analytical ... strategic thinking to identify business needs for growing and sustaining the Medicaid business. Apply SME knowledge and oversee multiple teams' activities related to… more
- Humana (Louisville, KY)
- …insights relevance, and impact on Stars and other quality metrics. + Lead continuous improvement initiatives, leveraging data analytics and customer feedback ... and help us put health first** Humana seeks a strategic and results-driven Lead Product Manager to oversee the end-to-end lifecycle of the Patient Experience Survey… more
- Humana (Frankfort, KY)
- …Power Platform (Power BI, Power Automate, & Power Apps) + Knowledgeable in process improvement and metrics development + Knowledgeable in regulations governing ... community and help us put health first** The DSNP Encounters Data Management Lead supports the Encounter Data Management team within the Healthcare Quality Reporting… more
- Molina Healthcare (Covington, KY)
- **Job Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan ... Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay Edits,… more
- Humana (Frankfort, KY)
- …of this evolution is Humana's Insurance Segment, which provides Medicare Advantage, Medicaid , and other health plans to millions. By integrating insurance with care ... role in defining the future of Humana's Medicare and Medicaid businesses, which generate the majority of the company's...experience to join this team. As an Insurance Strategy Lead , you will directly contribute to high-impact strategy projects,… more
- Humana (Frankfort, KY)
- …a part of our caring community and help us put health first** As a Lead AI/ML DevOps Engineer at Humana, you will be responsible for leading the development, ... of AI/ML solutions. Additionally, you will focus on streamlining the deployment process , ensuring the scalability and reliability of AI/ML models, and monitoring… more
- Waystar (Louisville, KY)
- …Prompt Engineers, and other stakeholders to identify, prioritize, and execute AI process improvement opportunities across all departments. + Analyze existing AI ... Belt, or Kaizen Facilitator required. + Minimum of 3-5 years' experience leading process improvement initiatives in a manufacturing, operations, or business … more
- Humana (Frankfort, KY)
- …Operations, you will shape strategic direction, influence senior stakeholders, and lead a high-performing team of marketers. You'll drive collaborative go-to-market ... teams and external vendors, and ensure compliance with CMS, Medicaid , and Pharmacy marketing regulations. **Key Responsibilities** **Campaign Strategy, Execution… more
- Highmark Health (Frankfort, KY)
- …the key BU's for the Organization's value-based reimbursement programs and continuous improvement models. Lead or support key strategic initiatives across ... providers enrolled in the Organization's value-based reimbursement programs and continuous improvement models. The incumbent plays different potential roles on a… more
- Molina Healthcare (Louisville, KY)
- …in collaboration with the clinical lead , the medical director, and quality improvement staff. + Facilitates conformance to Medicare, Medicaid , NCQA and other ... necessity. + Participates in and maintains the integrity of the appeals process , both internally and externally. Responsible for the investigation of adverse… more