- Molina Healthcare (Lexington, KY)
- …leadership to healthcare services function - providing support for project /program/process design, execution, evaluation and support, and ensuring compliance with ... online portals and databases. **Preferred Qualifications** + Certified Case Manager (CCM), Certified Professional in Healthcare Management (CPHM), Certified… more
- Datavant (Frankfort, KY)
- …to realize our bold vision for healthcare. **Role Overview** As a Product Manager , Risk Adjustment Coding Data Integration, you will own the data strategy and ... data. You will also support scalable, reliable, and performant project data ingestion pipelines and maintain databases that support...and management of client data for MA, ACA, and Medicaid plans, ensuring HIPAA and CMS compliance + **Standard… more
- Public Consulting Group (Frankfort, KY)
- …understanding of Medicaid waivers. **Duties and Responsibilities** + Serves as project manager and subject matter expert within the practice including ... . Summary: We are seeking a senior-level, detail-oriented and self-motivated Medicaid Waiver Evaluation Consultant to join our team. This role involves… more
- Molina Healthcare (Covington, KY)
- …Analysis Professional (CBAP), or Certified Coding Specialist (CCS) certification. + Project Management Experience + Familiarity with Medicaid -specific Scorable ... tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met...years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health… more
- Prime Therapeutics (Frankfort, KY)
- …additional resource needs; collaborate with Business Systems Analyst Resource Lead or Resource Manager to determine work assignments within project + Educate and ... work direction of a team of analysts and/or business, IT, and other project stakeholders to ensure solutions are consistent with organization objectives by acting as… more
- Waystar (Louisville, KY)
- …software. This role will be responsible for working with the Systems Engineering Manager to design, develop, configure, and document existing, as well as new, ... continually changing SaaS datacenter environment + Works with the Systems Engineering Manager on new projects that arise from business needs + Creates documentation… more
- Elevance Health (Louisville, KY)
- …contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and Reimbursement III** ... with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health...independently on assignments and under minimal guidance from the manager . + Prepare detailed work papers and present findings… more
- Elevance Health (Louisville, KY)
- …contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. The **Audit and Reimbursement II** ... Contract (MAC) with the federal government (The Centers for Medicare and Medicaid Services (CMS) division of the Department of Health and Human Services).… more
- Waystar (Louisville, KY)
- …well. **WHAT YOU'LL DO** + Proposes technical solutions to the Manager , Application Engineering + Designs/develops/tests/implements improvements or new features into ... various stages to production + Identifies and informs the Manager , Application Engineering of areas of the application that...addressed in a timely fashion + Provides estimates for project tasks using an internal project tool,… more
- Waystar (Louisville, KY)
- …external partners. This is a support-focused role that also involves project manager -like responsibilities, including coordinating statement setups, managing ... Experience with the implementation of a system software + Demonstrated experience in project management + Ability to multi-task and prioritize effectively + Serve as… more