- Highmark Health (Frankfort, KY)
- …medical terminology **Preferred:** + 3 years of experience in a Stop Loss Claims Analyst role. **SKILLS** + Ability to communicate concise accurate information ... issues regarding client activities; disseminates necessary information to the management . Follows up on pended claims in...to the management . Follows up on pended claims in accordance with department standards. HNAS (Health Now… more
- PPL Corporation (Louisville, KY)
- …data preparation, insurance meeting participation, development of presentations and reports to senior management . + Assist in the overall management ... fully remote/work from home schedule.** \#LI-HY #INDPPL The Insurance Analyst or Senior Insurance Analyst ...programs in place for specific business lines. + Support claims management activities such as monitoring status… more
- CVS Health (Frankfort, KY)
- …And we do it all with heart, each and every day. **Position Summary** The Senior Analyst , Account Management will serve as a fully dedicated advocate ... to senior employees and their families employed by a leading...Liaising with healthcare providers. + Submitting and tracking out-of-network claims . + Managing administrative processes such as pre-authorizations and… more
- Rocket Software (Frankfort, KY)
- …where people truly BELIEVE in what they're doing!** **Job Description Summary:** The Senior Benefit Analyst is responsible for building and delivering both ... programs that enhance the employee experience, through support and management of both global and country programs in line...in line with the global total rewards philosophy. The Senior Benefits Analyst supports the design, administration,… more
- Cognizant (Frankfort, KY)
- **Health Payer Business Analyst , Senior Consulting Manager** **About the Role:** As a Sr. Consulting Manager you will make an impact by driving client ... * Strong background in Healthcare industry, including health plans, claims , and provider operations * Project management ...plans, claims , and provider operations * Project management and people management experience * Excellent… more
- Otsuka America Pharmaceutical Inc. (Frankfort, KY)
- …so that others can too._ In this exciting role, as a Sr. Analyst within OAPI supply chain team, you will work cross-functionally across various departments ... with cross-functional partners to mitigate service impacts, support inventory management for new product launches, develop and drive continuous improvement… more
- CVS Health (Frankfort, KY)
- …Primary Job Duties & Responsibilities + Implements a comprehensive configuration management plan that outlines the strategy, policies, procedures, and guidelines for ... + Analyzes complex configuration data to provide insights into configuration management metrics, trends, and compliance issues. + Applies in-depth knowledge of… more
- Molina Healthcare (KY)
- …communication skills required to present analytical results and findings to healthplans' senior management team and key stakeholder meetings (PowerPoint) * ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical,… more
- Molina Healthcare (Covington, KY)
- …skills required to present analytical results and findings to health plans' senior management team and key stakeholder meetings (PowerPoint) + Coordinates ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the...Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical,… more
- Molina Healthcare (Covington, KY)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... **Required Experience** + 5-7 years increasingly complex database and data management responsibilities + 5-7 years of increasingly complex experience in quantifying,… more