- Molina Healthcare (Bowling Green, KY)
- **JOB DESCRIPTION** **Job Summary** Provides senior level support for accurate and timely intake and interpretation of regulatory and/or functional requirements ... care or payer environment. + In-depth knowledge of medical and hospital claims processing, including CPT/HCPCS, ICD, and modifier usage. + Strong understanding of… more
- Prime Therapeutics (Frankfort, KY)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Pricing Analyst Senior - Remote **Job Description** The Senior Pricing ... to include 3 years of experience in Pharmacy Benefit Management (PBM), claims processing, healthcare , and/or related field + Must be eligible to work in the… more
- Evolent (Frankfort, KY)
- …Codes, CPT Codes, RVUs, bundled payments, etc. + Working knowledge of healthcare claims ; specifically, differences between institutional vs professional billing ... Stay for the culture. **What You'll Be Doing:** **Lead Analyst , Performance Analytics - Oncology & Member Product Focus**...**What You'll Be Doing:** + Lead in-depth analyses of healthcare data - including authorizations, claims , membership,… more
- Humana (Frankfort, KY)
- …community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be ... team as it expands to accommodate the increased responsibilities. The Senior Business Intelligence Engineer will be primarily responsible for implementation,… more
- BrightSpring Health Services (Louisville, KY)
- …over 30 years of experience, serving our partners in long-term care, senior living, IDD/behavioral health, home infusion, specialty pharmacy, and hospital management ... candidate will have Long Term Care, Pharmacy Practice Management System setup, Healthcare Billing, Retail Pharmacy Tech, Insurance and/or PBM experience This is… more
- Highmark Health (Frankfort, KY)
- …the gap between business needs and the analytical technology team. The Senior Decision Support Consultant will leverage technical, analytical, and business expertise ... of developing technical solutions. The consultant will act as a senior resource within the team, fostering business-to-technical collaboration and providing… more
- Elevance Health (Louisville, KY)
- …and business leaders passionate about transforming American healthcare delivery. The ** Senior Health Economist (** Advanced Analytics Analyst Senior ) ... ** Senior Health Economist - Managed Care** **Location:** This...measures financial performance of core Carelon products leveraging claims , authorization, and membership data to tell a detailed… more