- Cognizant (Frankfort, KY)
- …sector where you will utilize your expertise in MS Excel to efficiently manage and process commercial claims . This remote position offers the flexibility of ... our training regimen._ **Key Responsibilities-** + _Claims Processing:_ Review, validate, and process healthcare claims submitted by providers in accordance with… more
- Mass Markets (KY)
- …organization. We are seeking a highly organized, well-established, and detail-orientedVirtual Executive Assistantto join our remote team. As a Virtual ... (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider… more
- Mass Markets (KY)
- …(TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider ... across multiple countries. We deliver Customer Experience (CX), Business Process Outsourcing (BPO), and Anything-as-a-Service (XaaS) cloud technology solutions… more
- Molina Healthcare (KY)
- …in Connecticut** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and cost ... programming, SQL Server Reporting Services (SSRS), Medinsight, RxNavigator, Crystal Reports, Executive Dashboard, and other analytic / programming tools as needed. +… more
- Molina Healthcare (KY)
- …affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable ... Server Analytic Services (SSAS), Business Intelligence tools (Medinsight, PowerBI), and Executive Dashboard. * Generate hospital performance analytics tools on a… more
- Molina Healthcare (Owensboro, KY)
- …affordably. Performs research, financial modeling, and analysis of complex healthcare claims data (medical, pharmacy and ancillary) to deliver practical, actionable ... Server Analytic Services (SSAS), Business Intelligence tools (Medinsight, PowerBI), and Executive Dashboard. + Generate hospital performance analytics tools on a… more
- Humana (Frankfort, KY)
- …**Key Responsibilities:** + Lead large-scale product efforts focused on improving claims processing and related systems, ensuring these efforts support Humana's ... and measurable value realization, especially when navigating complex, high-volume claims environments. + Partner closely with architecture, operations, compliance,… more
- Cardinal Health (Frankfort, KY)
- …broader access to innovative therapies. + ** Claims Adjudication:** Oversee the claims adjudication process , ensuring timely and accurate processing of ATSP ... cell & gene space (among other areas). The _Sr. Advisor, Payor Engagement Executive (Cell & Gene Specialty Pharmacy)_ will focus on payor engagement and negotiation.… more
- Ankura (KY)
- …structured, defensible processes for fiduciaries, courts, and stakeholders in high-volume claims environments. Role Overview The Trust and Mass Torts Senior Managing ... Director role is an executive level position that sells, leads and manages complex...the firm's activities and initiatives + Manage the invoicing process , including collections, for consulting engagements + Build relationships… more
- Sedgwick (Lexington, KY)
- …build and adoption** , with a focus on **AI-enabled solutions** , **digital process redesign** , and **enterprise value creation** . Collaborate with Business, AI, ... scorecards with clear ROI and EBITDA implications. + Coordinate RFI/RFP process ; support contract negotiations and SLAs. **Technical Discovery & Solutioning** +… more