• Manager , Compliance

    Humana (Frankfort, KY)
    …and help us put health first** Humana Healthy Horizons is seeking a Manager , Compliance - Medicaid State Reporting to ensure compliance with ... to determine approach, resources, schedules, and goals. The Manager , Compliance - Medicaid State Reporting develops and implements compliance more
    Humana (10/04/25)
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  • Account Manager Sr - NC Medicaid

    Prime Therapeutics (Frankfort, KY)
    …It fuels our passion and drives every decision we make. **Job Posting Title** Account Manager Sr - NC Medicaid - Remote Raleigh, NC **Job Description** The ... Senior Account Manager is responsible for providing complex level support for...for providing complex level support for the North Carolina Medicaid business by driving communications, client-facing initiatives, and product… more
    Prime Therapeutics (09/23/25)
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  • Compliance Audit Manager

    Cardinal Health (Frankfort, KY)
    …of the annual enterprise risk assessment and audit and monitoring plan. The Manager has supervisory responsibility for all Compliance Audit staff. **_What is ... industry best-practices. + Develops and implements compliance training to ensure compliance with federal and state regulations and laws, CMS and other… more
    Cardinal Health (08/27/25)
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  • Manager Rebate Pharmacy Operations

    Prime Therapeutics (Frankfort, KY)
    …standards of practice which govern the Medicaid Drug Rebate Program. + Ensures compliance with each State Medicaid contract. + Maintains rebate records ... + Manages to completion any current projects. + Adheres to organizational policies and procedures and ensuring compliance with federal laws, state laws and… more
    Prime Therapeutics (08/08/25)
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  • Bilingual RN Care Manager - Remote,…

    Humana (Frankfort, KY)
    …of the business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess Medicare, Medicaid , and/or and Group ... community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies,...advanced communication and interpersonal skills. This is a very compliance driven and highly visible program at Humana. The… more
    Humana (09/26/25)
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  • Care Manager , Behavioral Health

    Humana (Frankfort, KY)
    …health first** Humana Healthy Horizons in Kentucky is seeking a Field Care Manager , Behavioral Health 2 who will assess and evaluate member's needs and requirements ... to achieve and/or maintain optimal wellness state by guiding members/families toward and facilitate interaction with...the care and wellbeing of members. The Field Care Manager , Behavioral Health 2 work assignments are varied and… more
    Humana (09/26/25)
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  • Sr. Product Manager - Claims Management

    Waystar (Louisville, KY)
    …closely with User Experience team and Technology teams. The Sr. Product Manager will coordinate with key stakeholders in sales, marketing, design, development, and ... healthcare industry standards and staying up-to-date on industry changes and compliance issues + Gathering inspiration and ideas by visiting customers regularly… more
    Waystar (08/08/25)
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  • Care Manager , Telephonic Compact…

    Humana (Frankfort, KY)
    …part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2, in a telephonic environment, assesses and evaluates members' needs ... resources appropriate for the care and wellbeing of members. The Care Manager , Telephonic Nurse 2 work assignments are varied and frequently require interpretation… more
    Humana (09/26/25)
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  • CAHPS Operations & Improvement Lead Product…

    Humana (Louisville, KY)
    …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 product. ... an organization focused on continuously improving customer experiences. The Lead Product Manager will work to develop a product strategy that delivers insights and… more
    Humana (09/25/25)
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  • RN, Manager , Utilization Management…

    Humana (Frankfort, KY)
    …of our caring community and help us put health first** The Manager , Utilization Management Nursing (LTSS Utilization Management Leader) utilizes clinical nursing ... communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Nursing works within specific guidelines and… more
    Humana (09/28/25)
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