- Molina Healthcare (Lexington, KY)
- …of knowledge although they may have technical team members. **Expanded Scope:** The Senior Project Manager for Claims Operations drives complex, ... & Regulatory Acumen (Healthcare/ Claims )** + Deep understanding of claims lifecycle, EDI transactions, payment integrity, provider data, appeals/grievances,… more
- CVS Health (Frankfort, KY)
- …strategic initiatives, and partnering to elevate insights that can positively impact provider experience. The Senior Manager , accounts receivable ... to help review, understand, and identify process improvements across key provider journeys including self-service / digital transactions, claims management,… more
- Zurich NA (Frankfort, KY)
- …**This role will be filled at either the** ** Senior or AVP Claims Professional** **Level.** **The hiring manager will determine the appropriate level based ... + Microsoft Office experience + Knowledge of insurance regulations, markets, and products OR Senior Claims Professional: + Bachelor's Degree and 6 or more years… more
- CVS Health (Frankfort, KY)
- …providers in accordance with company standards to maintain and enhance provider networks while meeting and exceeding accessibility, compliance, quality, and ... financial goals and cost initiatives. Collaborates cross-functionally to develop provider compensation and pricing strategies and manages contracts through language… more
- PPL Corporation (Louisville, KY)
- …**_The Category Manager position may be hired at the Intermediate, Senior or Lead level. The position responsibilities listed below reflect those of the ... parental guarantees. + Analyze and develop company position on claims and disputes and subsequently consult with senior...Manager position may be hired at the Intermediate, Senior or Lead level. Level offered will be determined… more
- PPL Corporation (Louisville, KY)
- …results for the company. + Analyze and develop company position on supplier claims and disputes and subsequently consult with senior Sourcing management to ... results for the company. + Analyze and develop company position on supplier claims and disputes and subsequently consult with senior Sourcing management to… more
- PPL Corporation (Louisville, KY)
- …results for the company. + Analyze and develop company position on supplier claims and disputes, and subsequently consult with senior Sourcing management to ... results for the company. + Analyze and develop company position on supplier claims and disputes, and subsequently consult with senior Sourcing management to… more
- Cushman & Wakefield (Louisville, KY)
- **Job Title** Senior Data Center Facility Manager **Job Description Summary** This position has managerial oversight of multiple facilities, an entire campus, or ... and has at least one Facilities Manager and/or Assistant Facilities Manager reporting into it. **Job Description** The Senior Facilities Manager… more
- RxBenefits (Louisville, KY)
- In this multi-disciplinary, cross functional role, the Senior Manager , Pharmacy Pricing will report to the Director, Pharmacy Pricing & Analytics. The Senior ... file requests, current account RFPs, and competing PBM comparisons. The Manager also assists with resolving client issues involving performance discrepancies and… more
- Humana (Frankfort, KY)
- …The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business Intelligence Engineer will be an integral part of the Pricer Business ... the Integrated Network Payment Solutions (INPS) department which falls under the Provider Process and Network Organization (PPNO). The Senior Business… more