- Humana (Frankfort, KY)
- **Become a part of our caring community and help us put health first** The Senior Payment Integrity Professional uses technology and data mining, detects ... to the investigations of fraud waste and our financial recovery. The Senior Payment Integrity Professional work assignments involve moderately complex… more
- Elevance Health (Louisville, KY)
- **Nurse Audit Senior - Payment Integrity Complex and Clinical Audit** **Location:** This role enables associates to work virtually full-time, with the ... considered for employment, unless an accommodation is granted as required by law. **Carelon Payment Integrity ** is a proud member of the Elevance Health family… more
- Molina Healthcare (Lexington, KY)
- …insight to Molina's culture, Mission and Values. **KNOWLEDGE, SKILLS & ABILITIES** ** Payment Integrity Analytics** + Assist in analyzing large datasets to ... and analysts to conduct exploratory and diagnostic data analysis that supports payment integrity projects. + Utilize statistical analysis, machine learning… more
- Humana (Frankfort, KY)
- …part of our caring community and help us put health first** The Senior Network Optimization Professional oversees various efforts involving provider network ... and governance to support state specific network adequacy requirements. The Senior Network Optimization Professional works assignments involving moderately… more
- Humana (Frankfort, KY)
- …part of our caring community and help us put health first** The Senior Procurement Professional generates and implements efficient sourcing and category ... Manages the company's supply portfolio ensuring transparency of spending. The Senior Procurement Professional work assignments involve moderately complex to… more
- PPL Corporation (Louisville, KY)
- …productivity with suppliers and customers. This position is an experienced professional that works independently with minimal supervision and may provide guidance ... Responsibilities **_The Category Manager position may be hired at the Intermediate, Senior or Lead level. The position responsibilities listed below reflect those of… more
- Molina Healthcare (Lexington, KY)
- …workflows and controls across intake, adjudication, adjustments, appeals/grievances, and payment integrity . + Technology Enablement: Oversee requirements, ... (Healthcare/Claims)** + Deep understanding of claims lifecycle, EDI transactions, payment integrity , provider data, appeals/grievances, and audit/compliance… more
- ADM (Erlanger, KY)
- **102208BR** **Job Title:** Senior Manager Technology and Cybersecurity Governance - Erlanger, KY **Department/Function:** Information Technology **Job ... Description:** ** Senior Manager Technology and Cybersecurity Governance - Erlanger, KY...role is instrumental to ensuring we maintain our operational integrity , protect our data and systems, and comply with… more
- Otsuka America Pharmaceutical Inc. (Frankfort, KY)
- …Description** **Position Summary** Otsuka is seeking an experienced and visionary Senior Director, Global Clinical Development (GCD), with experience in immunology, ... study teams, and ensuring the highest standards of scientific and medical integrity . The incumbent will be responsible for the design and oversight of… more
- Norstella (Frankfort, KY)
- Senior RWD Analytic Consultant Company: Norstella Location: Remote, United States Date Posted: Oct 24, 2025 Employment Type: Full Time Job ID: R-1541 **Description** ... UK, The Netherlands, Japan, China and India. **The Role: Senior RWD Analytic Consultant** We are currently seeking a...at the executive level. **Qualifications:** * 4+ years of professional experience working hands on with RWD (eg, open/closed… more