- Molina Healthcare (KY)
- **Job Summary** Molina Medicare Stars Sr Program Manager function supports program governance, plans, leads and implements quality improvement ... initiatives to improve Star Ratings. * Serves as the Medicare Stars subject matter expert to Program Managers and in functional areas; leads programs to meet… more
- Molina Healthcare (Covington, KY)
- …Extensive knowledge in health insurance + Knowledge of enrollment files, including extracts + Program Manager experience + Sr . Business or System Analyst ... remove hurdles. This is a hybrid role that requires Program Management, System Analyst and Sr . Business...units + Strong business knowledge related to Medicaid and Medicare lines of business + Reviews enrollment issue trends… more
- Elevance Health (Louisville, KY)
- …Medicaid Services to transform federal health programs._ The **Audit and Reimbursement Senior ** will support our Medicare Administrative Contract (MAC) with the ... of the Department of Health and Human Services). The Audit and Reimbursement Senior will support contractual workload involving complex Medicare cost reports and… more
- Cardinal Health (Frankfort, KY)
- …receives detailed instruction on new assignments + Consults with supervisor or senior peers on complex and unusual problems **_Responsibilities_** The Case ... Manager supports patient access to therapy through Reimbursement Support...therapy through Reimbursement Support Services in accordance with the program business rules and HIPAA regulations. This position is… more
- CVS Health (Frankfort, KY)
- …with provider engagement, relations, or account management. + Working knowledge of Medicare contracts. + An understanding of value based contracts, how they work, ... for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed...includes an award target in the company's equity award program . Our people fuel our future. Our teams reflect… more
- Cardinal Health (Frankfort, KY)
- …and internal customers + Create and complete applications for enrollment within program timeframes + Review forms and supporting documentation thoroughly for any ... correspondence when necessary to support the needs of the patient and/or program + Maintain accurate and detailed activity notes. + Complete benefit investigations… more
- Waystar (Louisville, KY)
- …payment and volume-based revenue streams and associated costs. Reporting directly to the Manager of FP&A, Revenue, this role is critical for providing insights that ... systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out...programs, including adoption assistance and fertility support + 401(K) program with company match + Pet insurance + Employee… more
- CVS Health (Frankfort, KY)
- …more compassionate. And we do it all with heart, each and every day. **Position Summary** Senior Manager - Vendor Data Management is a high impact role, you will ... years of management consulting experience or 5+ years of Medicare or Medicaid benefit and financial analytics experience required....for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed… more
- Cardinal Health (Frankfort, KY)
- …can get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through ... patient support services in accordance with the program business rules and HIPAA regulations. This role involves care coordination, insurance verification and… more
- CVS Health (Frankfort, KY)
- …next role? Join Aetna/CVS Health, a Fortune 4 company, as the Network Management Senior Manager . In this role, you will manage negotiations, conduct high-level ... and developing yourself and others) skills **Required Qualifications** * Commercial, Medicare , and/or Medicaid knowledge * 5+ years related experience, proven and… more