- CVS Health (Frankfort, KY)
- …day. **Position Summary** This individual contributor position reports to the Lead Director, Medicare Member Materials. This is an exciting opportunity to join ... to see the value in project **Required Qualifications** + 3+ years of Medicare member materials experience at a regional or national health plan + 3+ years… more
- CVS Health (Frankfort, KY)
- …with Duals Center of Excellence, clinical, compliance, analytics and network teams, the Senior Manager drives innovation and operational excellence to optimize ... lifecycle management of Aetna's integrated products (HIDE/FIDE) that serve Medicare Advantage populations, including Dual-Eligible Special Needs Plans (D-SNP). This… more
- Elevance Health (Louisville, KY)
- …as necessary. + Strong negotiation skills for successfully securing Commercial, Medicare and Medicaid rate agreements with complex providers. + Proven ability ... Health offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are… more
- Humana (Frankfort, KY)
- …a part of our caring community and help us put health first** The Senior Product Manager Conceives of, develops, delivers, and manages products for customer ... use. The Senior Product Manager work assignments involve moderately...from a dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information Travel: While this is… 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
- ChenMed (Louisville, KY)
- …in Ohio, Kentucky, and Georgia. Travel is required on a monthly basis. The Senior Manager , Referrals is responsible for providing support to ChenMed, et. al ... regarding internal and external member referral processes. The employee in this role is...to guide the Chenmed company's on referral processes. The Senior Manager , Referrals is the subject matter… more
- Elevance Health (Louisville, KY)
- …a strong, clinical-first lens to deliver member -centered, lasting pharmacy care. The ** Senior Test Lead (Business Change Manager Senior )** will be ... ** Senior Test Lead - Pharmacy Benefit Manager...adaptable workplace. Alternate locations may be considered. A proud member of the Elevance Health family of companies, **CarelonRx**… more
- Elevance Health (Louisville, KY)
- **Business Information Consultant Senior - Health System Reimbursement** **Location:** This role requires associates to be in-office 1 day per week, fostering ... MO, Louisville, KY or Mason, OH. The **Business Information Consultant Senior - Health System Reimbursement** is responsible for coordinating and consolidating… more
- Humana (Frankfort, KY)
- …optimize procurement and promote sustainable growth and competitive advantage. The Senior Procurement Professional - Medical Equipment will spearhead the strategic ... strategic sourcing, vendor negotiations, and innovative DME solutions. This Category Manager will develop and execute strategic category management plans for Medical… more
- BrightSpring Health Services (Louisville, KY)
- …support the Medicare Advantage Institutional Special Needs Plan (I-SNP), the Manager will work in collaboration with all clinical and operations staff on varying ... Medical Services company, Population Health Management services company, and a Medicare Advantage Institutional Special Needs Plan (I-SNP).Under the direction of the… more