- BrightSpring Health Services (Louisville, KY)
- Our Company PharMerica Overview The Clinical Utilization Management Pharmacistis responsible for providing data driven consultative services to clients that ... to clients and, where required, presents the analytics themselves + Supports Account Management by providing, for key clients, business reviews with the… more
- Evolent (Frankfort, KY)
- …insights to internal and external stakeholders. + Experience with value-based care, utilization management , or regulatory reporting (eg, HEDIS, NCQA, Milliman). ... reason why diversity and inclusion are core to our business . Join Evolent for the mission. Stay for the...mission. Stay for the culture. **What You'll Be Doing:** ** Senior Analyst, Healthcare Analytics Consultant** The Client Analytics team… more
- Highmark Health (Frankfort, KY)
- …Risk Compliance Analyst is responsible for monitoring and analyzing medical and utilization management activities to ensure compliance with internal policies, ... internal departments. The Analyst conducts audits of Medical Directors, Utilization Management (UM) and Case Management...Strong written and verbal communication skills for diverse audiences ( senior management , board, peer, and team). +… more
- Molina Healthcare (Louisville, KY)
- …and/or Tableau and data management + Knowledge of healthcare operations ( utilization management , disease management , HEDIS quality measures, claims ... **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Medical Economics provides support and consultation...the Health Plan and Finance team through analyzing key business issues related to cost, utilization and… more
- Molina Healthcare (Covington, KY)
- …business needs into technical solutions. This role works closely with clinicians, utilization management teams, and business stakeholders to gather ... **JOB DESCRIPTION** **JOB DESCRIPTION** **Job Summary** The Senior Analyst, Healthcare plays a critical role in...+ 4+ years in a healthcare analytics role supporting ** utilization management , population health, or quality improvement**… more
- Coinbase (Frankfort, KY)
- …detailing clear findings, risk implications, and pragmatic, actionable recommendations to senior management and relevant stakeholders. Partner with leadership to ... review, report issuance and issue validation across IT and business functions. By executing all aspects of audits, including...oversee and report on remediation progress and effectiveness to senior management . * *Executive & Audit Committee… more
- Highmark Health (Frankfort, KY)
- …Therapeutics Committee review. + Assist in the development and implementation of utilization management programs including but not limited to: prior ... account, and member educational initiatives that promote the Organization's Formularies, utilization management programs, and disease management initiatives.… more
- Prime Therapeutics (Frankfort, KY)
- …drives every decision we make. **Job Posting Title** Clinical Solutions Strategy Senior Director - Remote **Job Description** The Clinical Solutions Strategy ... Senior Director is responsible for developing new, bold clinical...will assess drug pipelines and evolving markets for potential business expansion. The position will work with external thought… more
- Acxiom (Frankfort, KY)
- We are seeking a highly skilled and experienced Senior Workfront Developer (Adobe Practice) to join our dynamic professional services team. The ideal candidate will ... designing, implementing, and maintaining Adobe Workfront solutions to streamline project management processes across the organization. You will work closely with… more
- Molina Healthcare (Covington, KY)
- …strategic investment decisions + Research and develop reports and analyses for senior management and effectively and concisely communicate results and key ... Performs Health Plan strategic analysis and planning and coordinates across business units on Risk Adjustment Program Valuation and Strategic/Scoreable Action Items… more