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Candidate Education Required A Bachelor's Degree in Business, Healthcare or related field Preferred A Master's Degree in a related field Candidate Experience Required 10 years of experience in healthcare sector (preferably at HMO or PPO) Required 7 years of experience in HMO provider/hospital/ancillary contracting and network development Required 5 years of management experience Candidate Skills A
Posted 1 day ago
Full Job Title Business Technical Analyst Job Number 1703590 Location Louisville , KY Date Posted 8 15 2017 Provides functional business knowledge and technical support to the business unit through developed and ad hoc analysis/reporting , as well as designing and programming new processes/reports. Acts as subject matter expert for department or business unit on business systems/applic
Posted 1 day ago
Full Job Title Field Service Coordinator RN (Case Management) Job Number 1702811 Location Owensboro , KY Date Posted 7 13 2017 PLEASE NOTE THIS POSITION TO BE LOCATED IN ONE OF THE FOLLOWING COUNTIES TRIGG, CHRISTIAN, MUHLENBURG OR TODD WITH REPORTING RELATIONSHIPS TO THE OWENSBORO, KY OFFICE" "THIS IS A WORK FROM HOME OPPORTUNITY, BUT WILL REQUIRE TRAVEL TO VISIT WITH MEMBERS IN OUR N
Posted 1 day ago
Full Job Title Behavioral Health Care Manager Job Number 1703370 Location Hazard , KY Date Posted 7 24 2017 Conducts comprehensive member psychosocial assessments through root cause analysis and performs clinical intervention through the development of a care management treatment plan specific to each member with high level acuity needs. Manages members with severe mental illness who h
Posted 1 day ago
Full Job Title Behavioral Health Care Manager Job Number 1703323 Location Lexington , KY Date Posted 7 18 2017 "PLEASE NOTE THIS POSITION CAN WORK IN THE LEXINGTON OR HAZARD, KY AREA" Conducts comprehensive member psychosocial assessments through root cause analysis and performs clinical intervention through the development of a care management treatment plan specific to each member wi
Posted 1 day ago
Reviews, quality checks and accurately enters all data/enrollment paperwork into electronic application. Creates flyers, pamphlets and event material to support field based lead generation activities May be asked to support and travel to other markets from time to time. Conducts new member orientation. Contacts approved leads by telephone to set appointments. Candidate Education High School or GED
Posted 1 day ago
Candidate Education Required A Bachelor's Degree in a related field or equivalent combination of education and experience required Candidate Experience Required 5 years of experience in Investigations and healthcare fraud related investigations combined Medical investigative experience with a focus on Medicaid and Medicare Preferred. Candidate Skills Advanced Knowledge of community, state and fede
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