Job(s) 1 to 10 of 10
Federal Contractor
Human Resources Business Partner Louisville, KY (1600166) Responsible to independently support one or more client groups of higher complexity to develop and execute human resource strategies, programs, services and solutions that are designed to enable the Company to successfully meet business goals ...
5/1/2016
Louisville, KY
Not Provided
Federal Contractor
Mgr, Kentucky State Pharmacy (1502900) Provides clinical pharmacy direction for the health plan including, but not limited to Disease Management, Pharmacy, Utilization and Quality Management. Provides drug utilization review and intervention while targeting high utilizing physicians and reviewing pr ...
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Federal Contractor
Quality Improvement Specialist, RN (Registered Nurse) (1603105) Supports the development and implementation of quality improvement interventions and audits and assists in resolving deficiencies impacting plan compliance to regulatory and accreditation standards. Interfaces with a diverse range of cl ...
7/12/2016
Lexington, KY
Not Provided
Federal Contractor
Provider Relations Representative (1602919) Manages physician network by developing and maintaining relationships to drive business results within a specific geographic area. Provides service and education to network physicians/providers. Achieves company targets through implementation of Network Im ...
Federal Contractor
Quality Improvement Project Manager (1602734) Supports the development and implementation of quality improvement interventions and audits and assists in resolving deficiencies that impact plan compliance to regulatory and accreditation standards. Drives key quality improvement projects requiring the ...
7/2/2016
Louisville, KY
Not Provided
Federal Contractor
Manager, Quality Improvement (1602735) Conducts oversight and management of Accreditation initiatives, state and regulatory quality compliance, HEDIS and quality improvement initiatives for PiPs, QiPs, QIA's, delegation audits and external quality reviews . Applies medical knowledge and analytical s ...
Federal Contractor
Supervisor, Field Services Coordination (1602476) THIS POSITION CAN BE LOCATED IN ANY OF THE FOLLOWING LOCATIONS LOUISVILLE, LEXINGTON, BOWLING GREEN, OWENSBORO, ASHLAND, OR HAZARD Supervises staff, ensures appropriate workload distribution and oversees day to day workflow processes. Ensures team is ...
6/11/2016
Louisville, KY
Not Provided
Federal Contractor
Mgr, Reporting and Analytics (1602360) Manager, Reporting & Analytics, Comprehensive Health Management Inc. aka Wellcare, Louisville, KY. Manage internal content management system and customize per local market needs. Provide leadership and management for a highly skilled analytics team in the extra ...
5/4/2016
Louisville, KY
Not Provided
Federal Contractor
Qualifications Candidate Education Required A High School or GED Candidate Experience Required 2 years of experience in a clinical setting with general nursing exposure in UM to include pre authorization, utilization review, concurrent review, discharge planning, CM w/review, and/or skilled nursing ...
3/19/2016
Louisville, KY
Not Provided
Federal Contractor
Business Analyst (1505273) Identifies and recommends operational improvement opportunities through reporting, process and trend analysis. Develops ad hoc reports for data analysis to support initiatives. Interacts with Management to recommend next level operational strategies. REPORTS TO MANAGER, BU ...