Job(s) 1 to 14 of 14
6/21/2016
Louisville, KY
Not Provided
Federal Contractor
Operations Support Specialist (1602032) Serves as a department Subject Matter Expert (SME) for a wide range of tasks and special functions to include vendor support, training, quality reviews, new business implementations, reporting, process improvement, etc. REPORTS TO DIRECTOR, PROVIDER RELATIONS ...
6/3/2016
Lexington, KY
Not Provided
Federal Contractor
Operations Account Specialist (1601535) PLEASE NOTE THIS POSITION CAN BE LOCATED IN ANY OF THE FOLLOWING LOCATIONS LOUISVILLE, LEXINGTON, BOWLING GREEN, ASHLAND, HAZARD OR OWENSBORO, KY Coordinates and documents provider inquiries. Researches and assists Operations Account Representatives with resol ...
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 ...
Federal Contractor
Human Resources Business Partner III (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. Areas of ...
6/24/2016
Louisville, KY
Not Provided
Recently Posted
Federal Contractor
Project Analyst, Sr (1602663) Assists in completing activities related to various cross functional projects in support of goals within the department. REPORTS TO SR. DIRECTOR STRATEGIC INITIATIVES DEPARTMENT KENTUCKY OPERATIONS ANALYTICS POSITION LOCATION LOUISVILLE, KY 40223 Essential Functions Man ...
6/24/2016
Louisville, KY
Not Provided
Recently Posted
Federal Contractor
State President Kentucky LOB (1502106) Responsible for the overall operations of the health plan, including strategic direction, administration of all existing programs and development of new programs to ensure goals and objectives are met or exceeded. Working closely with the Division President and ...
6/16/2016
Louisville, KY
Not Provided
Federal Contractor
Clinical Social Worker (1602472) PLEASE NOTE THIS POSITION TO BE LOCATED IN ONE OF THE FOLLOWING COUNTIES BOONE, CAMPBELL, GALLATIN, CARROLL, GRANT, KENTON, OWEN OR PENDLETON REPORTS TO SR. MANAGER BEHAVIORAL HEALTH PROGRAMS DEPARTMENT KENTUCKY HEALTH SERVICES STATE Coordinates the socio economic n ...
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 ...
Federal Contractor
Clinical HEDIS Practice Advisor (1602280) Provides education and consultation to providers' and provider practice sites in regards to the National Committee for Quality Assurance (NCQA) HEDIS measures. Serves as the market clinical subject matter, expert in the field, for HEDIS measures, appropriate ...
Federal Contractor
Manager, Network Management (Behavioral Health) (1600666) Manages IPA networks and Network Development Specialists by developing and maintaining network of risk bearing IPAs. Achieves company targets through aggressive IPA primary care, specialty and ancillary provider contracting and risk contract ...
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 ...
4/27/2016
Louisville, KY
Not Provided
Federal Contractor
Quality Improvement Analyst (1601844) Coordinates complex assignments involving cross functional teams in the fullfillment of contract deliverables, regulatory and accreditation requirements with focus on data analytics and performance improvement. Models and promotes the core values of the Collabor ...
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 ...