Healthcare Operations Jobs in Louisville

Job Information Humana Healthcare Data Analyst in Louisville Kentucky Description The Payment Integrity Professional 2 uses technology and data mining, detects anomalies in data to identify and collect overpayment of claims. ..

Description Responsibilities The Consumer Service Operations Professional 2 evaluates claims oversight performance metrics by interfacing with the sub-contractor to gather and track associated reporting. The Consumer Service Operations Professional 2 evaluates ..

Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within ..

Job Information Humana VP, Clinical Operations in Louisville Kentucky Description VP, ... Louisville Kentucky Description VP, Clinical Operations and Chief Clinical Officer of ... of the Home Health clinical operations...

Job Information Humana Network Operations Lead - Behavioral Health/Medicaid in ... Louisville Kentucky Description The Network Operations Lead maintains provider relations to ... claims data needed for service operations. The..

... Advisor - Medicaid Provider Service Operations in Louisville Kentucky Description The ... Advisor - Medicaid Provider Service Operations provides support to assigned health ... to Medicaid Group product implementation,..

Description Responsibilities The Operations Manager will be responsible for bringing the Humana Military Office of Military Health and Resilience to life at a local Prime Service Area (PSA) level. This individual ..

... of our members. Humana Clinical Operations (HCO) provides direct support to ... reporting environment related to clinical operations. Immerse yourself in clinical processes, ... PowerBI Experience working in the..

... markets through the analysis of healthcare data, identification of target patient ... field or 5 years of healthcare operations or clinical experience Experience in ... clinical experience Experience in..

Job Information Humana Market Network Operations Lead (Behavioral Health) - KY ... Description The Behavioral Health Network Operations Lead will be our Subject ... claims data needed for service operations...

Description The Network Operations Lead maintains provider relations to support customer service activities through data integrity management and gathering of provider claims data needed for service operations. The Network Operations Lead ..

Description The Healthcare Financial Analyst collects, analyzes, and ... Central Region is seeking a Healthcare Financial Analyst to partner closely ... leadership and external exposure with healthcare providers in OH,..

Louisville Call Mara at (888) 796-6556 for more information! Field Services Engineer / Maintenance - Imaging Engineer About Us At Alliance Radiology, our team members focus on transforming the patient experience ..

... leader. If you haven't considered Healthcare before, read on as we ... as we think you should. Healthcare Experience is NOT required. For ... year after year. As a..

Description The UM Administration Coordinator contributes to administration of utilization management. The UM Administration Coordinator performs varied activities and moderately complex administrative/operational/customer support assignments. Performs computations. Typically works on semi-routine assignments. ..

Description The Principal Quality Leader will lead testing and quality collaboration between Business and IT, guiding test strategies and tools and assure adherence to quality standards. Serves as point of contact ..

... a fit? Successfully navigating the healthcare industry and advancing our Integrated ... strategy to provide consumer-centric, integrated healthcare to help the millions of ... tackle the ambiguous world of..

... Information Humana Senior Consumer Service Operations Analyst-Remote KY, IN or WI ... Description The Senior Consumer Service Operations Professional is responsible for the ... area. The Senior Consumer Service..

Description The Operations Supervisor, Inbound Contacts represents the company by addressing incoming telephone, digital, or written inquiries. The Supervisor, Inbound Contacts works within thorough, prescribed guidelines and procedures; uses independent judgment ..

... Location: Remote The Strategy & Operations Lead provides data-backed strategic direction ... the enterprise (e.g. clinical, quality, operations, analytics). You will work with ... this context, the Strategy &..

... Information Humana Senior Consumer Service Operations in Louisville Kentucky Description The ... Description The Senior Consumer Service Operations Professional is responsible for the ... area. The Senior Consumer Service..

Description The Senior Process Improvement Professional analyzes, and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Senior Process Improvement Professional work assignments ..

OverviewnThe System Healthcare Analyst, Controlled Substance Accountability: Audit and Metrics provides support for audit and investigation activities plus aggregation and analysis of metrics data for the medication diversion surveillance program.nMajor job ..