Manager Healthcare Payer Jobs in Kentucky

Division Manager-QUALITY PHYSICIAN SVCS','Full-time','Director/Manager/Supervisor','8a','8a','80','80','None','None','KENTUCKY-LOUISVILLE-JEWISH HOSP 200 ABRAHAM FLEXNER','','!*!This role ... ','!*!Education: Bachelor’s Degree in a Healthcare related fieldExperience (required and preferred): ... preferred): Minimum five years in healthcare industry in..

Bristol-Myers Squibb is a global Biopharma company committed to a single mission: to discover, develop, and deliver innovative medicines focused on helping millions of patients around the world in disease areas ..

... Clinical Analytics and Trend Program Manager in Louisville Kentucky Description The ... Clinical Analytics & Trend Program Manager role designs, communicates, and implements ... Minimum 2 years working in..

Job Information Humana Manager, Utilization Management Nursing - Medicare / Medicaid in Louisville Kentucky Description The Manager, Utilization Management Nursing utilizes clinical nursing skills to support the coordination, documentation and communication ..

Job Information Humana Manager, Fraud and Waste-Remote US in ... in Lexington Kentucky Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..

... Information Centerwell Registered Nurse Case Manager Full Time in Louisville Kentucky ... a Home Health RN Case Manager , you will: Provide admission, ... as directed by the Clinical..

Job Information Humana Lead Product Manager - Healthcare API in Louisville Kentucky Description ... Kentucky Description The Lead Product Manager - Healthcare API (SME) as part of ... Individual will..

Job Information Centerwell RN Clinical Manager Home Health Full Time in Louisville Kentucky The Clinical Manager coordinates and oversees all direct care patient services provided by clinical personnel. Develops, plans, implements, ..

Job Information Humana Manager, Utilization Management RN - Remote ... in Louisville Kentucky Description The Manager, Utilization Management Nursing utilizes clinical ... and/or benefit administration determinations. The Manager, Utilization Management..

... a leading provider of post-acute healthcare services from short-term to long-term ... difference.Join Genesis as a Unit Manager/Director - RN where your clinical ... values and policies of Genesis..

... acumen to solve for the healthcare challenges of today. The Clinical ... anywhere The Clinical Trend Program Manager (PM) role designs, communicates, and ... years or more working in..

Job Information Kindred at Home Healthcare Sales Representative - Home Health in Danville Kentucky As a Home Health Specialist , you will: Call on physicians, hospitals, skilled nursing facilities’ management, discharge ..

Description The Manager, STARS Improvement develops, implements, and manages oversight of the company's Medicare Stars Program. This position will manage the Stars improvement team. Responsibilities The Manager, STARS Improvement develops the ..

Job Information Humana Product Manager Lead, Pharmacy Transformative Products Team, ... 60 market leader in integrated healthcare with a clearly defined purpose ... us redefine the future of healthcare. With..

Job Information Humana Manager, Fraud and Waste-Remote US in ... in Louisville Kentucky Description The Manager, Fraud and Waste conducts investigations ... fraudulent and abusive practices. The Manager, Fraud and..

... Information Humana Behavorial Economics Program Manager - Test & Learn Portfolio ... acumen to solve for the healthcare challenges of today. The Clinical ... years or more working in..

... (CCM) organization is seeking a Manager, Fraud & Waste to join ... As the Fraud & Waste Manager at Humana, you will support ... that our members receive quality..

Description The Manager, Medical Coding oversees the coding team that is reviewing inpatient records for appropriate coding to include ICD-10, CPT, and HCPCS. The Manager, Medical Coding works within specific guidelines ..

... social wellness. Responsibilities The Project Manager manages all aspects of a ... and within budget. The Project Manager's work assignments are varied and ... appropriate courses of action. Project..

Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..

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Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder ..

Description The Manager, Risk Adjustment oversees coding educators and quality assurance audits of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS). ..