Manager Healthcare Payer Jobs in Louisville

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..

Description The Grievance and Appeals Manager leads a team of 4-6 ... parties. The Grievance and Appeals Manager works within specific guidelines and ... Required Qualifications Bachelor's Degree in healthcare..

... 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..

... (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..

... 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..

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..

... 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..

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). ..

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..

... 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, 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 ..

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 Humana Medicaid is growing and you have the unique opportunity to grow with us! Join our team and propel Humana forward to solve the technology challenges of tomorrow. You'll collaborate ..

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Job Description Summary: Health is everything. At CVS Health, colleagues are committed to increasing access, lowering costs and improving quality of care. Millions of times a day, we help people on ..

... 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 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, 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..

... 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..

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..

Job Description Health is everything. At CVS Health, we are committed to increasing patient access to care, lowering costs and improving the quality of care. Millions of times a day, we're ..

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 ..

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 ..