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31 Jobs

  • Behavioral Health HEDIS Quality Program Director

    LOUISVILLE, Kentucky
    ... compliance with corporate Quality Improvement work plans. Assures accurate and complete quantitative ... , outcomes reporting, QIAs in compliance with regulatory and accreditation standards Organizational SME ...
  • Behavioral Health Clinical Quality Audit Analyst, Sr.

    LOUISVILLE, Kentucky
    ... such as HEDIS and CPG compliance. Conducts quality of care investigations and using criteria ...
  • Program Manager

    Louisville, Kentucky
    ... Program Manager _This position will work a hybrid model (remote and office), 1-2 times per ... medical-expense spending. The Program Manager is responsible for the development and ongoing management ...
  • Manager II, Financial Ops (WC Subrogation)

    LOUISVILLE, Kentucky
    ... . The manager is responsible for meeting team recovery targets and ensuring compliance with all ... Manager II, Financial Ops (WC Subrogation) Location: This position will work a ...
  • Nurse Medical Management I-2

    Louisville, Kentucky
    ... appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and ...
  • Program Manager-2

    LOUISVILLE, Kentucky
    ... Program Manager Location: Mason, OH; Indianapolis, IN; Louisville, KY; Norfolk ... Program Manager will be responsible for the development and ongoing management of one or more multi ...
  • Nurse Medical Management I

    Louisville, Kentucky
    ... appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and ...
  • Nurse Medical Management I

    Louisville, Kentucky
    ... appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and ...
  • Nurse Medical Management I-3

    Louisville, Kentucky
    ... appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and ...
  • Legal Specialist II

    LOUISVILLE, Kentucky
    ... compliance issues. Attends and represents company at appropriate legal proceedings, arbitration ...
  • Nurse Medical Management I-1

    Louisville, Kentucky
    ... appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and ...
  • Compliance Consultant Sr (US)

    Louisville, Kentucky
    ... Elevance Health location. The Compliance Consultant Sr. is responsible for delivering and executing foundational and strategic compliance responsibilities with consistent excellence that support the ...
  • Stop Loss Group Underwriter Consultant, Sr

    Louisville, Kentucky
    ... role and specified as primarily virtual by the hiring manager, associates are required to work at an ... procedures in compliance with system, regulatory and business requirements. **Minimum Requirements ...
  • Director I Compliance

    Louisville, Kentucky
    ... Director I Compliance Location: This position will work a hybrid model (remote ... collaboration, community, and connection. The Director I Compliance is responsible for ...
  • Identity and Access Management (IAM) Engineer Senior Advisor

    LOUISVILLE, Kentucky
    ... an infrastructure necessary to support information security in compliance with established company ... standards. Acts as a subject matter expert among peers, with manager and senior management ...
  • Behavioral Health HEDIS Quality Program Manager

    LOUISVILLE, Kentucky
    ... Manager** is responsible for serving as the quality lead and overseeing the quality improvement ... improvement activities/projects to improve the quality of care for members. Assures compliance with ...
  • FedRAMP SOC Analyst

    Louisville, Kentucky
    ... compliance with the Federal Risk and Authorization Management Program (FedRAMP). **How You Will Make An ... (FedRAMP). Ensure compliance with IT/Cyber certification, training, and knowledge mandates that are ...
  • Cloud Cyber Security Analyst (Data Protection/DevOps)

    Louisville, Kentucky
    ... , AWS, GCP & Azure resources to complete database activity compliance. Troubleshoot, diagnose, and ... ) Cryptography, 5) Information Security and Risk Management 6) Legal, Regulations, 7) Compliance and ...
  • Senior Identity & Access Management (CIAM) Security Advisor

    Louisville, Kentucky
    ... infrastructure necessary to support information security in compliance with established company policies ... . Acts as a subject matter expert among peers, with manager and senior management across all IAM topics ...
  • Compliance Manager

    Louisville, Kentucky
    ... office per week. The Compliance Manager is responsible for managing foundational and strategic compliance responsibilities with consistent excellence that support the team and management ...
  • Cloud Platform Principal Engineer

    Louisville, Kentucky
    ... and DevOps best practices and compliance for application release and deployment through leading other ...
  • FedRAMP Principal

    Louisville, Kentucky
    ... & compliance, and infrastructure teams, etc. to execute auto-scaling and right-sizing cloud database cost ...
  • Data Governance and Security Architect

    LOUISVILLE, Kentucky
    ... privacy and security policies are in place and that the organization is in compliance with data protection ... metadata to enhance data accessibility and understanding. Oversee data compliance activities ...
  • Internal Audit Manager/Lead

    LOUISVILLE, Kentucky
    ... Manager/Lead is responsible for independently leading, supporting and providing direction to an audit team ... :** Experience with Governance, Risk and Compliance (GRC) systems (e.g., Workiva WDesk, Highbond, Audit Board ...
  • Information Security Sr Advisor (Threat Detection Engineer)

    LOUISVILLE, Kentucky
    ... , procedures, and other elements of an infrastructure necessary to support information security in compliance ... -conceived, designed and implemented in compliance with enterprise standards. **How You Will Make An ...
  • Information Architect

    LOUISVILLE, Kentucky
    ... , including IT, legal, compliance, and business units. Together, you’ll establish data governance policies and ... and ensuring compliance with regulations and best practices. Contributes to information ...
  • Internal Auditor Sr.

    LOUISVILLE, Kentucky
    ... controls (including statistical data) for accuracy, completeness, effectiveness and compliance ... /compliance groups with various activities that may include, testing, documentation, client request materials ...
  • Principal Multi-Cloud Network Engineer

    Louisville, Kentucky
    ... Program (FedRAMP) and Impact Level 4 (IL4) compliance. The ideal candidate will have a deep understanding ... platforms (e.g., AWS, Azure, Google Cloud) to meet FedRAMP and IL4 compliance requirements. Lead and ...
  • Contract Administrator Ld

    LOUISVILLE, Kentucky
    ... development, and compliance strongly preferred. Legal compliance research or paralegal experience ...
  • Nurse Medical Management II

    Louisville, Kentucky
    ... coordination, or discharge planning for appropriateness of treatment setting reviews to ensure compliance with ...
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