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28 Jobs in Louisville, KY

  • Audit & Reimbursement II- Cost Report Audit

    LOUISVILLE, Kentucky
    ... other associates. Analyze and interpret data per a provider’s trial balance, financial statements ...
  • Provider Collaboration Mgr Sr

    LOUISVILLE, Kentucky
    ... provider contractors and network relations reps to meet provider service needs. Encourages providers ... .** PRIMARY DUTIES: Provides support for assigned provider contracts. Manage and oversee the ...
  • Provider Relationship Account Consultant

    LOUISVILLE, Kentucky
    ... issues that may impact future provider contract negotiations or jeopardize network retention ... 's provider community.** How you will make an impact: Develops and maintains positive ...
  • Staff Vice President (VP) Governance (Health Benefits Operations)

    LOUISVILLE, Kentucky
    ... payments and encounter submissions, network, reporting, IT and infrastructure, performance guarantees and ...
  • Provider Cost of Care Consultant

    LOUISVILLE, Kentucky
    ... costs, improving the quality of care, and increasing member and provider network satisfaction ... Provider Cost of Care Consultant Location: This position will work a hybrid model ...
  • Principal Multi-Cloud Network Engineer

    Louisville, Kentucky
    ... Principal Multi-Cloud Network Engineer Elevance Health is seeking a highly skilled Principal Multi-Cloud Network Engineer with expertise in Federal Risk and Authorization Management ...
  • Health Benefits Executive Director

    Louisville, Kentucky
    ... repositioning in a market, legislative changes, network/provider changes/ medical management program and policy ...
  • Audit & Reimbursement III - Medicare Cost Report Audit

    LOUISVILLE, Kentucky
    ... the manager. Prepare detailed work papers and present findings in accordance with Government ... data per a provider’s trial balance, financial statements, financial documents or other related ...
  • Go to Market Director

    LOUISVILLE, Kentucky
    ... market plans to ensure readiness for products, network and digital features. **How you will make ... Management, Marketing, Operations Product, Network, Clinical, Member Experience) to evaluate opportunities ...
  • FedRAMP SOC Analyst

    Louisville, Kentucky
    ... and network security technologies. Develop testing plans to ensure quality of implementation ... network architecture support for information and network security technologies. Close or escalate ...
  • Information Security Sr Advisor (Threat Detection Engineer)

    LOUISVILLE, Kentucky
    ... controls. Responsible for the delivery of strategic network security, access control and secure transaction ... . Provides system and network architecture support for information and network security technologies ...
  • Cost of Care Mgr (US)

    Louisville, Kentucky
    ... preferred. Prior experience with provider network contracting, provider networks, claims, finance, and ... processes around physician, hospital and ancillary network contract negotiation strategies, utilization ...
  • Provider Contract/Cost of Care Consultant Senior

    Louisville, Kentucky
    ... claims costs, improving the quality of care, and increasing member and provider network satisfaction ... Provider Contract/Cost of Care Consultant Senior-Analytics Location: This ...
  • Behavioral Health HEDIS Quality Program Director

    LOUISVILLE, Kentucky
    ... quality initiatives. Guides strategic efforts with clinical and network to improve experience of ... and implementing targeted clinical, network, and vendor programs to drive measurable improvements in ...
  • Cloud Cyber Security Analyst (Data Protection/DevOps)

    Louisville, Kentucky
    ... problems and leads implementations for system and network security technologies. Perform DAM software ... the reporting of data security events and incidents; provides system and network architecture support ...
  • Audit & Reimbursement Senior - Medicare Cost Report Audit

    LOUISVILLE, Kentucky
    ... . Able to work independently on assignments and under minimal guidance from the manager. Prepare ...
  • Associate General Counsel

    LOUISVILLE, Kentucky
    ... and federal regulatory agencies. Familiarity with provider contracting and network adequacy ...
  • Senior Identity & Access Management (CIAM) Security Advisor

    Louisville, Kentucky
    ... network security, access control, and secure transaction/messaging solutions. The associate in the role ... impact:** Leads system and network architecture and successful technical delivery for ...
  • Nurse Medical Management I-1

    Louisville, Kentucky
    ... services, focused surgical and diagnostic procedures, out-of-network services, and appropriateness of ...
  • Certified Peer & Recovery Specialist (US)

    LOUISVILLE, Kentucky
    ... members and their families in forming a supportive, recovery network. Develops and implements ...
  • FedRAMP Principal

    Louisville, Kentucky
    ... architecting/engineering DevOps-based cloud network or cloud network security CI/CD deployment pipelines ...
  • Nurse Medical Management II

    Louisville, Kentucky
    ... procedures, out-of-network services, and appropriateness of treatment setting by utilizing the applicable ...
  • Wellness & Recovery Specialist

    LOUISVILLE, Kentucky
    ... forming a supportive, recovery network. Develops and implements provision of onsite psychiatric ...
  • Oncology Practice Enablement Clinician

    Louisville, Kentucky
    ... make an impact:** Independently manages relationships with provider practices by providing ... . Serve as the subject matter expert for provider practices on company programs for all lines of business ...
  • Cloud Platform Principal Engineer

    Louisville, Kentucky
    ... infrastructure (Compute, Storage, Network, Backups, DR, and Monitoring) Demonstrate and lead the ... infrastructure (Compute, Storage, Network, Backups, DR, and Monitoring) This job is assigned to an entity ...
  • Audit & Reimbursement III- Medicare Cost Report Audit

    LOUISVILLE, Kentucky
    ... manager. Prepare detailed work papers and present findings in accordance with Government Auditing ... supervisory review of work completed by other associates. Analyze and interpret data per a provider’s ...
  • Audit & Reimbursement II (US)

    LOUISVILLE, Kentucky
    ... . Perform cost report desk reviews. Analyze and interpret data per a provider’s trial balance ... reviews of provider exception requests as assigned. Minimum Requirements: **Requires ...
  • Audit & Reimbursement Sr

    LOUISVILLE, Kentucky
    ... guidance from the manager Prepare detailed work papers and present findings in accordance with ...
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