Jobs near Louisville: 4,371
RS
Relevance Score ranked on: COMPENSATION
Commercial Formulary Pharmacist - CarelonRx
LOUISVILLE, 13550 TRITON PARK BLVD
Leads Commercial formulary management processes. Responsible for all member, stakeholder, and provider communications regarding formulary changes. Ensures appropriate formulary set-up and claims adjudication. Serves as a clinical pharmacy resource to pharmacy benefit management and pharmacy operation...
Search Terms: Pharmacist, Commercial, Pharmacy, Healthcare, Compensation
70.2
0mi
Updated: September 20
Health Insurance Exchange Pharmacist - CarelonRx
LOUISVILLE, 13550 TRITON PARK BLVD
Lead Health Insurance Exchange formulary management processes. Responsible for all member, stakeholder, and provider communications regarding formulary changes. Ensure appropriate formulary set-up and claims adjudication. Serve as a clinical pharmacy resource to pharmacy benefit management and pharma...
Search Terms: Health, Pharmacist, Insurance, Healthcare, Pharmacy
70.2
0mi
Updated: September 20
Audit & Reimbursement Senior- Medicare Cost Report Audit
LOUISVILLE, 13550 TRITON PARK BLVD
Prepare and perform supervisory review of cost report desk reviews and audits. Review of complex exception requests and CMS change requests. Perform supervisory review of workload involving complex areas of Medicare part A reimbursement such as Medicare DSH, Bad Debts, Medical Education, Nursing and ...
Search Terms: Audit, Senior, Accounting, Healthcare, Benefits
70.2
0mi
Updated: September 20
Proposal Develop Analyst Sr - Commercial Proposals Team
LOUISVILLE, 13550 TRITON PARK BLVD
Manages the coordination of proposal activities and responses with other operating areas such as Claims, Underwriting, Sales, and Specialty companies assuring their actions come together as a seamless response to the Request for Proposal (RFP). Responds to detailed RFP specifications including questi...
Search Terms: Proposal, Commercial, Analyst, Healthcare, Business Services
68.7
0mi
Updated: September 18
Stop Loss Actuarial Analyst III
LOUISVILLE, 13550 TRITON PARK BLVD
Stop Loss Actuarial Analyst III - Location: Elevance Health operates in a Hybrid Workforce Strategy, providing various levels of flexibility while also ensuring that associates have opportunities to connect in-person. Unless in a designated virtual-eligible role and specified as primarily virtual by ...
Search Terms: Actuarial, Analyst, Technology, Healthcare, Benefits
68.7
0mi
Updated: September 18
Project Manager Sr.
LOUISVILLE, 13550 TRITON PARK BLVD
Manages a variety of simultaneous small to medium size projects across business units, regions or the enterprise. Applying project management knowledge, skills, tools and techniques to project deliverables, processes and systems. Leading projects across IT and Business Units managing the delivery of ...
Search Terms: Project Manager, Manager, Project Management, Healthcare, Benefits
67.6
0mi
Updated: September 14
Grievance/Appeals Analyst I
LOUISVILLE, 13550 TRITON PARK BLVD
?Reviews, analyzes and processes non-complex grievances and appeals in accordance with external accreditation and regulatory requirements, internal policies and claims events requiring adaptation of written response in clear, understandable language. Utilizes guidelines and review tools to conduct ex...
Search Terms: Appeals, Analyst, Administrative, Healthcare, Medical
67.6
0mi
Updated: September 14
Proposal Development Consultant
LOUISVILLE, 13550 TRITON PARK BLVD
Primary duties may include, but are not limited to: Conducts initial review of RFPs/ RFIs and surveys to create a project plan for final deliverables. Organizes and participates in strategy meetings with Sales/ Account Management personnel to determine the strategy and sales emphasis of each proposal...
Search Terms: Proposal, Consultant, Development, Healthcare, Business Services
67.6
0mi
Updated: September 14
Actuarial Analyst - Early Careers
LOUISVILLE, 13550 TRITON PARK BLVD
Under limited supervision, applies the appropriate actuarial analytical tools to the data and performs preliminary actuarial and statistical analysis. Updates actuarial pricing, valuation and forecasting models as directed. Refines and collects appropriate data for actuarial analysis and ensures its ...
Search Terms: Actuarial, Analyst, Insurance, Healthcare, Benefits
67.6
0mi
Updated: September 14
Proposal Develop Consultant - Commercial Proposals Team
LOUISVILLE, 13550 TRITON PARK BLVD
Conducts initial review of RFPs/ RFIs and surveys to create a project plan for final deliverables. Organizes and participates in strategy meetings with senior sales personnel to determine the strategy and sales emphasis of each proposal. Writes and proofreads final deliverables. Develops and writes t...
Search Terms: Proposal, Consultant, Commercial, Healthcare, Business Services
67.3
0mi
Updated: September 12
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