Jobs near Louisville: 3,977
RS
Relevance Score ranked on: POLICY
Medical Policy Consultant (US)
LOUISVILLE, 13550 TRITON PARK BLVD
Medical Policy Consultant. National Government Services is a proud member of Elevance Health Companies, Inc. family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs. Location: This is a virt...
Search Terms: Policy, Consultant, Medical, Medical Director, Research
90
0mi
Updated: November 06
Clinical Fraud Investigator II - SIU Fraud & Abuse
LOUISVILLE, 13550 TRITON PARK BLVD
Conducts data mining activities using available tools and internal data warehouse. Performs comprehensive analysis and clinical evaluation of the collected data. Performs in-depth investigations on identified providers as warranted. Examines claims for compliance with relevant billing and processing ...
Search Terms: Fraud, Clinical, Investigator, Healthcare, Benefits
0
0mi
Updated: November 12
IBM BPM/BAW Developer
LOUISVILLE, 13550 TRITON PARK BLVD
IBM BPM/ BAW Developer. Location: This position will work a hybrid model (remote & office). The ideal candidate will live within 50 miles of one of our Elevance Health Pulse. Point office locations. Preferred Location: Indianapolis, IN - The IBM BPM/ BAW Developer is responsible for programming on sp...
Search Terms: Developer, Technical, Business, Monitoring, Technology
0
0mi
Updated: November 12
Staff VP Claims Operations (Original Claims)
LOUISVILLE, 13550 TRITON PARK BLVD
Oversees multiple claims processing units, executes strategies to deliver industry leading service results. Improves processes and partners across lines of business to develop consistency and share best practices. Drives results to improve member/provider satisfaction. Builds strong partnerships with...
Search Terms: Claims, VP, Operations, Staff, Operation
0
0mi
Updated: November 12
Nurse Disease Mgmt II (US)
LOUISVILLE, 13550 TRITON PARK BLVD
Telephonic Nurse Disease Management II$2000 Sign on Bonus. At Federal Health Products and Services - FHPS, a proud member of the Elevance Health, Inc. family of companies, it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value f...
Search Terms: Nurse, Behavioral Health, Management, Healthcare, Coach
0
0mi
Updated: November 12
Director Associate Relations
LOUISVILLE, 13550 TRITON PARK BLVD
Oversee all investigations and overall case management. Administer HR policies governing issues such as workplace rules and conduct, effective complaint resolution/investigation, performance management issues, ensuring fair employment practices, corrective action/performance improvement, compliance a...
Search Terms: Director, Associate, Relations, Business Partner, Operations
0
0mi
Updated: November 12
Medicare Medical Director
LOUISVILLE, 13550 TRITON PARK BLVD
Supports clinicians to ensure timely and consistent responses to members and providers. Provides guidance for clinical operational aspects of a program. Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations, and patients’ office visits wi...
Search Terms: Medical Director, Director, Medical, Clinical, Behavioral Health
0
0mi
Updated: November 12
Audit & Reimbursement II (US)
LOUISVILLE, 13550 TRITON PARK BLVD
Analyzes and interprets data and makes recommendations for change based on their judgment and experience. Interacts with the provider community and provider consultants regarding payments to providers, etc. Document findings, prepare detailed work papers and present audit adjustment reports in accord...
Search Terms: Audit, Auditor, Project Management, Healthcare, Business
0
0mi
Updated: November 12
Client Account Specialist - McGriff
Louisville
Process new and renewal business within timelines and quality standards, including updating and maintaining information in the client management system .. Escalate issues of increased complexity, according to department standards, to the applicable internal contact .. Provide clients with timely info...
Search Terms: Account Specialist, Client, Specialist, Communications, Accounting
0
0mi
Updated: November 12
Part Time Store Associate
Louisville
Gordon Food Service Store LLC - Location: 7389 Jefferson Blvd, Louisville, KY, 40219-6178 Hiring Immediately! Pay: $12-14/hr Store Hours - Monday through Saturday 7 AM-8 PM; Sunday 9 AM-6 PM - Holidays Off - We are CLOSED on Thanksgiving, Christmas, New Year's Day and Easter. Advancement - High inter...
Search Terms: Associate, Part Time, Food Service, Program
0
0mi
Updated: November 12
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