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Job Description Job Summary Assist business teams with developing requirements for major projects of considerable complexity, prepares system design specifications, conducts research to resolve customer initiated issues...
JOB DESCRIPTION Job Summary Responsible for reviewing and resolving member and provider complaints and communicating resolution to members and provider (or authorized representatives) in accordance with the standards and...
Molina Healthcare Kentucky, Kentucky 7h ago
JOB DESCRIPTION Job Summary Responsible for administering claims payments, maintaining claim records, and providing counsel to claimants regarding coverage amount and benefit interpretation. Monitors and controls backlog...
Molina Healthcare Kentucky, Kentucky 8h ago
JOB DESCRIPTION Job Summary The Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home, community, and nursing facility settings. Provides needed care in the en...
Department Name: Internal Audit Work Shift: Day Job Category: Finance Estimated Pay Range: $43.77 - $72.95 / hour, based on location, education, & experience. In accordance with State Pay Transparency Rules. Becker's...
Kelly Services Kentucky, Kentucky 1w ago
Think the best job opportunities are far away? Think again. Great opportunities are right here in your backyard. Kelly® is looking for a Manufacturing Associate to work at a premier manufacturing company in Florence and...
Job Description Job Summary Perform data and error analysis to improve models, and clean and validate data for uniformity and accuracy. Execute data science and statistical analytical experiments methodically to help sol...
Job Description Job Summary Perform data and error analysis to improve models, and clean and validate data for uniformity and accuracy. Execute data science and statistical analytical experiments methodically to help sol...
JOB DESCRIPTION Job Summary Responsible for being the SME (Subject Matter Expert) for Medicaid risk adjustment programs in multiple states. Maintain risk adjustment model, estimate risk scores, and analyze impact. Extrac...
Molina Healthcare Kentucky, Kentucky 1w ago
Job Description Job Summary Provides leadership and direction to MMS Operational Units management staff (e.g., Claims Processing, Provider Services, Provider Enrollment, Finance, Managed Care Provider Network), for manag...

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