Key Account Manager, Louisville, KY Braeburn IncKey Account Manager, Louisville, KYLouisville, KYSpecifically, the Key Account Manager will meet their overall sales objectives by delivering clinical product-related information and providing access related information, in line with Company policies, to appropriate HCPs. Customer Engagement - Engage with account personnel to prepare for sales call, uncover needs and opportunities, communicate approved solutions, address customer concerns, gain advance/commitment, post call analysis/next steps.
Safety Manager InsurtechSafety ManagerNew Albany, IndianaOur external partnerships and the dedicated work we do in promoting a transparent and fair recruitment and selection process all contribute to the successful, inclusive and diverse culture and environment which we are proud to be a part of at Charles Taylor. If you are seeking a place where you can achieve great things for great clients in a supportive and collaborative environment, then Charles Taylor is the place for you.
Medicaid Risk Adjustment Market Manager CVS Health CorpMedicaid Risk Adjustment Market ManagerKY$54,300–$145,860 / yearPartner with segment product, sales, network, clinical teams to implement processes aimed at strengthening member and provider engagement of Revenue Integrity programs resulting in improved outcomes. This is a high-visibility role responsible for driving market level engagement, delivering insights, and demonstrating the value of Medicaid risk adjustment performance to senior leaders and market partners.
Field Case Manager Remote Louisville - Lexington KY Charles Taylor LtdField Case Manager Remote Louisville - Lexington KYLouisville, KYRemoteMaintains a working knowledge of up to date medical information including but not limited to medications, procedures, equipment, therapies, treatments, their uses, contraindications, side effects, etc. and provides research information to adjusters to assist with determinations of medical necessity and appropriateness. The Field Case Manager position is responsible for assessing and analyzing information pertinent to injured employees to evaluate the medical and vocational needs required to facilitate the patient's rehabilitation in order to promote appropriate and timely return to work.
Senior Manager, Business Consulting - Payment Integrity Center of Excellence CVS Health CorpSenior Manager, Business Consulting - Payment Integrity Center of ExcellenceKY$67,900–$199,144 / yearThe candidate should exhibit the ability to identify and manage project implementation activities across the enterprise that includes increasing the contractual terms, reimbursement accuracy and performance of our claim editing vendors, proposing opportunities to lowering G&A (reducing appeals, claim rework, and provider settlements), maximizing revenue, centralizing vendor data accuracies and service level agreements, and improving overall consistency and credibility of our Payment Integrity programs. It requires a strong background in complex program management, business or healthcare consulting, or strategic planning and process improvement, with demonstrated ability to work independently, build collaborative relationships, communicate clearly, gain alignment and consensus, build comprehensive execution plans, and meet difficult deliverables in a dynamic environment.
Manager - Louisville Int'l Airpt-Tinsley Family Chili's Grill & BarManager - Louisville Int'l Airpt-Tinsley FamilyLouisville, KYFrom leading the team through a high-energy shift to exceeding Guest expectations on every occasion to ensuring we meet our financial responsibilities, Managers are the critical link to making it all happen. Since then, we\''ve boldly claimed our place in the casual dining industry as the place to go for Big Mouth burgers, house smoked ribs, full on fajitas, and hand shaken margaritas!
Software Engineering Manager Jack Henry & Associates IncSoftware Engineering ManagerLouisville, KYRemote$115,000–$160,000 / yearIn this role, you will be directly responsible for accelerating our modernization roadmap: migrating legacy application workloads away from temporary VM environments and helping architect a native, containerized microservices ecosystem. What you'll need to have: A minimum of 5 years in development or infrastructure as an individual contributor and advanced to a high functioning Sr or Staff+ engineer, including managing a team or multiple teams in a fast paced, rapidly evolving environment.
General Manager - Louisville Int'l Airpt-Tinsley Family Chili's Grill & BarGeneral Manager - Louisville Int'l Airpt-Tinsley FamilyLouisville, KYFrom leading the team through a high-energy shift to exceeding Guest expectations on every occasion to ensuring we meet our financial responsibilities, Managers are the critical link to making it all happen. Since then, we\''ve boldly claimed our place in the casual dining industry as the place to go for Big Mouth burgers, house smoked ribs, full on fajitas, and hand shaken margaritas!
Restaurant Manager - Chili''s Chili's Grill & BarRestaurant Manager - Chili''sLouisville, KYFrom leading the team through a high-energy shift to exceeding Guest expectations on every occasion to ensuring we meet our financial responsibilities, Managers are the critical link to making it all happen. Since then, we\''ve boldly claimed our place in the casual dining industry as the place to go for Big Mouth burgers, house smoked ribs, full on fajitas, and hand shaken margaritas!
Commercial Lines Field Manager (state of Kentucky) Frankenmuth InsuranceCommercial Lines Field Manager (state of Kentucky)Kentucky, KYSummary: Under limited supervision and with significant independent judgment is responsible for agency management, underwriting, portfolio management, and customer relations for the profitability and growth of an assigned territory through a network of independent agents. Manages territory portfolio, including; Oversees assigned portfolio to achieve gross written premium, profitability, rate, retention, new business, industry and line of business mix.
Manager, Insurance Accounting Ventas IncManager, Insurance AccountingLouisville, KY$110,000–$155,000 / yearThe Ventas portfolio also includes outpatient medical buildings, research centers and healthcare facilities that attract strong institutional demand from the largest health systems, biomedical companies and universities and other research institutions in the world. The position plays a critical role in strengthening controls, improving reserve accuracy, and building scalable insurance accounting processes as Ventas' insurance programs continue to grow in size and complexity.
Patient Care manager Assistant UnitedHealth Group IncPatient Care manager AssistantNew Albany, IN$27.25–$40.90 / hourThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. As the LPN Patient Care Manager Assistant, you are responsible for assisting the Patient Care Manager in coordinating a team of staff to assure the continuity of high-quality care to patients assigned to the team"s area.
NewPatient Care Manager Assistant UnitedHealth Group IncPatient Care Manager AssistantLouisville, KY$27.25–$40.90 / hourThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. As the Patient Care Manager Assistant, you are responsible for assisting the Patient Care Manager in coordinating a team of staff to assure the continuity of high-quality care to patients assigned to the team"s area.
Technical Product Manager II - Enterprise Payment Solutions EPS Jack Henry & Associates IncTechnical Product Manager II - Enterprise Payment Solutions EPSLouisville, KYWhat you'll be responsible for: Directs, designs, and implements a comprehensive product management strategy for a specific product or group of products from product definition and planning through production and release. At Jack Henry, we deliver technology solutions that are digitally transforming and empowering community banks and credit unions to provide enhanced and streamlined user experiences to their customers and members.
Senior Manager, Risk Adjustment Vendor Management CVS Health CorpSenior Manager, Risk Adjustment Vendor ManagementKY$67,900–$182,549 / yearResponsibilities will include but not limited to Procurement processes, Quality Oversite, Performance Reporting, and will work closely with subject matter experts across all lines of business to establish and champion local market culture committed to revenue integrity excellence. 7+ years experience with a combination of the following methodologies: management consulting, project consulting, change management, business process consulting, project management and/or strategic business planning.
Technical Product Manager Advisor Jack Henry & Associates IncTechnical Product Manager AdvisorLouisville, KYRemote$107,700–$155,000 / yearWhat you'll be responsible for: Designs, modifies and manages activities for a specific product or group of products from product definition and planning through production and release. As the Technical Product Manager you will be acting independently, designing, modifying, and managing activities of products within the information technology family.
Account Manager - State Farm Agent Team Member Mike Kenney - State Farm AgentAccount Manager - State Farm Agent Team MemberLouisville, KYFull timeService can include responding to inquiries regarding insurance availability, eligibility, coverages, policy changes, transfers, claim submissions, and billing clarification. Experience in sales (outside sales or inside sales representative, retail sales associate, or telemarketing) preferred.
NewCustomer Care Manager - State Farm Agent Team Member Jaime Sicairos - State Farm AgentCustomer Care Manager - State Farm Agent Team MemberLouisville, KYFull timeSeeking a Customer Care Manager to oversee day-to-day service operations and ensure a positive experience for customers. Whether we’re helping someone navigate a claim or personalize a plan, we believe in doing meaningful work that makes a difference.
Payor Contract Manager (Infusion) - BioPlus Specialty Pharmacy Elevance Health IncPayor Contract Manager (Infusion) - BioPlus Specialty PharmacyLouisville, KYMinimum Requirements: Requires a Bachelor's degree in Business, Healthcare Administration, Finance, or related field and minimum of 5 years of experience in payor contracting, managed care, or contract administration within specialty pharmacy, infusion pharmacy, PBM, or health plan environments; or any combination of education and experience which would provide an equivalent background. Translates contract terms into operational requirements for pharmacy systems, billing platforms, and claim adjudication logic and coordinates with IT and pharmacy operations to ensure accurate setup of pricing and payor-specific rules (including NDC requirements, J-codes, modifiers, and site-of-care billing logic).
Patient Care Manager UnitedHealth Group IncPatient Care ManagerLouisville, KY$72,800–$130,000 / yearThe fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount. The Home Health Patient Care Manager and RN Hybrid is responsible for the supervision and coordination of clinical services and provides and directs provisions of nursing care to patients in their homes as prescribed by the physician and in compliance with applicable laws, regulations, and agency policies.
Manager, Credit Union Brown-Forman CorporationManager, Credit UnionLouisville, KentuckyManages cash flow and liquidity, monitoring withdrawal and loan needs, maintaining cash policies, and coordinating with the Federal Reserve and Kentucky Corporate Credit Union for ACH and cash requirements. Facilitates board governance, leading monthly board meetings and collaborating with directors to define and execute strategic goals and service offerings, while upholding the mission and values of the credit union.
Medicare Risk Adjustment Manager (Southeast) CVS Health CorpMedicare Risk Adjustment Manager (Southeast)KY$54,300–$119,340 / yearThe role drives, in collaboration with the national and local risk adjustment teams, risk coding improvement activities within the region, medical record collection, provider collaboration and data sharing, general coding education and related activities, as well as other activities as assigned. 7+ years of experience in risk adjustment, clinical quality, or healthcare quality improvement required; experience supporting provider‑based or value‑based initiatives preferred.
NewSenior Manager, Beef Customer Marketing Zoetis IncSenior Manager, Beef Customer MarketingKYThe Senior Manager will maintain a high level of interaction with relevant Zoetis functional areas such as the field force, Sales Management, Marketing, Technical Services, Livestock Customer Strategic Value, Strategic Pricing, Finance, Demand Planning, Global Commercial Development, and marketing agencies to ensure proper execution and implementation of the overall marketing efforts. Work with Sales, Marketing, Technical, and Learning & Development leadership to improve field force execution and customer interactions by identifying and assisting in removal of barriers - building value into Summer Sales Meetings, National Sales Meetings, etc.
Account Manager - State Farm Agent Team Member Mike Shelton - State Farm AgentAccount Manager - State Farm Agent Team MemberLouisville, KYFull timeI'm active in my church, have coached youth sports and community teams, and enjoy building lasting relationships with the individuals and families we serve. I graduated from Georgetown College, played football, worked in construction materials sales, and then joined State Farm as an adjuster before opening my own agency.
Product Manager/Owner AI Sedgwick Claims Management Services, Inc.Product Manager/Owner AIKYThe Product Manager/Owner works directly with claims leadership, operational managers, and Business Transformation Leads to understand workflow bottlenecks, leakage drivers, customer friction points, regulatory risks, and client performance commitments. They translate these insights into clearly defined AI use cases with measurable operational objectives such as reduced claim cycle time, improved reserving accuracy, enhanced fraud detection rates, or improved document processing speed.
Provider Reimbursement Policy Manager- Patient Safety Elevance HealthProvider Reimbursement Policy Manager- Patient SafetyLouisville, KY$80,940–$134,190 / yearMinimum Requirements: Requires a BA/BS degree in a related field and a minimum of 7 years reimbursement experience including performing detailed financial modeling and economic analyses; or any combination of education and experience, which would provide an equivalent background. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Account Manager- Commercial Insurance Insurance Office of AmericaAccount Manager- Commercial InsuranceLouisville, KYRemote$45,000–$75,000 / yearFull timePlease note: If this position is posted as either fully remote and/or hybrid, in accordance with company policy, individuals residing within a 50-mile radius of a branch location may be required to work onsite in a hybrid capacity as there may be occasions when on-site presence is necessary to meet specific business needs. The scope, autonomy, and complexity of responsibilities increase by level , ranging from task execution (Account Associate) to independent account management and technical advisory (Account Manager Associate).
Provider Reimbursement Manager- Patient Safety Elevance Health IncProvider Reimbursement Manager- Patient SafetyLouisville, KY$80,940–$134,190 / yearMinimum Requirements: Requires a BA/BS degree in a related field and a minimum of 7 years reimbursement experience including performing detailed financial modeling and economic analyses; or any combination of education and experience, which would provide an equivalent background. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
MILITARY PAY TECHNICIAN U.S. Department of DefenseMILITARY PAY TECHNICIANFort Knox, KY$45,832–$66,210 / yearThis announcement is open to current, permanent DoD Federal Civilian Employees in the competitive service, DoD VRA employees, eligible Priority Placement Program DoD Military Spouse Preference applicants, and eligible PPP applicants, Military Spouses, Veterans Employment Opportunities Act (VEOA) and eligible Interagency Career Transition Assistance Plan applicants (ICTAP). PPP Application Based Preference Eligibles (Military Reserve and National Guard technicians, Military Reserve and National Guard technicians receiving disability retirement, and Retained Grade employees) will receive priority consideration at the full performance level only.
Client Service Supervisor GallagherClient Service SupervisorLouisville, KentuckyFull timeThe actual compensation will be influenced by a wide range of factors including, but not limited to previous experience, education, pay market/geography, complexity or scope, specialized skill set, lines of business/practice area, supply/demand, and scheduled hours. We’re looking for a Client Service Supervisor to lead a Commercial team that delivers high-quality, efficient service to clients.
System Director of Risk Management University of Louisville Physicians IncSystem Director of Risk ManagementLouisville, KYActively participates in alternative dispute resolution; Directs facility risk awareness and risk reduction program, including loss prevention and loss control measures, analysis of trending concerns, risk reduction education; Assists in purchase and reserve setting of all lines of insurance coverage for UofL Health; Assists in development and education of system safety and risk management policies and procedures; Participates in sentinel event root cause analysis process; Assists Chief Legal Officer in developing strategic initiatives for organizational growth. Displays strong organizational skills - manages time effectively, keeps tasks appropriately prioritized and delegates appropriately; works proactively- anticipates and plans for problems before they arise; is able to perform work in a neat, efficient, well-coordinated, well communicated manner with a high degree of accuracy and professionalism.
System Director of Risk Management UofL HealthSystem Director of Risk ManagementLouisville, KentuckyRole models strong work ethic – motivated, diligent, industrious and persistent in the workplace, stays on tasks to completion, works at a fast pace to ensure optimal efficiency; remains flexible – ability to change directions, as needed, to ensure optimal outcomesDisplays strong interpersonal skills– can build effective, strong working relationships with employees, colleagues, management and vendors through trust, communication, and credibility; displays self-awareness and emotional intelligence, exercises sound judgement. Actively participates in alternative dispute resolution; Directs facility risk awareness and risk reduction program, including loss prevention and loss control measures, analysis of trending concerns, risk reduction education; Assists in purchase and reserve setting of all lines of insurance coverage for UofL Health; Assists in development and education of system safety and risk management policies and procedures; Participates in sentinel event root cause analysis process; Assists Chief Legal Officer in developing strategic initiatives for organizational growth.
System Director Of Risk Management UofL HealthSystem Director Of Risk ManagementLouisville, KYActively participates in alternative dispute resolution; Directs facility risk awareness and risk reduction program, including loss prevention and loss control measures, analysis of trending concerns, risk reduction education; Assists in purchase and reserve setting of all lines of insurance coverage for UofL Health; Assists in development and education of system safety and risk management policies and procedures; Participates in sentinel event root cause analysis process; Assists Chief Legal Officer in developing strategic initiatives for organizational growth. Displays strong organizational skills - manages time effectively, keeps tasks appropriately prioritized and delegates appropriately; works proactively- anticipates and plans for problems before they arise; is able to perform work in a neat, efficient, well-coordinated, well communicated manner with a high degree of accuracy and professionalism.
Dr Blacks Eye Associates - Optician EssilorLuxottica SADr Blacks Eye Associates - OpticianJeffersonville, INIf you would like to provide feedback regarding an active job posting, or if you are an individual with a disability who would like to request a reasonable accommodation, please call the EssilorLuxottica SpeakUp Hotline at 844-303-0229 (be sure to provide your name, job id number, and contact information so that we may follow up in a timely manner) or email HRCompliance@luxotticaretail.com. Vision Associates is part of EssilorLuxottica, a global leader in the design, manufacture and distribution of world-class vision care products, including iconic eyewear, advanced lens technology and cutting-edge digital solutions.
Operations Support Services Specialist Sedgwick Claims Management Services, Inc.Operations Support Services SpecialistKY$39,536–$55,350 / yearPRIMARY PURPOSE: To support Operations Support Services leadership relating to all aspects of quality assurance; ensure service level agreements are maintained; research and resolve complex technical issues; manage and create escalation procedures; track and monitor issues ensuring a timely resolution; and to perform monthly quality and technical audits. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.
SIU Investigator Allied UniversalSIU InvestigatorLouisville, KentuckyFull timeAcquire and gather information through use of own discretion, and guidance from clients and case managers, by means of data collection, interviews, research and collaboration with other SIU entities, law enforcement and state Departments of Insurance . High School diploma or higher with a minimum of five (5) years of demonstrated professional law enforcement experience with specific attention to investigations related to fraud .
Pharmacy Medical Billing Specialist Onco360Pharmacy Medical Billing SpecialistLouisville, KentuckyOnco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers. Behavior Competencies Required: Strong work ethic with excellent time management skills, excels at working independently but collaborative in a group setting as well.
Risk & Insurance Lead - In-Person | Schulte Hospitality Group Schulte Hospitality Group IncRisk & Insurance Lead - In-Person | Schulte Hospitality GroupLouisville, KYSchulte provides a rewarding, fun and flexible work environment, exciting perks, an atmosphere designed to encourage and promote career growth within the company and a robust benefit package including, but not limited to: Work Today, Get Paid today, with Daily Pay! The position combines high-level program ownership with hands-on involvement in complex and high-exposure matters, ensuring effective claims resolution, financial protection, and alignment with the company's broader risk management objectives.
Senior Vice President Business Development Casualty Sedgwick Claims Management Services, Inc.Senior Vice President Business Development CasualtyKYMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. PRIMARY PURPOSE OF THE ROLE: The Senior Vice President of Business Development is a key senior leader responsible for driving organizational growth, expanding market presence, and developing long‑term strategic partnerships.
Warehouse Supervisor Sazerac CompanyWarehouse SupervisorJeffersonville, IndianaThe Sazerac Company, established in 1850, is a leading North American spirits supplier, and owner of many of the industry’s most venerable distilling companies – Buffalo Trace Distillery, Barton 1792 Distillery, The Glenmore Distillery, and A. Smith Bowman Distillery. Our Louisville office has been named one of the “Best Places to Work in Kentucky” four times, and our Buffalo Trace Distillery has earned the title of “world’s most award-winning distillery” through the dedication of our craftsmen for well over 200 years.
Pharmacist - Sign-On Bonus Available Walgreen CoPharmacist - Sign-On Bonus AvailableCorydon, IN$60.90–$82.30 / hourWalgreens has approximately 211,000 team members, including roughly 85,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities. Opportunities for growth - Many pharmacists advance quickly into leadership roles in pharmacy operations, retail management, multi-site leadership, and corporate support functions.
Pharmacist Sign-On Bonus Available Walgreen CoPharmacist Sign-On Bonus AvailableLouisville, KY$64.60–$75.95 / hourWalgreens has approximately 211,000 team members, including roughly 85,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities. Opportunities for growth - Many pharmacists advance quickly into leadership roles in pharmacy operations, retail management, multi-site leadership, and corporate support functions.
Pharmacist - Sign-On Bonus & Relocation Available Walgreen CoPharmacist - Sign-On Bonus & Relocation AvailableIN$60.90–$82.30 / hourWalgreens has approximately 211,000 team members, including roughly 85,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities. Opportunities for growth - Many pharmacists advance quickly into leadership roles in pharmacy operations, retail management, multi-site leadership, and corporate support functions.
Pharmacist- Sign-On Bonus Available Walgreen CoPharmacist- Sign-On Bonus AvailableLouisville, KY$60.90–$82.30 / hourWalgreens has approximately 211,000 team members, including roughly 85,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities. Opportunities for growth - Many pharmacists advance quickly into leadership roles in pharmacy operations, retail management, multi-site leadership, and corporate support functions.
NewPharmacist Walgreen CoPharmacistCorydon, IN$60.90–$82.30 / hourWalgreens has approximately 211,000 team members, including roughly 85,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities. Opportunities for growth - Many pharmacists advance quickly into leadership roles in pharmacy operations, retail management, multi-site leadership, and corporate support functions.
Leave Specialist Trilogy Health ServicesLeave SpecialistLouisville, KentuckyFull timeWith collaborative workspaces, rotating cubicles, and meditation areas, our freshly renovated Home Office will accommodate the working style that works best for you . • Provides customer service and leave administration support to employees, researching and triaging issues with vendors to resolve concerns in a timely manner.
Insurance Specialist (Revenue Cycle) Remote opportunity for KY and So IN candidates only Seven Counties ServicesInsurance Specialist (Revenue Cycle) Remote opportunity for KY and So IN candidates onlyLouisville, KentuckyRemoteResearches line item EOB’s for incorrect payment levels and works directly with insurance companies for assurance of benefits and correct reimbursement through oral and written communication. Maintains a workable knowledge regarding specifications in billing Medicare, Medicaid, Tricare and Commercial: monitoring those accounts to meet specifications.
Farm Client Services Specialist Sterling Thompson CompanyFarm Client Services SpecialistLouisville, KYIncluding, in conjunction with Advisor and Account Manager, evaluating the clients risk profile, determine strategy (coverage determination, target pricing and market identification) by utilizing marketing skills to grow established accounts and enable new business opportunities. Ability to communicate orally and in writing with others (clients, colleagues, carrier partners) to explain complex issues, interpret complex information, and respond appropriately.
Supervisor - Pharmacy Adjudication Onco360Supervisor - Pharmacy AdjudicationLouisville, KentuckySkills/Knowledge Required: NDC medication billing, PBM and medical contracts, healthcare audit experience, knowledge of Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, excellent interpersonal skills, able to work with all levels of management and staff, vast knowledge of pharmacy terminology and process including sig codes, and roman numerals, brand/generic names of medication, advanced typing, math and analytical skills. Assists Director of Pharmacy Operations in day-to-day pharmacy operations and in implementing new procedures to ensure that the accurate and timely dispensing of quality pharmacy services is consistently delivered to all patients using effective service leadership and customer skills.
Remote Operations Dispatch Coordinator Sedgwick Claims Management Services, Inc.Remote Operations Dispatch CoordinatorKYRemotePRIMARY PURPOSE: To accurately route and assign claims, tasks and related requests within the claims management system and provide operational support to temporary housing colleagues by ensuring timely, accurate and appropriate workflow distribution, ESSENTIAL FUNCTIONS and RESPONSIBILITIES. Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines.