JR0062540 Associate Customer Service Rep
Louisville, KY jobs
Key Responsibilities: Serves as the point of contact for customer queries and resolution. Provides customer services relating to sales, sales promotions, installations and communications. Ensures that good customer relations and seamless turnaround in problem resolution are maintained and customer claims, product orders and complaints are resolved fairly, effectively and in accordance with the consumer laws.
May answer questions and provide prompt information related to potential concerns. Develops organization-wide initiatives to proactively inform and educate customers.
***Shift Details - 11:30pm - 8:00pm
Minimum Requirements:
High School Diploma or GED
Required Skills:
Ability to complete multiple activities while utilizing excellent customer service skills
Demonstrate ability to communicate clearly in both written and oral communication
Maintains all patient confidentiality
Other duties and responsibilities as assigned by supervisor.
Career Level - IC-Business Support - B1
Additional Information
ALL ANSWERS MUST BE "YES"
Do you have a High School Diploma or GED?
Are you able/comfortable working from home?
Territory Sales Representative - Academic Accounts (Remote) (Sales)
Louisville, KY jobs
At Whip Mix, innovation isn't just what we do-it's who we are. For over a century, we've been a trusted partner to dental professionals worldwide. From designing and manufacturing cutting-edge digital solutions to tried-and-true lab essentials, we bring craftsmanship, technology, and customer care together in one place.
We're proud to be a family-owned, Louisville-based company with a global reach, serving dental labs, universities, and clinicians across more than 80 countries. Our mission? To combine quality and creativity with a service-first mindset that makes a real difference in people's lives. If you're looking to join a team where tradition meets innovation, and where every day brings new opportunities to grow, Whip Mix is the place for you.
Job Skills / Requirements
We are looking for a relationship driven Territory Sales Representative to focus on universities, colleges, dental schools, and academic organizations. If you're passionate about dentistry, education, and helping the next generation of dental professionals succeed, this is a perfect fit!
What you'll be doing:
Build partnerships with universities, dental schools, school faculty, dental clinics, and labs to create long term growth strategies.
Connect with students, faculty, and dental professionals via calls, video, and onsite visits to provide training, product education, and hands-on demonstrations.
Deliver engaging CE programs and seminars to showcase new products and best practices.
Provide technical assistance and training to assigned accounts and end-users of our products.
Attend dental school meetings, lab tech programs, and trade shows.
What you'll bring to the table:
Bachelor's or Associate degree in dentistry, dental technology, or related field
3+ years of sales experience (preferred)
Prior experience in dental product sales or as a dental technician, hygienist, assistant, or dentist strongly preferred.
Strong communication and negotiation skills
In-depth knowledge of dental industry terminology.
Ability to travel by car and plane.
Additional Information / Benefits
Benefits: Medical Insurance, Life Insurance, Dental Insurance, Vision Insurance, Paid Vacation, Paid Sick Days, Paid Holidays, Short Term Disability, Long Term Disability, 401K/403b Plan
This is a Full-Time position
Business Analyst, Operations & Process Improvement (Remote)
Bowling Green, KY jobs
Description & Requirements We are seeking a Business Analyst, Operations & Process Improvement to support program activities by gathering and interpreting business requirements, optimizing operational processes, and delivering actionable insights to guide management decisions. The ideal candidate demonstrates strong analytical reasoning, works collaboratively with business owners and operational teams, and develops innovative solutions to improve system performance and efficiency.
Why Maximus?
- Work/Life Balance Support - Flexibility tailored to your needs!
- • Competitive Compensation - Bonuses based on performance included!
- • Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
- • Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
- •Unlimited Time Off Package - Enjoy UTO, Holidays, and extended sick leave, along with Short and Long Term Disability coverage.
- • Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
- • Recognition Platform - Acknowledge and appreciate outstanding employee contributions.
- • Tuition Reimbursement - Invest in your ongoing education and development.
- • Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
- • Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
- • Professional Development Opportunities-Participate in training programs, workshops, and conferences.
- •Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees.
Essential Duties and Responsibilities:
- Apply strong analytical reasoning to understand end user's requirements and transform them into operational applications.
- Acquire deep knowledge of working systems and bring efficient and effective changes for better performance across programs.
- Extract, analyze, and report data to support program activity and assist in management decision making.
- Audit, evaluate, track, and report performance activity for Performance Management and contract compliance purposes (e.g., alignment with the program's service-level agreements,)
- Work closely with operations staff to define requirements, test criteria, and identify success factors.
- Collect, review, and document business requirements, specifications, and recommendations related to new processes, functionality, and proposed solutions.
- Extract, tabulate, and analyze data to support program activity and assist in management decision-making.
- Work closely with business owners, operations, users, and systems staff to improve business efficiency and deliver effective solutions.
- Collaborate effectively with internal and external business partners to ensure successful solution delivery.
Minimum Requirements
- Bachelor's degree in related field.
- 3-5 years of relevant professional experience.
- Bachelor's degree in a related field, or an equivalent combination of education and experience.
- 3 years of relevant professional experience
- Experience documenting business requirements, processes, and recommendations.
- Proficiency with Microsoft Excel, Word, PowerPoint, and other MS Office products.
- Ability to collaborate effectively with internal and external stakeholders.
- Strong presentation skills and ability to communicate findings to non-technical audiences.
- Strong analytical and problem-solving skills.
Preferred Requirements
- 3 years of experience gathering and interpreting information to support process or operational improvements
- 5 years of experience working with data to identify trends, support decision-making, or evaluate program performance
- 3 years of experience in business analysis, operations support, or a related analytical role.
- Advanced proficiency with Microsoft Excel, Word, PowerPoint, and other MS Office products.
Home Office Requirements
- Maximus provides company-issued computer equipment and cell phone
- Reliable high-speed internet service
* Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
* Minimum 5 Mpbs upload speeds
- Private and secure workspace
#ClinicalServices #HotJobs1209LI #HotJobs1209FB #HotJobs1209X #HotJobs1209TH #TrendingJobs #LI-Remote
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
68,000.00
Maximum Salary
$
75,000.00
Easy ApplyDirector of Operations
Frankfort, KY jobs
Averon is a joint venture between CVS Health and Cardinal Health with a vision of transforming the landscape of biosimilars and simplifying the channel for specialty products. Our mission is: together, we will lower the cost of specialty products for our customers.
**Position Summary:**
Reporting directly to the General Manager (GM) of Averon, the Director of GPO Operations plays a pivotal and strategic role within the organization. This position carries full responsibility and accountability for the development and execution of all operating processes essential to delivering high-quality services.
A key responsibility of the Director is to ensure consistency in operational procedures, promote efficient workflows, and conduct regular evaluations to identify opportunities for ongoing improvement. The Director is responsible for creating, tracking, and reporting important success metrics to leadership, ensuring clear communication and alignment with the organization's goals.
In addition to these core duties, the Director will be responsible for identifying, securing, and managing operations related to strategic partnerships. These partnerships are critical for driving enterprise value and delivering competitive advantages that benefit both customers and the business.
As the leader of GPO Operations, the Director must demonstrate strong business acumen, executive presence, and exceptional customer engagement and presentation skills. The ability to recognize emerging trends, provide informed guidance regarding their impact, and propose actionable solutions to seize new opportunities is essential. Furthermore, the role requires influential leadership capabilities, including the ability to lead and affect change across groups without direct reporting lines, and to interact effectively at all organizational levels.
**Location** - Fully remote
**Expectations**
+ Ability to apply advanced knowledge and understanding of GPO concepts, principles, and technical capabilities to manage a wide variety of projects.
+ Define and develop policies and procedures for the GPO operation's team.
+ Define and develop metrics on measuring outcomes and what is success.
+ Work on or lead complex projects of large scope.
+ Understand current GPO operational processes and be able to adapt to support future growth.
+ Manage, support and mentor less experienced colleagues.
**Responsibilities**
+ Oversee the development, implementation, and continual improvement of Operations strategy by leveraging expertise in the specialty pharmaceutical market and GPO operations.
+ Support cross-functional teams to refine operational processes and technology solutions for Wholesaler Contract Load, Contract Alignment, and Membership Management (including roster management, manufacturer notifications, participant contract performance, etc.).
+ Stay informed about competitors and identify areas for unique positioning.
+ Collaborate with other departments to determine necessary changes to processes and technology, then create and deploy effective solutions.
+ Supervise all aspects of the GPO operating model and team, ensuring efficient and productive workflows.
+ Develop metrics, dashboards, and reports to track performance and keep senior leadership informed.
**Qualifications**
+ **Experience** :
+ Targeting 5+ years of relevant professional experience.
+ 5+ years of leadership and team management demonstrated, including supervision of direct reports.
+ Experience with pharmaceutical Group Purchasing Organizations (GPOs) and strategic partnerships.
+ Firsthand knowledge of specialty pharmaceutical manufacturers and trade concepts.
+ Strong understanding of GPO operations, including work with Manufacturer partners and Wholesalers.
+ Proven entrepreneurial skills in strategy development and team building.
+ Solid grasp of pharmaceutical distribution systems.
+ Successful history leading cross-functional teams and managing complex programs.
+ **Technical Skills** :
+ Advanced Microsoft Office Skills (Excel, PowerBI, MS Teams, SharePoint, etc.).
+ Proficiency with Contract Management software (willingness to learn).
+ **Analytical Skills** :
+ Proven ability to efficiently and effectively use advanced analytical skills to gather insights and data from multiple platforms to support business analyses.
+ **Soft Skills** :
+ Demonstrated ability to manage multiple workstreams.
+ Strong collaborator with solid communication skills.
+ Customer service, problem-solving, and analytical skills.
+ Strong attention to detail and process driven.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
Nurse Triage Support Specialist (4040)
Lexington, KY jobs
The Nurse Triage Support Specialist (NST) acts as a point of contact for patients and families, providing direct access for asking clinical questions. This position assesses incoming telephone calls and messages from patients and families, resolving patient needs and issues whenever possible, including triage of acute conditions. The NST works collaboratively with other team members to provide care management services in accordance with department protocols and algorithms.
PREFERRED QUALIFICATIONS:
Formal training which will be indicated by a nursing license and experience in medical / surgical or acute care setting; ability to communicate effectively, and ability to work compatibly with physicians and other staff members.
PHYSICAL GUIDELINES:
Physical guidelines include the ability to move, traverse, position self, remain in a stationary position and negotiate steps for up to eight hours per day. This is a hybrid role consisting of on campus and remote work. There will be a training period of up to 6 month of onsite instruction and role-related skill optimization.
NOTE:
This document is intended to describe the general nature and level of work performed. It is not intended to act, as an exhaustive list of all duties, skills, and responsibilities required of personnel so classified. Attendance is an essential function of the job.
LEXINGTON CLINIC IS AN EQUAL OPPORTUNITY EMPLOYER (EOE)
Auto-ApplyCare Advisor - Remote
Frankfort, KY jobs
Sharecare is the leading digital health company that helps people - no matter where they are in their health journey - unify and manage all their health in one place. Our comprehensive and data-driven virtual health platform is designed to help people, providers, employers, health plans, government organizations, and communities optimize individual and population-wide well-being by driving positive behavior change. Driven by our philosophy that we are all together better, at Sharecare, we are committed to supporting each individual through the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn more, visit ***************** .
**Job Summary:**
CareLinx is looking for a Care Advisor to assist with CareLinx's Payer Operations line of business. CareLinx is a healthcare technology platform that connects families with non-medical, in-home caregivers, and Care Advisors provide support and guidance to families during the caregiver search, interview, and hire process. Once a caregiver match is made, the Care Advisor will follow closely to ensure satisfaction and assist if the member's needs change. This support includes searching for viable caregiver candidates, setting up interviews, helping with the completion of the hiring process, and caregiver retention. You will be a liaison, maintaining relationships with caregivers and providing ongoing support to ensure that members have an exceptional experience while working with their caregivers.
As a Care Advisor, you are the expert for members and families about all things CareLinx-related. You need to love interacting with people and be committed to providing stellar customer service and empathetic guidance for members during their in-home care journey. You should also be a team player and be willing to learn about CareLinx's health plan partners. If you think there's alignment with the description above, CareLinx may be the place for you.
**Location:** This role is remote, except for candidates located in the Mesa, AZ area. Those based near our Mesa office will be required to work on-site five days per week.
**Job Type:** Full-Time, Hourly
**Essential Job Functions:**
+ Assume responsibility for guiding members on the caregiver search journey through relationship building and exceptional communication in a call center environment.
+ Provide ongoing support after the caregiver hire to maintain the relationship with the family and caregiver and ensure overall satisfaction
+ Document accurate and complete notes of all family and caregiver interactions in CareLinx's EHR system
+ Work collaboratively and professionally with other team members and teams within CareLinx
+ Exhibit excellent verbal and written communication skills via phone, email, and text
**Specific Skills/ Attributes:**
+ Effective time management skills and high attention to detail
+ Excellent verbal and written communication skills
+ Superior organization and multitasking capabilities
+ Goal-driven, problem solver
+ Professional, confident, outgoing demeanor
+ Experience working with Microsoft Office Suite
+ Ability to maintain strict confidentiality, and exercise good judgment
+ Care Advisors are expected to meet performance goals set forth per CareLinx guidelines
+ Additional job duties may be assigned on an as-needed basis
**Qualifications:**
+ High school diploma or equivalent, required
+ Military experience is a plus but not required
+ Some college-level coursework, preferred
+ At least one year of experience in a productivity based customer service role, or call center environment or a minimum of 2 years experience in a customer service environment.
+ Previous healthcare experience preferred
Sharecare and its subsidiaries are Equal Opportunity Employers and E-Verify users. Qualified applicants will receive consideration for employment without regard to race, color, sex, national origin, sexual orientation, gender identity, religion, age, equal pay, disability, genetic information, protected veteran status, or other status protected under applicable law.
Sharecare is an Equal Opportunity Employer and doesn't discriminate on the basis of race, color, sex, national origin, sexual orientation, gender identity, religion, age, disability, genetic information, protected veteran status,or other non-merit factor.
Remote Clinical Pharmacist Specialist - Internal Medicine
Louisville, KY jobs
Baptist Health Pharmacy services are committed to ensuring the optimal, safe, and effective use of medications for all patients through advanced technology and innovative application of skilled personnel that will improve clinical outcomes and community health in a value-based environment.
Clinical Pharmacy Specialists participate in all necessary aspects of the medication-use system while supporting comprehensive and individualized pharmaceutical care in their assigned areas.
Job Description:
Baptist Health is looking for a Remote Clinical Pharmacist Specialist Internal Medicine to join our new Central Pharmacy team.
Clinical Pharmacy Specialist - Internal Medicine will serve as subject matter expert for the following areas of concentration listed below:
Internal Medicine
Endocrinology
Rheumatology
Primary Care
Obstetrics, Women's Health, Maternal-Fetal Medicine
Collaborates with System Director of Clinical Services and other BH leaders to implement, integrate, and maintain evidence-based and regulatory standards of clinical/operational pharmacy services.
Works collaboratively with physicians, pharmacists, and other members of the healthcare team to develop clearly defined guidelines, policies, and procedures.
Must be willing to travel to sites to review and assess practices and processes, as required.
Demonstrates expertise in their area(s) of concentration/specialty.
Understand the workflow of front-line professional personnel within their areas of expertise. This would include clinics, inpatient units, and other applicable areas of care pertaining to internal medicine, endocrinology, rheumatology, primary care, obstetrics, women's health, and maternal-fetal medicine throughout the health system.
Represents the pharmacy department and clinical services as an active committee member or invited attendee on system-wide committees or service lines. This would include, but is not limited to:
o System Pharmacy and Therapeutic Committee
o Hospitalist Service Line
o Primary Care Service Line
o Women's & Newborn Care Service Line
o System Residency Advisory Committee
May be appointed to serve as a coordinator of the System Residency Advisory Committee. In this role, they would serve as the primary contact for and would assist with the high-level coordination of residency efforts throughout the system.
Strategic direction, oversight, and coordination of the System Glycemic Management Committee.
Review protocols for system Collaborative Care Agreements.
Complete notes, reviews, and provides feedback to System Pharmacy Credentialing and Privileging Committee.
Works collaboratively with clinical staff and physicians to evaluate appropriate medication use. Annually, specialists will be expected to complete medication use evaluations (MUE), continuing education (CE), presentations or in-services (CE preferred), and drug class review. Continued service-line expansions, relevant order set reviews, policy and/or procedure development/modification, and formulary monographs may be required on an as needed basis.
Assists in system formulary management.
Serves as a clinical pharmacotherapy specialist for providers, pharmacists, nursing, and other staff on clinically complicated patient cases, investigation of adverse drug events and/or management of drug shortages as needed.
Provides verbal and written consultations concerning medication therapy.
Coordinate, facilitate, and promote education, training, competency assessment, and performance improvement of pharmacists, providers, and other healthcare professionals on updates in the applicable area of expertise, as deemed necessary.
Provides presentations, publications, and other informative activities relating to area of expertise.
Precepts students and residents, as necessary.
Establish relationships with local, state, and national organizations/societies to stay informed about community resources and participate in relevant initiatives.
Attend conferences and/or workshops as deemed necessary.
Minimum Education and Training
Bachelor's degree in pharmacy or Doctorate of Pharmacy required.
Kentucky Board of Pharmacy and Indiana Board of Pharmacy license or willing and eligible to achieve within 6 months of hire.
Kentucky license must specify that they are a preceptor.
BPS board certified in their area of expertise or able to achieve within 12 months of hire. Must be one of the following qualifications:
Board Certified Geriatric Pharmacist (BCGP)
Board Certified Nutrition Support Pharmacist (BCNSP)
Board Certified Pharmacotherapy Specialist (BCPS)
Board Certified Ambulatory Care Pharmacist (BCACP)
Experience
Must satisfy at least one of the following:
Completion of PGY-2 ASHP-accredited Pharmacy Residency in a related area of expertise.
Completion of PGY-1 ASHP-accredited Pharmacy Residency and a minimum of 3 years of experience in a related area of expertise AND BPS board certification in that area of expertise as listed above at the time of application.
Minimum of 5 years of experience in a related area of expertise AND BPS board certification in that area of expertise as listed above at the time of application.
Current Basic Life Support (BLS) and Advanced Cardiovascular Life Support (ACLS) certification required or able to achieve within 12 months of hire.
Work Experience
Education
If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now!
Baptist Health is an
Equal Employment Opportunity
employer.
Auto-ApplySupervisor, Customer Service
Frankfort, KY jobs
Cardinal Health Sonexus Health Pharmacy Services helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Sonexus Health Pharmacy, our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products.
**Together, we can get life-changing therapies to patients who need them-faster.**
**Job Summary**
The Supervisor, Customer Service Management directly supervises staff that are performing customer service and enrollment activities as well as Reimbursement Staff performing benefit investigations for pharmacy and medical benefit coverage. Serving 1-2 clients, this position is responsible for overseeing the staffing schedule, training, and monitoring of key performance indicators to meet the requirements as outlined by client contracts and internal standard operating policies. Through effective supervision, the Pharmacy Operations Supervisor contributes to high quality customer service and long-term retention of customers.
**Responsibilities**
The Supervisor, Customer Service Management leads program staff performing actions including: customer service, and other patient services.
+ Oversee daily operations for patient access support contact center team of up to 20 team members and provide daily support ensuring team members can perform job responsibilities.
+ Coach, teach, train, and mentor team members in a 100% remote setting while monitoring individual and team performance.
+ Create and maintain creating and maintaining Standard Operating Procedures and work instructions specific to the program.
+ Coordinate and deliver recurring (weekly, monthly, and quarterly) reviews of program metrics / dashboards while proactively sharing results with internal and external senior leaders.
+ Assess/Test / Solution / Approve program changes including those related to Information Technology, platform upgrades, and modifications to program business rules.
+ Report system issues that can impact our client relationship management system (CRM) and/or productivity in a timely manner.
+ Manage employee timecards in addition to standard HR responsibilities as a people leader.
+ Open job requisitions, conduct interviews, and provide personnel recommendations to senior leaders.
+ Coordinate with senior leadership and Advice and Counsel Center to determine appropriate corrective action, not limited to termination when applicable.
+ Continually monitor program adherence, quality, attendance and address accordingly.
+ Report Corrective and Preventative Actions in a timely manner.
+ Coordinate with fellow supervisors and collaborate with business partners to provide effective responses and resolutions to complex program related issues.
+ Conduct recurring development-based 1x1s with team members focused on both performance and goal setting.
+ Effectively manage time and independently prioritize work responsibilities to meet key deadlines.
+ Maintain regular contact with client/3rd party partners by leveraging excellent verbal and written communication skills.
+ Contribute to the building and presentation of quarterly business reviews to clients (either virtually or in-person).
+ Proactively seek and implement process efficiencies to reduce team manual work.
+ Host recurring (bi-weekly/monthly) team meetings to discuss updates, process changes, team SLAs/KPIs, QA, trends, etc.
+ Work well independently and in a team setting by collaborating across different departments.
**Qualifications**
+ Bachelor's degree or equivalent work experience preferred
+ 3-5 years of experience in related fields of patient support programs preferred
+ Previous management experience preferred
+ Strong communication, presentation, and time management skills
+ Commitment to the continued development of oneself and team members
+ Advanced computer skills and proficiency in Microsoft Office including but not limited to Word (e.g. inserting tables, mail merge, tracking changes, updating headers and footers), Teams, Outlook, PowerPoint (e.g. updating slide layout, adding slides, adding & updating charts, and graphs, and updating themes), and preferred Excel capabilities including pivot tables, graphing, and graphing, and basic formulas
+ Travel may be needed to perform your duties up to 10%.
**What is expected of you and others at this level**
+ Coordinates and supervises the daily activities of operations or business staff
+ Administers and exercises policies and procedures
+ Ensure employees operate within guidelines
+ Decisions have a direct impact on work unit operations and customers
+ Frequently interacts with subordinates, customers, and peer groups at various management levels
+ Interactions normally involve information exchange and basic problem resolution
**TRAINING AND WORK SCHEDULES:** Your new hire training will take place 8:00am-5:00pm CT the first week of employment. Attendance is mandatory. You must be on camera for all training. This position is full-time (40 hours/week). Employees are required to have flexibility to work a scheduled shift of 8am - 7pm CT and overtime when required.
**REMOTE DETAILS** : All U.S. residents are eligible to apply to this position. You will work remotely, full-time. It will require a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide you with the computer, technology and equipment needed to successfully perform your job. You will be responsible for providing high-speed internet. Internet requirements include the following:
Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable. Download speed of 15Mbps (megabyte per second)
+ Upload speed of 5Mbps (megabyte per second)
+ Ping Rate Maximum of 30ms (milliseconds)
+ Hardwired to the router
+ Surge protector with Network Line Protection for CAH issued equipment
**Anticipated salary range:** $67,500.00 - $86,670.00
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 1/2/2026 *if interested in opportunity, please submit application as soon as possible.
The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
Quality Control Analyst (January 2026) - Veterans Evaluation Services
Louisville, KY jobs
Description & Requirements Maximus is currently hiring for Quality Control Analysts to join our Veterans Evaluation Services (VES) team. This is a remote opportunity. The Quality Control Analyst is responsible for reviewing Medical Disability Examination ("MDE") reports and Disability Benefits Questionnaires ("DBQs") generated by medical providers for veterans evaluated on behalf of the Department of Veterans Affairs (the "VA"). A Quality Control Analyst works closely with medical providers to ensure MDE reports and DBQs are consistent with the quality and timeliness requirements of the VA.
Due to contract requirements, only US Citizens or a Green Card holder can be considered for this opportunity.
This class is scheduled to begin on Tuesday, January 20, 2026, no alternate start dates are available.
Essential Duties and Responsibilities:
- Review MDE (Medical Disability Examination) requests for consistency with the DBQ.
- Review MDE reports and DBQs (Disability Benefits Questionnaires) for completeness and typographical and grammatical correctness.
- Communicate with medical providers and facilitate any necessary corrections to MDE reports and DBQs prior to submission to the VA.
- Verify that any special requests or necessary second reviews have been completed, consistent with the VA's preferences.
- Ensure that all diagnostics requested by the medical provider have been completed, reviewed by the medical provider, and are submitted with the final report.
- Perform daily queue maintenance to ensure that every case assigned has updated notes and any needed action has been taken.
- Communicate with the Medical Advisory Board on cases that need additional review, may be outside the scope of the assigned medical provider's training or expertise, or has presented a problem/issue with the assigned medical provider.
- Consistently achieve weekly/monthly qualitative and quantitative goals set by management and VA.
- Must be willing and able to work the training schedule of 8:00 AM - 5:00 PM CT, Monday-Friday for 3-4 months with no absences required (this includes pre-planned vacations/trips/appointments etc.)
- This class is scheduled to begin on Tuesday, January 20, 2026, no alternate start dates are available.
- Must be willing and able to work overtime as needed
- Please note upon hire, Veteran Evaluation Services (VES), a Maximus Co. will provide all necessary computer equipment that is to be utilized to fulfil the duties of your role. New hires will not be exempt from using company provided equipment.
- Must currently and permanently reside in the Continental US
- In accordance with SCA contract requirements, remote work must be conducted from the location specified at the time of hire. Travel is not permitted, and you are required to remain at your designated home location for all work activities.
Home Office Requirements Using Maximus-Provided Equipment:
- Internet speed of 20mbps or higher required (you can test this by going to (******************
- Connectivity to the internet via either Wi-Fi or Category 5 or 6 ethernet patch cable to the home router
- Private work area and adequate power source
Minimum Requirements
- Associate degree required; Bachelor's degree preferred.
- Two (2) years of Quality experience may substitute for educational requirement.
- Experience in Healthcare, Quality preferred.
- Intermediate knowledge of medical terminology.
- Excellent written and oral communication skills.
- Excellent analytical skills and attention to detail.
- Excellent multi-tasking skills.
- Excellent organizational and prioritization skills.
- Proficient in the use of Microsoft Office Products.
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
For positions on this contract, Maximus will pay the prevailing wage rate for the location in which the employee is working, as determined by the Department of Labor. That wage rate will vary depending on locality. An applicant's salary history will not be used in determining compensation.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
21.64
Maximum Salary
$
30.30
Easy ApplyProduct Documentation Specialist, (Remote)
Louisville, KY jobs
Description & Requirements We are seeking a detail-oriented Product Documentation Specialist to create, maintain, and improve internal documentation that supports our teams and operations across US Services. The ideal candidate has strong writing skills, works collaboratively with internal and external stakeholders, and contributes to process improvements through clear, accurate documentation.
NOTE: This position focuses on operational and process documentation, not technical or engineering documentation.
Why Maximus?
- Work/Life Balance Support - Flexibility tailored to your needs!
- • Competitive Compensation - Bonuses based on performance included!
- • Comprehensive Insurance Coverage - Choose from various plans, including Medical, Dental, Vision, Prescription, and partially funded HSA. Additionally, enjoy Life insurance benefits and discounts on Auto, Home, Renter's, and Pet insurance.
- • Future Planning - Prepare for retirement with our 401K Retirement Savings plan and Company Matching.
- •Unlimited Time Off Package - Enjoy UTO, Holidays, and extended sick leave, along with Short and Long Term Disability coverage.
- • Holistic Wellness Support - Access resources for physical, emotional, and financial wellness through our Employee Assistance Program (EAP).
- • Recognition Platform - Acknowledge and appreciate outstanding employee contributions.
- • Tuition Reimbursement - Invest in your ongoing education and development.
- • Employee Perks and Discounts - Additional benefits and discounts exclusively for employees.
- • Maximus Wellness Program and Resources - Access a range of wellness programs and resources tailored to your needs.
- • Professional Development Opportunities-Participate in training programs, workshops, and conferences.
- •Licensures and Certifications-Maximus assumes the expenses associated with renewing licenses and certifications for its employees.
Essential Duties and Responsibilities:
- Collaborate with internal departments on a regular basis to understand business requirements and needs, participate in working sessions and acquire feedback on documentation.
- Perform strategic and ad-hoc data work in support of Product Managers and Product Owners
- Analyze and manage moderately complex business process flows and updates to system process flows and requirements.
- Create and maintain technical documentation / product development & customer education materials
- Create and maintain internal documentation for the Connection Point team included but not limited to job aids and on-boarding materials.
- Work with Product Managers, Product Owners and Product Analysts to ensure accurate documentation is maintained.
- Oversee multiple forms of documentation audits on existing documentation in SharePoint and Confluence.
- Manage and maintain process improvements. This includes but is not limited to collaboration with PM's, PO's and PAs and in some cases other Connection Point departments.
- Create, update, and maintain internal and documentation, including process guides, work instructions, and training materials.
- Collaborate with internal and external stakeholders to gather requirements and ensure documentation accurately reflects processes and procedures.
- Review and improve existing documentation to enhance clarity, usability, and compliance with standards.
- Support process improvement initiatives by documenting changes, workflows, and system updates.
- Utilize document management systems and Microsoft Office tools to organize and distribute documentation effectively.
Minimum Requirements
- Bachelor's Degree or equivalent experience and 3+ Years.
- Preferred SAFe Agile Certification(s).
- Preferred Jira/Confluence experience.
- Preferred learning development / documentation experience.
- Preferred technical writing experience.
- Bachelor's degree in a related field, or an equivalent combination of education and experience.
- 3 years' relevant experience with documentation and supporting process improvement initiatives.
- Strong attention to detail and organizational skills.
- Excellent written communication skills with the ability to create clear, concise, and accurate documentation.
- Experience working collaboratively with internal stakeholders to gather information and develop documentation.
- Familiarity with document management tools and Microsoft Office (Word, Excel, PowerPoint, SharePoint).
- Ability to manage multiple documentation projects simultaneously and meet deadlines.
Preferred Requirements
- Previous experience in product documentation, writing, or business support role.
- Knowledge of process improvement methodologies
Home Office Requirements
- Maximus provides company-issued computer equipment and cell phone
- Reliable high-speed internet service
* Minimum 20 Mpbs download speeds/50 Mpbs for shared internet connectivity
* Minimum 5 Mpbs upload speeds
- Private and secure workspace
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
68,000.00
Maximum Salary
$
75,000.00
Easy ApplySr. Knowledge Analyst - Contact Center Content Specialist (Remote)
Bowling Green, KY jobs
Description & Requirements Maximus is looking for a dynamic Senior Knowledge Analyst to serve as the dedicated Contact Center Content Specialist (CCCS). In this pivotal role, you'll collaborate closely with government and internal teams to identify content gaps, drive improvements, and ensure that agents are equipped with clear, effective, and bilingual resources.
*Position is contingent upon contract award*
This is a fully remote role.
Must have the ability to pass a federal background check.
Remote Position Requirements:
- Hardwired internet (ethernet) connection
- Internet download speed of 25mbps and 5mbps (10 preferred) upload or higher required (you can test this by going to ******************
- Private work area and adequate power source
Essential Duties and Responsibilities:
- Build and maintain knowledge base in SharePoint.
- Build document management processes and procedures.
- Assess knowledge base needs, inaccuracies, gaps; work quickly to resolve and make content current.
- Work cross-functionally with internal teams for maximum efficiency and accuracy in documentation content.
- Create hierarchy and ownership structure to sustain knowledge management.
- Empower contributions from key stakeholders to improve the knowledge base.
- Design and implement work flows to manage documentation process.
- Establish standard templates for all documentation for the teams to utilize in document creation.
- Collaborate with and support the Implementation Team to tune and evolve our Knowledge Base.
- Create, promote and apply best practices for writing, style and content in Microsoft style.
- Create training material in support of the Knowledge management process.
- Improve search results by honing and maintaining the knowledge base taxonomy, labels list and ensuring symptoms and subject terms are present in each article.
- Utilize SharePoint knowledge for site management, list creation, workflow creation/modification and document management within SharePoint.
• Coordinate with client content teams, and the Senior Training Manager to identify and address content gaps specific to contact center operations.
• Serve as a bilingual subject matter expert (English and Spanish) for contact center content development.
• Support the creation and refinement of training materials for contact center agents.
• Draft monthly action and improvement reports with recommendations on knowledge content, quality, customer satisfaction, and training materials.
• Represent the contact center perspective in content-related discussions and decisions.
• Work extensively with business partners and SMEs to perform knowledge needs analysis, develop and update training and knowledge resources that meet staff and stakeholder needs and organizational quality standards.
• Manage and develop knowledge articles, chat quick text scripts and email templates.
• Conduct audits of knowledge articles and procedures to ensure accuracy and relevance.
• Identify emerging contact center trends and coordinate content updates to address urgent needs.
• Collaborate with client content teams to create, update, and review contact center-specific content.
• Serve as a subject matter expert for assigned customer agencies.
• Salesforce and SharePoint experience preferred.
• Call center knowledge and experience preferred.
Minimum Requirements
- Bachelor's degree with 5+ years of experience.
- Advanced degree or professional designation preferred.
- Develops solutions to a variety of complex problems.
- Work requires considerable judgment and initiative.
- Exerts some influence on the overall objectives and long-range goals of the organization.
• Developing website content experience
• Self-motivated and able to work independently
EEO Statement
Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.
Pay Transparency
Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.
Accommodations
Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at **************************.
Minimum Salary
$
65,000.00
Maximum Salary
$
85,200.00
Easy ApplyDirector of Reimbursement
Louisville, KY jobs
JOIN TEAM TRILOGY Weekly pay, health and dental after your first month, student loan repayment, a competitive 401(k) match, and more! Make a living while you make a difference at Trilogy Health Services - a senior living provider with the continuous goal of being the Best Healthcare Company in The Midwest.
POSITION OVERVIEW
Job Summary
The Director of Reimbursement is responsible for overseeing Medicare and Medicaid reimbursement for a multi-state skilled nursing facility (SNF) organization, with a focus on cost report preparation, submission, and audit defense. This role ensures compliance with federal and state-specific regulations in Indiana, Ohio, Michigan, and Wisconsin, and supports financial strategies to optimize reimbursement and maintain regulatory compliance.
Roles and Responsibilities
* Manages the Reimbursement Team to prepare and submit accurate Medicare and Medicaid cost reports for SNFs in Indiana, Ohio, Michigan, and Wisconsin.
* Ensures compliance with CMS Form 2540-10 and each state's Medicaid cost reporting requirements.
* Possesses working knowledge of CMS 15-1 and state-specific Medicaid reimbursement manuals.
* Leads audit responses and manages appeals with state agencies and CMS intermediaries.
* Analyzes cost report data to identify trends, risks, and reimbursement opportunities.
* Collaborates with facility administrators, clinical teams, and finance staff to ensure accurate data collection and reporting.
* Monitors regulatory changes and communicates financial implications to leadership.
* Maintains documentation and internal controls to support audit readiness.
* Provides training and guidance to internal team on reimbursement and cost reporting.
* Other duties as assigned.
Qualifications
Education: Bachelor Degree
Experience: 5-8 years
Licenses and Certifications
CPA certification preferred
2 years of Management Experience required
Physical Requirements
Sitting, standing, bending, reaching, stretching, stooping, walking, and moving intermittently during working hours. Must be able to lift at least 50lbs. Must be able to maintain verbal and written communication with co-workers, supervisors, residents, family members, visitors, vendors, and all business associates outside of the health campus.
LOCATION
US-KY-Louisville
Trilogy Health Services
303 N. Hurstbourne Parkway
Louisville
KY
BENEFITS
* Competitive salaries and weekly pay
* 401(k) Company Match
* Mental Health Support Program
* Student Loan Repayment and Tuition Reimbursement
* Health, vision, dental & life insurance kick in on the first of the month after your start date
* First time homebuyers' program
* HSA/FSA
* And so much more!
LIFE AT TRILOGY
Whether you're looking for a new chapter, a change of pace, or a helping hand, Trilogy is committed to being the best place that you've ever belonged.
Flexibility is what you want, and flexibility is what you'll get.
Come into the office because you want to - not because you have to. At Trilogy, we're proud to embrace a hybrid work environment that allows you both the convenience of working from home and the flexibility of meeting with your co-workers in person. With collaborative workspaces, rotating cubicles, and meditation areas, our freshly renovated Home Office will accommodate the working style that works best for you.
Six months of training, orientation, and fun!
We believe in setting our employees up for success. That's why your first six months are referred to as your "blue-badge" period - a time where you are encouraged to ask questions, ask for help when needed, and familiarize yourself with the company culture. Even when your blue badge period ends, you can rest assured that the Trilogy team will always have your back.
ABOUT TRILOGY HEALTH SERVICES
As one of Fortune's Best Places to Work in Aging Services, a certified Great Place to Work, and one of Glassdoor's Top 100 Best Companies to Work, Trilogy is proud to be an equal opportunity employer committed to helping you reach your full potential and to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy or any other protected characteristic as outlined by federal, state or local laws.
FOR THIS TYPE OF EMPLOYMENT STATE LAW REQUIRES A CRIMINAL RECORD CHECK AS A CONDITION OF EMPLOYMENT.
Job Summary
The Director of Reimbursement is responsible for overseeing Medicare and Medicaid reimbursement for a multi-state skilled nursing facility (SNF) organization, with a focus on cost report preparation, submission, and audit defense. This role ensures compliance with federal and state-specific regulations in Indiana, Ohio, Michigan, and Wisconsin, and supports financial strategies to optimize reimbursement and maintain regulatory compliance.
Roles and Responsibilities
* Manages the Reimbursement Team to prepare and submit accurate Medicare and Medicaid cost reports for SNFs in Indiana, Ohio, Michigan, and Wisconsin.
* Ensures compliance with CMS Form 2540-10 and each state's Medicaid cost reporting requirements.
* Possesses working knowledge of CMS 15-1 and state-specific Medicaid reimbursement manuals.
* Leads audit responses and manages appeals with state agencies and CMS intermediaries.
* Analyzes cost report data to identify trends, risks, and reimbursement opportunities.
* Collaborates with facility administrators, clinical teams, and finance staff to ensure accurate data collection and reporting.
* Monitors regulatory changes and communicates financial implications to leadership.
* Maintains documentation and internal controls to support audit readiness.
* Provides training and guidance to internal team on reimbursement and cost reporting.
* Other duties as assigned.
Qualifications
Education: Bachelor Degree
Experience: 5-8 years
Licenses and Certifications
CPA certification preferred
2 years of Management Experience required
Physical Requirements
Sitting, standing, bending, reaching, stretching, stooping, walking, and moving intermittently during working hours. Must be able to lift at least 50lbs. Must be able to maintain verbal and written communication with co-workers, supervisors, residents, family members, visitors, vendors, and all business associates outside of the health campus.
Weekly pay, health and dental after your first month, student loan repayment, a competitive 401(k) match, and more! Make a living while you make a difference at Trilogy Health Services - a senior living provider with the continuous goal of being the Best Healthcare Company in The Midwest.
Auto-ApplyRegistered Dietitian, Outpatient
Lexington, KY jobs
Dietitian, Outpatient
Part-Time
Hybrid work from home opportunities may also be available after 6 months of employment.
Job Description:
Under limited supervision, provides professional medical nutrition therapy to groups and individuals of all ages and abilities, in a variety of settings in the outpatient nutrition service area.
Follows established standards of practice and guidelines defined by the Academy of Nutrition and Dietetics, USDA, American Diabetes Association, and other evidenced based resources for the assessment of patients, and subsequent planning, implementation, evaluation of nutrition education.
Services also includes continuum of care for out-patients requiring medical nutrition therapy.
Works with an established multidisciplinary team of professionals to provide quality nutrition education services including all department services.
Also provides support the outpatient diabetes education services as needed.
Requirements:
Registered Dietitian, Commission on Dietetic Registration
Licensed Dietitian, State of Kentucky
Experience with patient education and counseling
One year related experience
Current registration or registration-eligible with the Commission on Dietetic Registration. Those registration-eligible must become registered within 4 months of date of hire unless extension granted
Licensed Dietitian in Kentucky or licensed-eligible after receiving CDR registration. Those licensed-eligible must become licensed in KY within 4 months after receiving CDR registration unless extension granted.
Benefits:
Tuition Assistance up to $6,000 annually
Company paid Maternity and Paternity Leave
5 days Paid Time Off available upon hire
Bereavement Leave (includes pets)
PTO Sell Back Program
Compassionate Leave Sharing Program (PTO Donation)
Employee Support Fund, for employees in need of emergency financial support
Work Experience
Education
If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now!
Baptist Health is an
Equal Employment Opportunity
employer.
Auto-ApplyLead Oncology Data Specialist
Kentucky jobs
Baptist Health is looking for a Lead Oncology Data Specialist to join their team. This is a remote work position for candidates that reside in KY or IN
The Lead Oncology Data Specialist serves as a coach and educational resource for other oncology data specialists. Provides coordination and organization of the oncology data services database for reporting. Performs case finding, abstracting, and follow-up activities for patients diagnosed and/or treated at Baptist Health System with a cancer diagnosis, in accordance with standards and regulations.
Essential Duties:
• Identifies reportable cases from various sources.
• Abstracts reportable cases in a timely, accurate, and complete fashion.
• Obtains additional first course treatment data from primary sources.
• Conducts patient follow-up activities including treatment, recurrence, and patient status.
Qualifications:
Associate degree in Health Information Management or allied health field.
5 years minimum ODS job-related experience required.
Certified Oncology Data Specialist required
Work Experience
Relevant Work Experience
Education
If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now!
Baptist Health is an
Equal Employment Opportunity
employer.
Auto-ApplyApplication Analyst - Epic Clinical Documentation (ClinDoc)
Kentucky jobs
Baptist Health is looking for an Application Analyst - Epic Clinical Documentation (ClinDoc) to join their team. This is a remote work position for candidates residing in KY or IN
Under general direction, responsible for application and integration of information technology in the healthcare setting. This position will serve as a liaison between the IT department and operations to align system design with operational processes. This includes data collection, workflow analysis, system configuration, testing, and support. Participates in application deployment and procedure documentation. Ensures that the software build meets organizational goals and external mandates such as HIPAA and Meaningful Use. Has technical knowledge of all phases of applications system analysis and project management. Acts as project coordinator for medium sized projects with medium budgets and may or may not have system-wide implications.
The successful candidate will have the opportunity to work with a strong team in supporting the Epic medical documentation software, and its clinical users, at a dynamic healthcare system headquartered in Louisville, Kentucky.
Qualifications:
Minimum of a bachelor's degree and four years' related experience, or two years' direct experience as an Epic Analyst in lieu of a degree.
Epic Certification highly desired - preferably in the EpicCare Inpatient Clinical Documentation module. Clinical background is beneficial.
Work Experience
Education
If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now!
Baptist Health is an
Equal Employment Opportunity
employer.
Auto-ApplyIS Internal Auditor
Louisville, KY jobs
JOIN TEAM TRILOGY Weekly pay, health and dental after your first month, student loan repayment, a competitive 401(k) match, and more! Make a living while you make a difference at Trilogy Health Services - a senior living provider with the continuous goal of being the Best Healthcare Company in The Midwest.
POSITION OVERVIEW
Job Summary
Serves as a key liaison between IT, audit, and business teams to execute SOX 404B testing and operational IT audits. Evaluates IT controls, identifies risks, and supports remediation efforts while ensuring compliance with HIPAA, NIST, and other regulatory standards.
Roles and Responsibilities
* Acts as the primary liaison between IT, IS, external audit, and business/IT application control owners to ensure effective communication and collaboration.
* Executes SOX 404B testing over IT General Controls (ITGC), IT application controls (ITAC), and key cybersecurity controls across financially relevant systems.
* Plans and performs walkthroughs, defines populations, selects samples, evaluates configurations/parameters, reperforms automated control logic, and assesses exceptions to support auditor reliance.
* Leads and executes non-SOX operational IT audits- plan and perform routine monitoring and testing of critical IT systems
* Identifies control deficiencies and risks, recommends mitigation strategies in partnership with control owners, and follows up on remediation.
* Prepares clear, concise audit reports and present findings to management, routinely tracks audit projects, resource hours, and progress against plan; analyzes trends and outcomes; and provide reporting to support forecasting and continuous improvement of the audit plan.
* Supports the design and implementation of automated solutions for recurring audit and monitoring activities.
* Provides advanced data and reporting support to the audit team-assist with extracting system reports, structuring large datasets, and performing complex analyses (e.g., building dynamic pivot tables, reconciling data across sources, and executing comparative reviews) to enable efficient testing and insightful conclusions.
* Participates in annual IT risk assessments and consult with stakeholders in development of the IT audit plan.
* Assesses compliance with internal IT policies, regulatory requirements and industry standards, including HIPAA, NIST, and state-specific guidance.
* Reviews third-party and vendor risk management practices, including evaluating SOC 1 and SOC 2 reports, testing key controls, assessing subservice organizations, and mapping Complementary User Entity Controls (CUECs) to internal processes to ensure comprehensive coverage and compliance.
* Audits data privacy and governance practices, including encryption and data lifecycle management.
* Evaluates and participates in disaster recovery, business continuity, and incident response plans.
* Consults with internal teams on process and control development, quality improvement, and remediation activities.
* Monitors industry trends and emerging technologies to proactively identify risks, recommend improvements, and provide guidance and training to team members and control owners on relevant updates and best practices.
* Other duties as assigned.
Qualifications
Education: Bachelor Degree
Experience: 3-5 years
Licenses and Certifications
Certified Information Systems Auditor (CISA) strongly preferred.
Physical Requirements
Sitting, standing, bending, reaching, stretching, stooping, walking, and moving intermittently during working hours. Must be able to lift at least 50lbs. Must be able to maintain verbal and written communication with co-workers, supervisors, residents, family members, visitors, vendors, and all business associates outside of the health campus.
LOCATION
US-KY-Louisville
Trilogy Health Services
303 N. Hurstbourne Parkway
Louisville
KY
BENEFITS
* Competitive salaries and weekly pay
* 401(k) Company Match
* Mental Health Support Program
* Student Loan Repayment and Tuition Reimbursement
* Health, vision, dental & life insurance kick in on the first of the month after your start date
* First time homebuyers' program
* HSA/FSA
* And so much more!
TEXT A RECRUITER
Lauren **************
LIFE AT TRILOGY
Whether you're looking for a new chapter, a change of pace, or a helping hand, Trilogy is committed to being the best place that you've ever belonged.
Flexibility is what you want, and flexibility is what you'll get.
Come into the office because you want to - not because you have to. At Trilogy, we're proud to embrace a hybrid work environment that allows you both the convenience of working from home and the flexibility of meeting with your co-workers in person. With collaborative workspaces, rotating cubicles, and meditation areas, our freshly renovated Home Office will accommodate the working style that works best for you.
Six months of training, orientation, and fun!
We believe in setting our employees up for success. That's why your first six months are referred to as your "blue-badge" period - a time where you are encouraged to ask questions, ask for help when needed, and familiarize yourself with the company culture. Even when your blue badge period ends, you can rest assured that the Trilogy team will always have your back.
ABOUT TRILOGY HEALTH SERVICES
As one of Fortune's Best Places to Work in Aging Services, a certified Great Place to Work, and one of Glassdoor's Top 100 Best Companies to Work, Trilogy is proud to be an equal opportunity employer committed to helping you reach your full potential and to diversity and inclusion in the workplace. We prohibit discrimination and harassment of any kind based on race, color, sex, religion, sexual orientation, national origin, disability, genetic information, pregnancy or any other protected characteristic as outlined by federal, state or local laws.
FOR THIS TYPE OF EMPLOYMENT STATE LAW REQUIRES A CRIMINAL RECORD CHECK AS A CONDITION OF EMPLOYMENT.
Job Summary
Serves as a key liaison between IT, audit, and business teams to execute SOX 404B testing and operational IT audits. Evaluates IT controls, identifies risks, and supports remediation efforts while ensuring compliance with HIPAA, NIST, and other regulatory standards.
Roles and Responsibilities
* Acts as the primary liaison between IT, IS, external audit, and business/IT application control owners to ensure effective communication and collaboration.
* Executes SOX 404B testing over IT General Controls (ITGC), IT application controls (ITAC), and key cybersecurity controls across financially relevant systems.
* Plans and performs walkthroughs, defines populations, selects samples, evaluates configurations/parameters, reperforms automated control logic, and assesses exceptions to support auditor reliance.
* Leads and executes non-SOX operational IT audits- plan and perform routine monitoring and testing of critical IT systems
* Identifies control deficiencies and risks, recommends mitigation strategies in partnership with control owners, and follows up on remediation.
* Prepares clear, concise audit reports and present findings to management, routinely tracks audit projects, resource hours, and progress against plan; analyzes trends and outcomes; and provide reporting to support forecasting and continuous improvement of the audit plan.
* Supports the design and implementation of automated solutions for recurring audit and monitoring activities.
* Provides advanced data and reporting support to the audit team-assist with extracting system reports, structuring large datasets, and performing complex analyses (e.g., building dynamic pivot tables, reconciling data across sources, and executing comparative reviews) to enable efficient testing and insightful conclusions.
* Participates in annual IT risk assessments and consult with stakeholders in development of the IT audit plan.
* Assesses compliance with internal IT policies, regulatory requirements and industry standards, including HIPAA, NIST, and state-specific guidance.
* Reviews third-party and vendor risk management practices, including evaluating SOC 1 and SOC 2 reports, testing key controls, assessing subservice organizations, and mapping Complementary User Entity Controls (CUECs) to internal processes to ensure comprehensive coverage and compliance.
* Audits data privacy and governance practices, including encryption and data lifecycle management.
* Evaluates and participates in disaster recovery, business continuity, and incident response plans.
* Consults with internal teams on process and control development, quality improvement, and remediation activities.
* Monitors industry trends and emerging technologies to proactively identify risks, recommend improvements, and provide guidance and training to team members and control owners on relevant updates and best practices.
* Other duties as assigned.
Qualifications
Education: Bachelor Degree
Experience: 3-5 years
Licenses and Certifications
Certified Information Systems Auditor (CISA) strongly preferred.
Physical Requirements
Sitting, standing, bending, reaching, stretching, stooping, walking, and moving intermittently during working hours. Must be able to lift at least 50lbs. Must be able to maintain verbal and written communication with co-workers, supervisors, residents, family members, visitors, vendors, and all business associates outside of the health campus.
Weekly pay, health and dental after your first month, student loan repayment, a competitive 401(k) match, and more! Make a living while you make a difference at Trilogy Health Services - a senior living provider with the continuous goal of being the Best Healthcare Company in The Midwest.
Auto-ApplyNon-Acute Pharmaceutical Sales Specialist
Frankfort, KY jobs
**This role will be 100% remote.** Be a part of the fast-paced Non-Acute pharmaceutical sales team- responsible for winning, maintaining and growing customer relationships. This direct sales and customer account management role is responsible for day-to-day activities like order resolution, placement, and account maintenance as well customer initiatives, sales presentations and more.
**_Responsibilities:_**
+ Wins and retains new business in assigned sales region.
+ Responsible for cultivating and maintaining on-going customer relationships with an assigned set of customers and strategic accounts.
+ Provides new and existing customers with the best possible service and recommendations in relation to billing inquiries, service requests, improvements to internal and external processes, and other areas of opportunity.
+ Provides product service information to customers and identifies upselling opportunities to maintain and increase income streams from customer relationships.
**_Qualifications:_**
+ Bachelor's degree in related field, or equivalent work experience, preferred
+ 2-4 years of account management or sales experience, preferred
+ Strong communication and organizational skills
+ Strong working knowledge of Microsoft Excel and Outlook
+ Experience using Salesforce or other CRM systems, preferred
**Anticipated pay range:** $57,000 - $81,600
**Bonus eligible:** No
**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being starting on day one of employment.
+ Medical, dental and vision coverage
+ Paid time off plan
+ Health savings account (HSA)
+ 401k savings plan & employer match
+ Access to wages before pay day with my FlexPay
+ Flexible spending accounts (FSAs)
+ Short- and long-term disability coverage
+ Work-Life resources
+ Paid parental leave
+ Healthy lifestyle programs
**Application window anticipated to close:** 12/29/2025 and may close sooner depending on the number of applicants. If interested in opportunity, please submit application as soon as possible.
The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.
\#LI-JC1
_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._
_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._
_To read and review this privacy notice click_ here (***************************************************************************************************************************
Nurse Case Manager/Advocate- Louisville, KY (Remote)
Louisville, KY jobs
SYNERGY HEALTHCARE: Nurse Case Manager/Advocate - LOUISVILLE, KY (Remote) Job Summary: We are seeking an experienced Case Manager to join our growing team and serve as a Nurse Advocate for our new client and their employees. The ideal candidate will be located in the greater Louisville area, have a thorough understanding of the healthcare system, and will be responsible for providing guidance and support to members in navigating the complex healthcare landscape. As the dedicated Nurse Advocate, you will be responsible for resolving a myriad of issues for their members and allow you the flexibility to “think outside the box”. With your clinical experience and background, you will help members better understand their health status, and will play a pivotal role in promoting patient wellness, managing chronic conditions, and enhancing overall health outcomes through personalized coaching and education. This position requires a blend of clinical expertise, strong communication skills, and a passion for helping others achieve their health goals. While this specific client has a a couple primary offices in KY, this opportunity allows for remote work so can be flexible on location. Minimal travel within the State for periodic client visits may be required. Most if not all work will be done virtually out of the convenience of your own home office. The key to your success will rely on your ability to cultivate trusted relationships with stakeholders, members, and their families. Our growing Synergy team is passionate about delivering an exceptional healthcare experience that is personal, data driven, and value based to help every person live their healthiest life. Key Responsibilities:
Serve as the primary point of contact for members seeking assistance with navigating the healthcare system.
Work with members to identify their healthcare needs and provide clinical support.
Liaison with TPAs and insurance companies to resolve claim and billing issues.
Educate members on healthier lifestyle, member benefits and how to effectively utilize them.
Advocate for members so they can receive improved healthcare outcomes, including referrals to specialists and timely access to care.
Collaborate with other healthcare professionals, including physicians and nurses to ensure seamless coordination of care.
Monitor member health status and progress towards achieving their healthcare goals.
Maintain accurate and up-to-date records of member interactions and healthcare interventions.
Client facing reporting with the potential for limited travel to client worksites.
Health Risk Assessment review to encourage lifestyle modification and improve overall wellness.
Qualifications:
Active nursing license with a Bachelor of Science in Nursing (BSN) degree preferred.
Minimum of 3 years of experience as a nurse case manager or in a related healthcare field.
CCM certification or CCM eligible. Commit to CCM exam within the first year.
In-depth knowledge of the healthcare and insurance systems.
Strong analytical and problem-solving skills with the ability to identify and resolve complex healthcare issues.
Excellent communication and interpersonal skills with the ability to interact effectively with employees and healthcare professionals.
Ability to work remotely, independently, and as part of a team in a fast-paced, dynamic environment.
Strong organizational skills with the ability to manage multiple tasks and priorities simultaneously.
Proficient in the use of electronic health records (EHRs), Outlook, Excel, and other healthcare-related software.
If you are passionate about helping others and have a solid understanding of the healthcare system, we encourage you to apply for this exciting opportunity as a Case Manager Nurse Advocate with our growing organization. Questions... Please reach out to *************************** today!
Easy ApplyPharmacy Revenue Cycle Analyst - Remote
Kentucky jobs
The Pharmacy Revenue Cycle Analyst is responsible for ensuring optimal revenue capture for pharmacy services provided at Baptist Health to help maximize financial performance. The Pharmacy Revenue Cycle Analyst will monitor revenue cycle performance by reviewing pharmacy charge capture, correctly capturing and coding pharmacy charges, ensuring accuracy of inpatient and outpatient claims processing and reviewing denials and write-off assessments. The Pharmacy Revenue Cycle Analyst must be knowledgeable of pertinent pharmacy revenue cycle rules and regulations. This role will assist pharmacy leadership in developing and maintaining the payment models for managed care negotiations, payment auditing, and denial management.
Job Description:
Baptist Health is looking for a Remote Pharmacy Revenue Cycle Analyst to join our Pharmacy
team!
Ensures billing for all inpatient, outpatient commercial, Medicare, Medicaid, MCOs, and community pharmacy PBM accounts by analyzing, updating, and correcting claims data.
Assures that billing procedures performed by the department are accurate and timely.
Works collaboratively with accounts receivable through prompt and accurate billing, payment auditing, credits, and follow up of all patient accounts with Medicare, Medicare Advantage, Medicaid, PBMs, and MCOs.
Coordinates with sites, managed care, and the business office to decrease medication-related claim denials, underpayments, and outstanding claims.
Reviews, investigates, and processes high dollar and high dispense quantity work queue items.
Serves as the system expert on medication-related compliance billing and charging.
Performs quality reviews to ensure that pharmacy charge description master (PCDM) additions, inactivations, changes and/or revisions were accurately completed in the clinical and financial systems.
Assists Baptist Health's pharmacy contract negotiating team in developing and maintaining up to date, accurate payment models to assist with the contract management processes (payment auditing and denial management) as well as reporting on current profitability, payor analysis and other key areas of analysis.
Collaborates with clinical staff, other departments, and physician offices to request assistance (additional documentation, coding review, etc.) when necessary to successfully appeal an account. Ensures appropriate follow ups on accounts until a resolution is reached or all reasonable appeal options are exhausted.
Assists with contract compliance and identify savings opportunities.
Responsible for working with IT and software vendor to test and implement software upgrades related to payment modeling software.
Works with the revenue cycle team and pharmacy leadership to develop quality metrics and audit methodologies to drive accuracy and first-time quality for all HCPCS/CPT codes, revenue codes, billable units, multipliers, modifiers, and indications.
Assists with the development and enhancement of analytical tools for prospective and retrospective audits and data analysis.
Coordinates the overall maintenance of all pharmacy revenue cycle scorecards, dashboards and key performance indicators.
Audits price file updates from wholesaler, non-wholesaler, Epic, charges, and patient information.
Responsible for developing reports to highlight the proposed vs. actual financial impact by contract term.
Provides education to site and system stakeholders to drive optimal revenue capture and compliance.
Assists with development of policies, guidelines, and procedures for pharmaceutical coding, billing, pricing, charging, and denial management.
Participates in committees, work groups, process improvement efforts, and educational initiatives.
QUALIFICATIONS
REQUIRED:
• Bachelor's degree, and 3 years minimum job-related experience.
• 4 years additional experience may be substituted for a degree.
• Strong knowledge of general ledger accounts and coding.
PREFERRED:
• Accounting, Finance, or equivalent college level courses in accounting.
• Home Care Specialist-Diagnosis (HCS-D.
• Home Care Specialist - Oasis (HCS-O) or Certificate for OASIS Specialist - Clinical (COS-C).
• Hospital and Community based experience with expertise in billing and compliance.
• Experience in CDM maintenance.
• Direct experience in healthcare.
Work Experience
Education
If you would like to be part of a growing family focused on supporting clinical excellence, teamwork and innovation, we urge you to apply now!
Baptist Health is an
Equal Employment Opportunity
employer.
Auto-ApplyCulinary Remote Call Center PRN
Frankfort, KY jobs
Provides telephonic nutrition services to patients utilizing standardized guidelines. This position interacts with clinical caregivers, patients, and patient's family members to explain the meal process and modify meal selections according to provider orders.
Please note that a video interview through Microsoft Teams will be required as well as potential onsite interviews and meetings.
**Work Schedule**
+ **PRN, on call or as needed**
+ **Remote Position, must be a Utah Resident**
+ **Shift Assignments:** coverage for time off requests & leave requests in the morning, afternoon & evening
+ **Hours of Operation:** Sunday-Saturday 0630 - 1930
+ **Required:** Rotating holidays and weekends
+ **Benefits Eligible: No**
**Essential Functions**
+ Takes patient meal selections and modifies them using system standards to meet provider orders.
+ Checks trays for accuracy during meal assembly.
+ Communicates clearly to both clinical and culinary caregivers.
+ Collects and inputs nutrition screening information
+ May complete calorie count and nutrition analysis as dictated by facility
+ Utilizes a computer to run reports and take orders.
+ Follows standardized practices relating to Nutrition Services (e.g. dining experience, meal delivery and maintaining required stock levels)
+ Performs accurate credit transactions according to system standards and independently resolves basic customer service issues.
**Skills**
+ Nutrition
+ Diet Management
+ Computer Literacy
+ Interpersonal Communication
+ Active Listening
+ Coordinating tasks with others
+ Patient Interactions
+ Attention to detail
**Qualifications**
+ Virtual Screening through Microsoft Teams before application submitted to Hiring Manager
+ **Residential Home address and work from home address must be within the state of Utah**
+ **Immediate access to dedicated, hardwire internet:** 15MBPS per second for download speed, 3MBPS per second for upload speed (no sharing of services)
+ Experience in Food Service, Nutrition Services, or healthcare call center (preferred)
+ Demonstrated ability to work with modified diets (preferred)
+ Demonstrated ability to provide exceptional customer service (preferred)
**Physical Requirements:**
+ Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess customer needs.
+ Frequent interactions with customers that require employee to communicate as well as understand spoken information, alarms, needs, and issues quickly and accurately.
+ Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer, phone, and cable set-up and use.
+ Expected to lift and utilize full range of movement to transport, pull, and push equipment. Will also work on hands and knees and bend to set-up, troubleshoot, lift, and carry supplies and equipment. Typically includes items of varying weights, up to and including heavy items.
+ Remain standing for long periods of time to perform work.
+ Tolerate extremes in temperature such as performing work at a grill or in a refrigerator and tolerate exposure to cleaning chemicals.
**Location:**
Vine Street Office Building
**Work City:**
Murray
**Work State:**
Utah
**Scheduled Weekly Hours:**
0
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$18.22 - $23.68
We care about your well-being - mind, body, and spirit - which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits package here (***************************************************** .
Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.
At Intermountain Health, we use the artificial intelligence ("AI") platform, HiredScore to improve your job application experience. HiredScore helps match your skills and experiences to the best jobs for you. While HiredScore assists in reviewing applications, all final decisions are made by Intermountain personnel to ensure fairness. We protect your privacy and follow strict data protection rules. Your information is safe and used only for recruitment. Thank you for considering a career with us and experiencing our AI-enhanced recruitment process.
All positions subject to close without notice.