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?
Quality Analyst - Remote
Bowling Green, KY jobs
Description & Requirements Maximus is seeking a detail-oriented and experienced Quality Analyst. This role is responsible for conducting quality evaluations of staff performance, supporting calibration sessions, and ensuring alignment with client-defined quality standards. The ideal candidate will demonstrate strong analytical and communication skills, and a commitment to continuous improvement.
*Position is contingent upon contract award*
This is a fully remote role.
Must have the ability to pass a federal background check.
Equipment will be provided but must meet the remote position requirement provided below.
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:
- Conduct internal audits for the quality assurance program to ensure that quality metric requirements of the project are being met.
- Collaborate in developing new procedures and update existing procedures when changes occur.
- Analyze reports on operational performance and provide solutions to identified issues.
- Analyze and develop routine and ad hoc reports on project performance, and research and suggest solutions to identified issues.
- Conduct monitoring activities and audits for quality assurance purposes and to support the effective functioning of the project.
- Analyze quality program data to identify trends and to develop and implement corrective action plans as appropriate.
- Assist with monitoring performance and meeting contractual requirements using system applications.
- Assist in the production and update of staff resource materials including knowledge management system, quick reference guide, matrices, charts, and workflows.
- Assist with staff training for the purpose of achieving and maintaining quality program goals.
- Analyze effectiveness of key initiatives and quality improvement efforts.
- Perform other duties as assigned by management.
• Participate in calibration sessions to ensure consistency and alignment in quality evaluations across the team.
• Utilize AI tools and technologies to support quality assurance activities, data analysis, and reporting.
• Assist the center with taking calls as needed to support operations and maintain service levels.
Minimum Requirements
- Bachelor's degree in relevant field of study and 3+ years of relevant professional experience required, or equivalent combination of education and experience.
• Monitor agent interactions to ensure adherence to quality standards and provide timely, constructive feedback.
• Meet daily, weekly, and monthly monitoring goals by completing required evaluations, delivering timely feedback, and documenting results to support overall quality targets.
• Maintain strong organizational skills to effectively track monitors across different lines of business
• Collaborate in the development and revision of procedures in response to operational changes.
• Analyze operational and quality data to identify trends, gaps, and opportunities for improvement.
• Make recommendations based on data analysis to enhance performance and service delivery.
• Participate in and contribute to calibration sessions to ensure consistency in quality evaluations.
• Assist in training initiatives aimed at improving agent performance and overall quality scores.
• Support the creation and maintenance of staff resource materials, including guides, workflows, and reference documents.
• Utilize AI tools and technologies to enhance quality assurance processes, reporting, and decision-making.
• Take calls as needed to support center operations and maintain service levels.
• Participate in pilots and provide feedback from a quality assurance perspective to help inform improvements to quality metrics.
• Perform other duties as assigned by management.
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
$
50,000.00
Maximum Salary
$
61,000.00
Easy ApplyFP&A Analyst
Louisville, KY jobs
Full-time Description
FP&A Analyst
Department: Administration
Reports To: CEO
Exempt Status: Salaried
Hybrid Remote - Based in Louisville, KY area
The Business Analyst is responsible for monitoring and analyzing financial data and trends and collaborating with cross functional departments to provide financial insights for decision making.
Essential Duties and Responsibilities:
Monitors and analyzes monthly financial and operation performance
Tracks and reports on key KPIs (e.g., revenue, margins, EDITDA, working capital) and generate insights to support performance improvement
Assists with budgeting, forecasting, and strategic planning in collaboration with the company's leadership
Supports the standardization and continuous improvement of financial reporting across the company
Maintains and updates the company cash monitoring procedures
Partners with leadership to support strategic initiatives and value creation efforts
Participates in board meeting preparation, including development of presentation materials
Assists in preparing external reporting to limited partners (LPs) and other stakeholders as needed
Builds and maintains detailed financial models for new and existing investments
Assists in the evaluation of potential add-on acquisition opportunities
Supports due diligence processes by analyzing historical financials, quality of earnings reports, and operational KPIs
Requirements
Education/Licenses:
Bachelor's degree in Finance, Business, Economics, or a related field
Experience & Skills:
2-4 years' experience in finance, consulting, or a related analytical role
Strong financial modeling and quantitative analysis skills
Proficiency in Excel and financial reporting tools; experience with BI tools a plus
Excellent communication skills with the ability to convey insights clearly and concisely
Strong attention to detail, organization skills, and the ability to manage multiple priorities
Team-oriented mindset with the ability to collaborate across functions and organizations
Physical Needs:
Ability to sit for prolonged periods at a desk working on a computer
Ability to lift up to 15 pounds at a time
Ability to travel to other locations
District Manager
Lexington, KY jobs
Description Biote Medical is the world leader in hormone optimization and we are adding to our team! We partner with providers to take a complete approach to healthier aging through patient-specific bioidentical hormone replacement therapy and the only nutraceutical line created specifically to support hormone health.This position will help support our Lexington territory. We're looking for someone with a passion for changing healthcare who wants to be in a hands-on and engaged position working within a dynamic and collaborative sales team.You must be located in the Lexington area to be considered.Position and Scope:We are looking for a driven candidate with the desire to recruit qualified physicians and practitioners into a partnership relationship with Biote; in order to provide cutting edge technology for bioidentical hormone replacement therapy (BHRT) and healthy aging options to their own patients and to the public at large. The ideal candidate is responsible for relationship development, practice development and sales of the Biote Method to practitioners. Sales activity includes prospecting, cold calling, practice development, tradeshows, sales events, and other methods for creating leads and closing sales for Biote within the approved price matrix. In addition, the Liaison provides technical, educational, and Provider Partner support. This is a field-based remote position.As a District Manager, your daily responsibilities will include:
Acquiring and retaining extensive knowledge of hormone replacement therapy through materials provided by Biote, as well as outside sources.
Effectively conducting physician, staff and patient training in the areas of Biote's business protocols; specifically, marketing, financial, therapy, forms, patient seminars, company online resources and other topics that may change from time to time.
Ability to read and understand medical and scientific studies.
Researching and evaluating physicians in assigned areas based on Biote's criteria for appropriateness and suitability.
Effectively presenting Biote's training and business program to physicians, Nurse Practitioners, Physician Assistants, office managers and office staff.
Recruiting suitable physicians and other practitioners through professional and effective prospecting, appointment setting and presentation skills.
Cultivating and maintaining mutually productive partnerships with practitioners to grow new and current practices and maintain patient retention levels of 60% or better.
Effectively conducting physician, staff and patient training in the areas of Biote's business protocols; specifically, marketing, financial, therapy, forms, patient seminars, company online resources and other topics that may change from time to time.
Securing all required contracts, paperwork and documentation as well as payments and fees as needed for attendees to participate in regular training and certification classes.
Conducting and facilitating patient educational seminars as needed for trained practitioners on a monthly basis.
Contributing to the development of the practice by assisting the Office Manager/Marketing position with email marketing, social media, referral cards and website information cards.
Prospecting for new leads and identifying quality sales prospects from active leads.
Attending marketing and sales events for prospects and current customers.
Working with customers for sales referrals with new prospects.
Updating all relevant sales activities in the Company's CRM system.
Closing sales accurately and effectively each month to meet or exceed targets.
Responding to all emails received from the customer and Biote employees and related vendors in a timely manner.
Performing other related duties as required or requested.
As a District Manager, your background should include:
Bachelor's degree
Strong teamwork, communication (written and oral), client management, and interpersonal skills.
Minimum of 3-5 years of sales experience in a business-to-business model, preferably medical device, diagnostics, and/or biotech.
Strong work ethic and time management skills
Ability to make effective and persuasive communications and technical presentations to physicians, management and/or large groups. Ability to thoroughly understand and communicate the attributes and qualities of Company products using professional selling and closing skills.
Proficient in Microsoft Office suite and customer relationship management software.
Ability to travel in order to do business, approximately 20% of the month.
Scheduled hours are 40 to 50 hours per week Monday through Friday but may be extended as required to execute the tasks assigned.
Valid driver's license issued by the state/province in which the individual resides and a good driving record is required.
Home office capability is required with reliable high-speed internet access
Company Perks:
Medical, Dental & Vision Insurance, Virtual Visits/Telemedicine
Company Paid Life and AD&D Insurance
15 days of Paid Time Off and Company Holidays
401k with a 3% employer contribution
Motus mileage program
Other excellent health and wellness benefits in line with our business
If you're interested in this awesome opportunity, please apply today!
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.
Associate Specialist, Corporate Credentialing - Remote
Louisville, KY jobs
Molina's Credentialing function ensures that the Molina Healthcare provider network consists of providers that meet all regulatory and risk management criteria to minimize liability to the company and to maximize safety for members. This position is responsible for the initial credentialing, recredentialing and ongoing monitoring of sanctions and exclusions process for practitioners and health delivery organizations according to Molina policies and procedures. This position is also responsible for meeting daily/weekly production goals and maintaining a high level of confidentiality for provider information.
**Job Duties**
- Evaluates credentialing applications for accuracy and completeness based on differences in provider specialty and obtains required verifications as outlined in Molina policies/procedures and regulatory requirements, while meeting production goals.
- Communicates with health care providers to clarify questions and request any missing information.
- Updates credentialing software systems with required information.
- Requests recredentialing applications from providers and conducts follow-up on application requests, following department guidelines and production goals.
- Collaborates with internal and external contacts to ensure timely processing or termination of recredentialing applicants.
- Completes data corrections in the credentialing database necessary for processing of recredentialing applications.
- Reviews claims payment systems to determine provider status, as necessary.
- Completes follow-up for provider files on 'watch' status, as necessary, following department guidelines and production goals.
- Reviews and processes daily alerts for federal/state and license sanctions and exclusions reports to determine if providers have sanctions/exclusions.
- Reviews and processes daily alerts for Medicare Opt-Out reports to determine if any provider has opted out of Medicare.
- Reviews and processes daily NPDB Continuous Query reports and takes appropriate action when new reports are found.
**JOB QUALIFICATIONS**
**Required Education:**
High School Diploma or GED.
**Required Experience/Knowledge Skills & Abilities**
- Experience in a production or administrative role requiring self-direction and critical thinking.
- Extensive experience using a computer -- specifically internet research, Microsoft Outlook and Word, and other software systems.
- Experience with professional written and verbal communication.
**Preferred Experience:**
Experience in the health care industry
To all current Molina employees: If you are interested in applying for this position, please apply through the intranet job listing.
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V
Pay Range: $21.16 - $34.88 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
Bilingual Health Specialist (RN, temporary, remote)
Bowling Green, KY jobs
Description & Requirements Maximus is looking for a limited-service Bilingual Health Specialist position to fill. The Health Specialist role will support our CDC INFO program and will provide advanced and accurate clinical inquiry responses to health related, disease control and prevention issues, including questions related to bioterrorism, first responders and national emergency situations from medical and other health care professionals, educators, and government agencies.
- Must hold a current, active RN license
- Position is remote and temporary through August 31, 2026
- Must be available to work the occasional weekend or holiday depending on business needs
- Computer equipment is not provided for this project. See below for equipment requirements
- Will work an 8-hour day between Monday - Friday 8:00 AM - 8:00 PM EST
- Must pass a bilingual Spanish/English assessment
Essential Duties and Responsibilities:
- Provides advanced clinical inquiry responses (verbal and written) to health-related inquiries from consumers, educators or medical/health professionals.
- Provides medical subject matter expertise.
- Performs advanced database searches.
- Composes documents, reports, and correspondence.
- Documents all incoming inquiries.
- Participates in special projects as required.
Duties and Responsibilities:
- Provide subject matter expertise on CDC topics covered by CDC-INFO which includes, for example, HIV/AIDS, Immunizations, Environmental Health, NIOSH; Tuberculosis and Statistics.
- Respond to inquiries resulting from current events, such as food outbreaks, natural disasters and other events.
- Perform advanced database searches
- Perform assigned work in accordance with quality assurance measures
- Respond to medical personnel and clinicians in both verbal and written formats
Education and Experience Requirements:
- Bachelor's Degree in Nursing and current RN license is required.
- The ability to Read, Speak and Write in both English and Spanish is required.
- Experience in medical, scientific and public health discipline
- Clinical knowledge of and experience in CDC related topics.
- Proficient internet search skills.
- Working knowledge of Microsoft Office and ability to learn and utilize software applications
- Excellent listening, comprehension, communications (verbal and written), problem solving and customer service skills
- Ability to work independently and communicate effectively
- Must have demonstrated excellent interpersonal and leadership skills and the ability to organize simultaneous tasks
Please Note: This position requires a personal computer or laptop (Chromebooks, tablets, and notebooks are not allowed) with one of the following operating systems: Windows: 10 or 11 or Mac: Big Sur (11.0.1+), Catalina (10.15), or Monterey (12.3).
Home Office Requirements:
- Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to ******************
- Minimum 5mpbs upload speed
- Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home router
- Personal computer or laptop (Chromebooks, tablets, and notebooks are not allowed) with one of the following operating systems: Windows: 10 or 11 or Mac: Big Sur (11.0.1+), Catalina (10.15), or Monterey (12.3)
- Private and secure work area and adequate power source
- Must currently and permanently reside in the Continental US
Minimum Requirements
- High School diploma or equivalent with 2-4 years of experience.
- May have additional training or education in area of specialization.
- Must be fluent in English and specified secondary language.
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
$
34.85
Maximum Salary
$
68.55
Easy ApplyNurse 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 probably be indicated by graduation from an accredited RN School of Nursing 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-ApplySr. Knowledge Analyst - Contact Center Content Specialist (Remote)
Louisville, 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 ApplyPharmacy Data Intelligence Analyst
Kentucky jobs
The Pharmacy Data Intelligence Analyst will play a crucial role in analyzing pharmacy data to improve efficiency, reduce costs, and ensure medication safety. This role will gather and analyze data to identify areas for improvement in pharmacy-related services and operations. The Pharmacy Data Intelligence Analyst will collaborate with pharmacy team and management across various settings to promote new opportunities for the organization and assist with implementing new solutions based on data findings.
Job Description:
Baptist Health is looking for a Pharmacy Data Intelligence Analyst. This is a remote opportunity for residents of KY or IN.
Gather and integrate data from disparate healthcare data sources (e.g., electronic health records, claims data, financial data).
Clean, validate, and prepare data for analysis ensuring data accuracy and consistency by correcting errors, handling missing values, and standardizing formats.
Perform statistical analysis and modeling to identify trends, patterns, and correlations within healthcare data. Translating and summarizing complex data into clear, concise, and actionable insights for non-technical audiences.
Develop and maintain data visualizations (e.g., dashboards, reports) to effectively communicate findings to stakeholders.
Compile analyzed data into a structured report tailored for a specific audience.
Present data in a visually appealing and easy-to-understand way using charts, graphs, tables, or dashboards.
Generate patient data to provide a deep knowledge of patient dynamics in real-world settings and create personalized solutions to improve care.
Collaborate to understand data needs and create comprehensive data maps to integrate data from a variety of sources within the EHR.
Analyze patient data from various sources (e.g., electronic health records, patient satisfaction surveys, claims data) to identify trends, patterns, and areas for improvement. Conduct root cause analysis to identify factors contributing to poor patient outcomes.
Collaborate with clinical services and patient care services to identify patient population and associated disease states and correlate data points for better patient outcomes.
Collaborate with physicians, nurses, and other healthcare professionals to understand patient medication needs and challenges.
Incorporate industry benchmarks to illustrate baseline metrics and current state when publishing charts, graphs, pivot tables and other diagrams.
Provide 340B program compliance reports for qualified patients, drugs, providers, vendors, payers, and locations.
Publish quality analytics to include weekly or monthly dashboards, productivity, ad-hoc projects, and/or KPI used by directors and managers to improve processes and maintain a pulse of daily operations.
Support Pharmacy and Therapeutics Committee functions by providing financial data to be used in the drug evaluation process.
Minimum Experience Required
Associate/Bachelor's degree in Information Technology, Business Management, Finance, Accounting, or Hospital Administration preferred, or the equivalent combination of education and experience.
Minimum 5 years of Data science or programming experience in lieu of degree.
Direct experience in data analysis and/or health care planning background is preferred.
Excellent Benefits Package
5 days of Paid Time Off available for use upon hire (full-time)
PTO Sell Back Program
Compassionate Leave Sharing Program (PTO Donation)
Company paid Maternity and Paternity Leave
Bereavement Leave (includes pets)
Employee Support Fund, for employees in need of emergency financial support
Retirement plans with company match
Company paid Basic Life Insurance & Long-Term Disability
Health Insurance, Pharmacy, Dental, Vision and much more!
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-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-ApplyRemote 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 to join our Internal Medicine team at our new Central Pharmacy!
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:
System Pharmacy and Therapeutic Committee
Hospitalist Service Line
Primary Care Service Line
Women's & Newborn Care Service Line
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-ApplyAccounts Receivable Specialist
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 Accounts Receivable Specialist is responsible for accurate and timely billing, payment posting, and follow-up on accounts receivable for Skilled Nursing Facilities (SNF), Senior Housing communities, and other ancillary services. This role ensures claims and statements are processed in compliance with Medicare, Medicaid, Managed Care, and Private Pay requirements. The Specialist works closely with the Revenue Cycle Manager, facility teams, and payers to support optimal cash flow and minimize outstanding balances.
Roles and Responsibilities
* Manages accounts receivable functions across multiple facilities and collaborates with on-site and centralized teams to resolve discrepancies, standardize procedures, and support financial reporting for all facilities.
* Serves as a financial contact for operational leadership, ensuring consistent billing accuracy, payer compliance, and timely cash collection across all assigned facilities.
* Performs and oversees billing and collection functions for all payer types within the assigned division, ensuring monthly billing deadlines, collection goals, and compliance standards are met while minimizing bad debt by preparing, reviewing, and submitting accurate claims for SNF and senior housing services to Medicare, Medicaid, Managed Care, and Private Pay payers.
* Verifies accuracy of census and charge data prior to billing submission.
* Corrects and resubmits rejected or denied claims in a timely manner.
* Maintains knowledge of current payer requirements, billing rules, and authorization processes.
* Monitors and follows up on unpaid or underpaid claims to ensure timely collections.
* Contacts payers, residents, or responsible parties to resolve payment issues and discrepancies.
* Documents all collection activity and maintain detailed records in billing systems.
* Reconciles payments and adjustments to ensure accurate A/R balances.
* Ensures adjustments, write-offs, and refunds are posted to the appropriate accounts.
* Ensures deposits and cash postings reconcile with bank and general ledger accounts.
* Identifies and resolves payment posting discrepancies.
* Assists with month-end close activities, including A/R reconciliations and reporting.
* Provides status updates on outstanding accounts and collection activity to management.
* Supports preparation of aging reports and denial trend analyses.
* Maintains compliance with HIPAA and company confidentiality policies.
* Follows all payer and regulatory guidelines to ensure clean claims and accurate reimbursement.
* Supports audit requests and provide documentation as needed.
* Other duties as assigned.
Qualifications
Education: High School / GED
Experience: 5-8 years
Licenses and Certifications
Associates degree preferred
Working knowledge of Medicare, Medicaid, Managed Care, and Private Pay billing processes and associated reimbursement methodologies..
Proficiency with electronic billing systems and EHR platforms (e.g., PointClickCare, MatrixCare, or similar).
Strong attention to detail, organization, and accuracy.
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 Accounts Receivable Specialist is responsible for accurate and timely billing, payment posting, and follow-up on accounts receivable for Skilled Nursing Facilities (SNF), Senior Housing communities, and other ancillary services. This role ensures claims and statements are processed in compliance with Medicare, Medicaid, Managed Care, and Private Pay requirements. The Specialist works closely with the Revenue Cycle Manager, facility teams, and payers to support optimal cash flow and minimize outstanding balances.
Roles and Responsibilities
* Manages accounts receivable functions across multiple facilities and collaborates with on-site and centralized teams to resolve discrepancies, standardize procedures, and support financial reporting for all facilities.
* Serves as a financial contact for operational leadership, ensuring consistent billing accuracy, payer compliance, and timely cash collection across all assigned facilities.
* Performs and oversees billing and collection functions for all payer types within the assigned division, ensuring monthly billing deadlines, collection goals, and compliance standards are met while minimizing bad debt by preparing, reviewing, and submitting accurate claims for SNF and senior housing services to Medicare, Medicaid, Managed Care, and Private Pay payers.
* Verifies accuracy of census and charge data prior to billing submission.
* Corrects and resubmits rejected or denied claims in a timely manner.
* Maintains knowledge of current payer requirements, billing rules, and authorization processes.
* Monitors and follows up on unpaid or underpaid claims to ensure timely collections.
* Contacts payers, residents, or responsible parties to resolve payment issues and discrepancies.
* Documents all collection activity and maintain detailed records in billing systems.
* Reconciles payments and adjustments to ensure accurate A/R balances.
* Ensures adjustments, write-offs, and refunds are posted to the appropriate accounts.
* Ensures deposits and cash postings reconcile with bank and general ledger accounts.
* Identifies and resolves payment posting discrepancies.
* Assists with month-end close activities, including A/R reconciliations and reporting.
* Provides status updates on outstanding accounts and collection activity to management.
* Supports preparation of aging reports and denial trend analyses.
* Maintains compliance with HIPAA and company confidentiality policies.
* Follows all payer and regulatory guidelines to ensure clean claims and accurate reimbursement.
* Supports audit requests and provide documentation as needed.
* Other duties as assigned.
Qualifications
Education: High School / GED
Experience: 5-8 years
Licenses and Certifications
Associates degree preferred
Working knowledge of Medicare, Medicaid, Managed Care, and Private Pay billing processes and associated reimbursement methodologies..
Proficiency with electronic billing systems and EHR platforms (e.g., PointClickCare, MatrixCare, or similar).
Strong attention to detail, organization, and accuracy.
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-ApplyManager of Revenue Cycle
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 Revenue Cycle Manager oversees all aspects of the billing, collections, and reimbursement processes for a Skilled Nursing Facility (SNF) and Senior Housing portfolio. This role ensures accurate and timely billing, maximizes reimbursement, and drives process improvements across payer types including Medicare, Medicaid, Managed Care, and Private Pay. The manager will work closely with facility leadership, admissions, and accounting teams to ensure complete and compliant revenue capture, census reconciliation, and cash flow optimization.
Roles and Responsibilities
* Manages end-to-end billing and collections for SNF and senior housing entities, including Medicare A/B, Medicaid, Managed Care, and Private Pay accounts.
* Oversees the accuracy of census, charge capture, and claim submission processes to minimize denials and delays.
* Conducts regular revenue cycle audits to ensure compliance with regulatory and payer requirements.
* Monitors key performance indicators (KPIs) such as days in A/R, DSO, bad debt percentage, and collection rates.
* Leads monthly census reconciliation processes in collaboration with Admissions, MDS, and Finance.
* Supervises and mentors billing, collections, and cash posting staff.
* Collaborates with facility business office managers and regional operations leaders to resolve reimbursement and payment issues.
* Partners with accounting and financial reporting teams to ensure accurate month-end close and revenue recognition.
* Manages the appeals process for denied or underpaid claims-ensuring appeals are supported with appropriate documentation, clinical records, and regulatory references.
* Maintains current knowledge of Medicare/Medicaid regulations, managed care contract terms, and evolving reimbursement models.
* Ensures compliance with HIPAA, payer, and state/federal billing regulations.
* Oversees denial management, appeals process, and root cause analysis to implement corrective action plans.
* Identifies opportunities for automation and workflow enhancement to improve billing efficiency.
* Develops and distributes monthly revenue cycle reports and dashboards for leadership.
* Supports implementation and optimization of EHR, billing, and collection systems.
* Partners with Accounting to ensure accurate and timely month-end close processes for all SNF and senior housing entities.
* Partners with accounting to reconcile accounts receivable subledgers to the general ledger and resolve discrepancies.
* Reviews and validates monthly revenue and adjustment entries to ensure accuracy of financial reporting.
* Prepares and submits month-end revenue cycle reports and variance analyses to management.
* Provides detailed A/R aging, cash posting summaries, and payer trend data to support financial statements.
* Supports audit requests and provide documentation for internal and external financial reviews.
* Other duties as assigned
Qualifications
Education: High School / GED
Experience: 5-8 years
Licenses and Certifications
Bachelors Degree preferred
Experience with multi-facility revenue cycle operations.
Prior experience leading census reconciliation and payer audits.
Working knowledge of Medicare, Medicaid, Managed Care, and Private Pay billing processes and associated reimbursement methodologies.
Proficiency with electronic billing systems and EHR platforms (e.g., PointClickCare, MatrixCare, or similar).
Strong attention to detail, organization, and accuracy.
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 Revenue Cycle Manager oversees all aspects of the billing, collections, and reimbursement processes for a Skilled Nursing Facility (SNF) and Senior Housing portfolio. This role ensures accurate and timely billing, maximizes reimbursement, and drives process improvements across payer types including Medicare, Medicaid, Managed Care, and Private Pay. The manager will work closely with facility leadership, admissions, and accounting teams to ensure complete and compliant revenue capture, census reconciliation, and cash flow optimization.
Roles and Responsibilities
* Manages end-to-end billing and collections for SNF and senior housing entities, including Medicare A/B, Medicaid, Managed Care, and Private Pay accounts.
* Oversees the accuracy of census, charge capture, and claim submission processes to minimize denials and delays.
* Conducts regular revenue cycle audits to ensure compliance with regulatory and payer requirements.
* Monitors key performance indicators (KPIs) such as days in A/R, DSO, bad debt percentage, and collection rates.
* Leads monthly census reconciliation processes in collaboration with Admissions, MDS, and Finance.
* Supervises and mentors billing, collections, and cash posting staff.
* Collaborates with facility business office managers and regional operations leaders to resolve reimbursement and payment issues.
* Partners with accounting and financial reporting teams to ensure accurate month-end close and revenue recognition.
* Manages the appeals process for denied or underpaid claims-ensuring appeals are supported with appropriate documentation, clinical records, and regulatory references.
* Maintains current knowledge of Medicare/Medicaid regulations, managed care contract terms, and evolving reimbursement models.
* Ensures compliance with HIPAA, payer, and state/federal billing regulations.
* Oversees denial management, appeals process, and root cause analysis to implement corrective action plans.
* Identifies opportunities for automation and workflow enhancement to improve billing efficiency.
* Develops and distributes monthly revenue cycle reports and dashboards for leadership.
* Supports implementation and optimization of EHR, billing, and collection systems.
* Partners with Accounting to ensure accurate and timely month-end close processes for all SNF and senior housing entities.
* Partners with accounting to reconcile accounts receivable subledgers to the general ledger and resolve discrepancies.
* Reviews and validates monthly revenue and adjustment entries to ensure accuracy of financial reporting.
* Prepares and submits month-end revenue cycle reports and variance analyses to management.
* Provides detailed A/R aging, cash posting summaries, and payer trend data to support financial statements.
* Supports audit requests and provide documentation for internal and external financial reviews.
* Other duties as assigned
Qualifications
Education: High School / GED
Experience: 5-8 years
Licenses and Certifications
Bachelors Degree preferred
Experience with multi-facility revenue cycle operations.
Prior experience leading census reconciliation and payer audits.
Working knowledge of Medicare, Medicaid, Managed Care, and Private Pay billing processes and associated reimbursement methodologies.
Proficiency with electronic billing systems and EHR platforms (e.g., PointClickCare, MatrixCare, or similar).
Strong attention to detail, organization, and accuracy.
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-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-ApplySoftware Engineering Intern (Spring 2026)
Kentucky jobs
ABOUT NAR Simulation Our mission is to develop and produce realistic training tools that provide the realism demanded by our military and emergency medical clients. In addition to the realism, true training tools need to be a complement to training exercises, not a piece that demand time and attention. Training sessions are effective, both in cost and in educational value, when they can be repeated with minimal interruption - they must serve the greatest number for the greatest amount of time.
This NAR Associate will participate as a TEAM member within the Simulations department and help facilitate smooth processes among other team members.
ESSENTIAL RESPONSIBILITIES
This is not an all-inclusive list of duties and responsibilities. Projects/duties may be change as dictated by the needs of the business.
* Experience developing software for the following languages/platforms
* C#
* WPF
* Visual Studio or similar
* .NET Framework
* Git
* Design, test and develop software components that work with existing software
* Familiarity working with medium-sized code bases (>10,000 LOC)
* Familiarity designing and developing user interfaces
* Familiarity working with a messaging API to request/respond to remote devices
* Familiarity gathering and analyzing requirements
* Punctual and dependable. As a student position, work scheduling is flexible relative to your class schedule, but once hours are set for the semester adherence to the agreed upon schedule is expected.
* Remote work eligibility will be considered on a case-by-case basis. Reliable transportation to and from our LaGrange, KY facility is required for on-site work.
AUTHORITY
* Works on a small multi-disciplinary engineering team
* Reports to lead Software Engineer.
ACCOUNTABILITY
* Provides design support to the engineering team
QUALIFICATIONS
Education
* Junior level status towards a BS in an ABET accredited software development program. Proof of enrollment is required
Competency and Skills
* Basic computer skills (Word, Excel, e-mail)
* Knowledge of fundamental software development principles
Experience
* Prior work experience a plus, but not required
Specific Characteristics
* Self-starter - ability to carry a task from start to finish with minimal direction.
* Task oriented - ability to define tasks from vague concepts, handles multiple tasks, prioritizes, periodically provides updates to supervisor.
* Builds effective working relationships.
* Consistently applies good communication skills: both oral and written.
* Possesses strong quality orientation, attention to detail, and personal desire to meet/exceed requirements.
* Works effectively and efficiently with limited direction and supervision.
* Demonstrates ability to change direction and focus as directed.
DEMANDS
Time and Availability
* Must be able to work a minimum of 15 hours, but not exceeding 40 hours, each week. Schedule to be determined dependent on class schedule within our normal operating hours of 8:00 AM and 5:00 PM, Monday - Friday.
Travel
* Travel is optional as schedule permits. Travel will generally be limited to the greater Louisville, KY area and not to exceed 10% of the time.
Physical
The physical demands described here are representative of those that must be met by a typical office employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
* Occasional bending, stooping, squatting, kneeling, crawling, reaching, and lifting of up to 25 lbs.
Environment (on-site)
* Must be able to work in a moderate industrial noise level environment up to 80 dB (not needed on a consistent basis but will need occasionally)
* Must be able to work in a non-smoking facility.
* Due to the nature of our business, you will encounter simulated sounds and images of a medically graphic nature. Discretion is advised.
* You may be inadvertently exposed to smoke, dust, engine exhaust, coolant mists, organic vapors, sudden loud noises and/or bright flashing lights while working in our facility. Any disabilities relating to the aforementioned will be reasonably accommodated and PPE will be provided as needed.
DISCLAIMERS
* AAP/EEO Statement
NAR Training provides equal employment opportunity to all individuals regardless of their race, color, creed, religion, gender, age, sexual orientation, national origin, disability, veteran status, or any other characteristic protected by state, federal, or local law. Further, the company takes affirmative action to ensure that applicants are employed and employees are treated during employment without regard to any of these characteristics. Discrimination of any type will not be tolerated.
Interventional Radiologist - Radiology Alliance
Bowling Green, KY jobs
Radiology Partners is seeking an Interventional Radiologist for its practice in Bowling Green, KY. Details for this position include: * Full-time Partnership Track option: Monday - Friday 7:30 a.m. - 5:00 p.m.; 210 shifts total annually with 10 remote Dx weekends; Dx Call - approximately 1 overnight call shift every 3 weeks (only going in for emergencies)
* Part-time Partner and Associate Physician options also available
* Experience with PICC lines, paracentesis, thoracentesis, core biopsies, fine needle aspirations, thyroid biopsies, lumbar puncture, myelograms, arthrograms, abscess drainage, nephrostomy and biliary tube placement, and fluoroscopy procedures
* A plus if experienced with kyphoplasty, vertebroplasty, and pain management procedures such as epidural steroid injections
* 8-10 patient facing cases in a normal day
* Subspecialty help available with dedicated readers for MSK, Neuro, & Peds cases with complexity beyond general skillsets
Full-time median partner compensation. All opportunities come with incentive bonus options. Full-time employees are also eligible for a generous commencement bonus and a comprehensive benefits package. This includes immediate vesting in a 401(k) profit-sharing plan, substantial time off, as well as health, life, disability, and malpractice insurance coverage. Additionally, we offer an internal moonlighting program with exceptional flexibility, enabling radiologists to work remotely from home as much or as little as they choose.
LOCAL PRACTICE AND COMMUNITY OVERVIEW
Radiology Partners covers 13 hospitals and 17 imaging centers across Middle Tennessee and Southern Kentucky. Our collaborative approach ensures outstanding patient care through shared resources and staffing, while also providing incoming provider candidates the flexibility to customize their roles to match their personal goals and preferences. Joining this team means becoming part of a well-supported, physician-led, and highly collegial group!
Located 60 miles north of Nashville and 110 miles south of Louisville, Bowling Green is the third-most populous city in the state of Kentucky after Louisville and Lexington. One of the most interesting and vibrant cities in the Bluegrass State of Kentucky, Bowling Green has a lot to offer its residents. From an urban nature reserve in the center of the city to the historic downtown square, the city offers a medley of exploration activities. Sports fans in Bowling Green can follow the Western Kentucky University Hilltopper teams or are also just a short drive away from Nashville where they can catch a pro game. Families also love the affordability of Bowling Green with a great variety of lodging and dining options to satisfy a budget-friendly getaway or a special occasion splurge.
TriStar Greenview Regional Hospital is a 211-bed facility serving Southern Kentucky and surrounding areas. Recognized by the Joint Commission as a Top Performer on Key Quality Measures, TriStar Greenview is a national leader in providing quality healthcare. TriStar Greenview offers emergency care, cardiology, orthopedics, neurology, and surgical services. Home of Kentucky's first CardioMEMS HF System, TriStar Greenview provides state-of-the-art cardiac care to patients managing heart failure. The facility is also an Accredited Chest Pain Center and a Certified Primary Stroke Center.
DESIRED PROFESSIONAL SKILLS AND EXPERIENCE
* Fellows and Residents welcome to apply
* Candidates must be a Doctor of Medicine or Osteopathy, and residency trained in the practice of Diagnostic Radiology
* Completion of a post-residency fellowship or integrated residency training in vascular interventional radiology
* Board certified/eligible by the American Board of Radiology or the American Osteopathic Board of Radiology
* Licensed in or have the ability to be licensed in the state of TN and KY
COMPENSATION:
The salary range for this position is $600,00-$900,000. Final determinations may vary based on several factors including but not limited to education, work experience, certifications, geographic location etc. This role is also eligible for an annual discretionary bonus. In addition to this range, Radiology Partners offers competitive total rewards packages, which include health & wellness coverage options, 401k benefits, and a broad range of other benefits such as family planning and telehealth (all benefits are subject to eligibility requirements).
FOR MORE INFORMATION OR TO APPLY:
For inquiries about this position, please contact Adam Meyer at ************************** or ************
RADIOLOGY PARTNERS OVERVIEW
Radiology Partners, through its affiliated practices, is a leading radiology practice in the U.S., serving hospitals and other healthcare facilities across the nation. As a physician-led and physician-owned practice, we advance our bold mission by innovating across clinical value, technology, service and economics, while elevating the role of radiology and radiologists in healthcare. Using a proven healthcare services model, Radiology Partners provides consistent, high-quality care to patients, while delivering enhanced value to the hospitals, clinics, imaging centers and referring physicians we serve.
Radiology Partners is an equal opportunity employer. RP is committed to being an inclusive, safe and welcoming environment where everyone has equal access and equitable resources to reach their full potential. We are united by our Mission to Transform Radiology and in turn have an important impact on the patients we serve and the healthcare system overall. We hold that diversity is a key source of strength from which we will build a practice culture that is inclusive for all. Our goal is to empower and engage the voice of every teammate to promote awareness, compassion and a healthy respect for differences.
Radiology Partners participates in E-verify.
Beware of Fraudulent Messages: Radiology Partners will never request payment, banking, financial or personal information such as a driver's license in exchange for interviews or as part of the hiring process. Additionally, we will not send checks for deposit into your bank account at any stage of recruitment. All communication during the interview and hiring process should come from an email address ending in "@radpartners.com." If you suspect you are receiving a fraudulent job offer or solicitation from Radiology Partners or one of our local practices, please notify our Recruiting Team at **************************.
Contact Center Patient Care Representative
Edgewood, KY jobs
**Join our dynamic team as a frontline patient care representative who interacts with our patients to provide exceptional and compassionate patient care! The patient care representative may have the option to work remotely after an introductory training period.
General Job Summary: Vital to the success of our organization with providing OrthoCincy patients and all other callers a premier Ortho experience while focusing on their individual needs.
Essential Job Functions:
Schedules appointments for patients either by phone when they call in, through the company website or when requested from the clinic via computerized message system.
Uses computerized system to match physician/clinician availability with patients' preferences in terms of date and time.
Ability to handle a high volume of incoming calls, while maintaining a high standard of productivity, efficiency and accuracy while working under pressure.
Must be able to respond to various inquiries made by patients, hospitals, insurance companies, as well as other medical entities.
Engaging in active listening with all callers, while acting as a contact point person between patients, providers and staff.
Maintains scheduling system so records are accurate and complete and can be used to analyze patient/staffing patterns. Updates physicians/clinicians or medical assistants.
Ensures that updates (e.g. cancellations or additions) are input daily into master schedule.
Send requests to clinic for prescription refills and follow up with patients on messages from clinic via computerized message system.
Establish and maintain effective working relationships with patients, providers, co-workers, and the public.
Maintaining a calm, pleasant and compassionate tone while being able to diffuse tense situations.
Follows HIPAA regulations.
Perform other duties necessary or in the best interest of the department/organization.
Requirements
Education/Experience: High school diploma. Minimum one year experience in a medical practice and/or position encouraged. Experience in a high volume call center a plus.
Other Requirements: Schedules will change as department needs change.
Performance Requirements:
Knowledge:
Knowledge of OrthoCincy's Mission, Vision and Values.
Knowledge of medical practice protocols related to scheduling appointments.
Knowledge of anatomy and medical terminology.
Knowledge of computerized scheduling systems.
Knowledge of customer service principles and techniques.
Knowledge of OSHA and safety standards.
Skills:
Skill in communicating effectively with providers, employees, customers and patients.
Skill in maintaining appointment schedule via computerized means.
Effective in critical thinking skills.
Strong communication skills in a professional manner during stressful and sensitive situations with patients of all ages.
Abilities:
Ability to multi-task effectively
Ability to communicate calmly and clearly
Ability to analyze situations and respond appropriately.
Ability to alternate between multiple computer systems in a timely manner.
Equipment Operated: Standard office equipment.
Work Environment: Standard call center workstation.
Mental/Physical Requirements: Involves sitting and viewing a computer monitor 90% of the work day. Must be able to remain focused and attentive without distractions (i.e. personal devices).
Director, Information Security and Risk (Identity & Access Management)
Frankfort, KY jobs
**_What Information Security and Risk contributes to Cardinal Health_** Information Security and Risk develops, implements, and enforces security controls to protect the organization's technology assets from intentional or inadvertent modification, disclosure or destruction. This job family develops system back-up and disaster recovery plans. Information Technology also conducts incident response, threat management, vulnerability scanning, virus management and intrusion detection and completes risk assessments.
The _Director, Information Security and Risk (Identity & Access Management)_ is responsible for leading the organization's Identity & Access Management (IAM) strategy, governance, and operations to ensure secure, efficient, and compliant access to technology resources. This role requires a leader with proven ability to execute large-scale enterprise IAM programs that directly impact how employees, contractors, and customers interact with Cardinal Health technology. Success in this role demands a balance between delivering a frictionless, user-friendly experience and maintaining the highest standards of security. The Director must also excel at building partnerships across the organization and collaborating on program delivery, while driving operational excellence and anticipating business risks associated with IAM changes.
**Location** - Ideally targeting individuals local to Central Ohio, but open to candidates located nationwide (fully remote). If living within commutable distance of our corporate HQ in Dublin, OH - the expectation would be to come in-office two or three days a month for team meetings.
**Responsibilities**
+ Act as a visionary in designing and executing multi-year IAM strategy that aligns with business goals and customer needs
+ Develop and oversee enterprise IAM policies, standards, and procedures, ensuring consistent enforcement across the organization.
+ Lead IAM initiatives including identity lifecycle management (provisioning, de-provisioning, role-based access, entitlement reviews).
+ Direct privileged access management (PAM) programs to safeguard critical systems and sensitive data.
+ Ensure compliance with internal policies and external regulatory requirements (e.g., SOX, HIPAA, GDPR, PCI-DSS) through strong access controls.
+ Execute enterprise IAM programs with significant business impact, ensuring seamless access for employees, contractors, and customers.
+ Balance user experience with security by designing IAM solutions that are simple, intuitive, and resilient.
+ Drive operational excellence by establishing repeatable processes, KPIs, and service delivery models for IAM functions.
+ Build strong partnerships across IT, Security, HR, and business units to align IAM delivery with organizational priorities.
+ Establish metrics and reporting mechanisms to monitor IAM effectiveness, operational performance, and program maturity for executive leadership.
+ Lead training and awareness programs related to IAM policies, secure access practices, and identity governance.
**Qualifications**
+ Bachelor's degree in Information Technology, Computer Science, Cybersecurity, or a related field preferred.
+ Ideally targeting individuals with 12+ years of IT/security experience with at least 5 years in IAM leadership roles preferred.
+ Proven track record of executing enterprise IAM programs with measurable business impact.
+ Prior people leadership experience and demonstrated ability to manage operational IAM teams, highly preferred.
+ Expertise with IAM tools and platforms (e.g., Okta, SailPoint, CyberArk, Azure AD).
+ Strong understanding of relevant Regulatory and Compliance requirements (HIPAA, SOX, HITRUST CSF, etc.).
+ Strong understanding of authentication protocols (SAML, OAuth, OpenID Connect, Kerberos) and cloud IAM (AWS IAM, Azure RBAC, GCP IAM).
+ Certifications such as CISSP, CIAM, or CISM preferred.
+ Strong analytical, relationship management, and communication skills (both written and verbal).
+ Ability to collaborate across functions and influence stakeholders to achieve IAM program success.
**What is expected of you and others at this level**
+ Provides leadership to managers and experienced professional staff; may also manage front line supervisors
+ Manages an organizational budget
+ Develops and implements policies and procedures to achieve organizational goals
+ Assists in the development of functional strategy
+ Decisions have an extended impact on work processes, outcomes, and customers
+ Interacts with internal and/or external leaders, including senior management
+ Persuades others into agreement in sensitive situations while maintaining positive relationships
_\#LI-LP_
_\#LI-Remote_
**Anticipated salary range:** $135,400 - $228,910
**Bonus eligible:** Yes
**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:** 12/25/2025 *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 (***************************************************************************************************************************
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!
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