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Humana
Staff Utilization Management Clinical Pharmacist
Humana Frankfort, KY, USA
Become a part of our caring community and help us put health first The Staff Utilization Management Pharmacist is a clinical expert responsible for conducting medical necessity and comprehensive medication reviews for prescriptions requiring prior authorization. This role involves evaluating complex clinical scenarios and applying evidence-based criteria to ensure appropriate medication use. The pharmacist addresses moderately complex to complex issues that require critical thinking and in-depth analysis of variable factors. Earn a $5,000 hiring bonus! Bonus is paid after 180 days of employment; you must be employed until that date to be eligible to receive the payment." Location: Remote - United States Schedule: 8-hour shifts, Monday through Friday, between 10:30 AM and 11:00 PM EST OR 10-hour shifts, Tuesday through Friday, between 10:30 AM and 11:00 PM EST Required to work every 5th Saturday Required to work 1 company holiday...

Jan 13, 2026
Xerox
Organizational Change Management Lead
Xerox Frankfort, KY, USA
Organizational Change Management Lead General Information Press space or enter keys to toggle section visibility Country United States Department ORGANIZATION LEARNING & DEVELOPMENT Date Friday, January 9, 2026 Working time Full-time Ref# 20037168 Job Level Executive Manager Job Type Experienced Job Field ORGANIZATION LEARNING & DEVELOPMENT Seniority Level Mid-Senior Level Currency USD - United States - US Annual Base Salary Minimum 107,340 Annual Base Salary Maximum 214,680 The salary range above represents the low and high end in the local currency of Xerox's salary range for this position and is reflected in an annualized amount. Actual salaries will vary based on factors including, but not limited to, geographic location, market competition, and/or the successful applicant's education, experience, knowledge, skills, and abilities. The range listed is just one component of Xerox's total compensation package for...

Jan 13, 2026
Humana
Utilization Management Registered Nurse
Humana Frankfort, KY, USA
Become a part of our caring community and help us put health first The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or services for members. Role Overview: Coordinates and communicates with providers, members, or other parties to facilitate optimal care and treatment. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas Makes decisions...

Jan 12, 2026
Otsuka Pharmaceutical Companies (U.S.)
Senior Manager, Clinical Management (Early Phase)
Otsuka Pharmaceutical Companies (U.S.) Frankfort, KY, USA
Job Summary Under the direction of the Director/Associate Director of Clinical Management, the Senior Clinical Study Manager is responsible for the oversight and management of Otsuka clinical studies, including coordination with other relevant parties (e.g., other Otsuka departments, external service providers (ESPs), etc.). Responsibilities include the planning, execution and completion of clinical trials according to applicable regulations and guidance; ICH Guidelines Good Clinical Practices (GCP), and Otsuka SOPs, within agreed-upon timeframes and budget. Job Description Provides oversight and management of clinical studies at Otsuka, including planning, execution, and completion of clinical trials according to all applicable regulations and guidance, ICH/GCP, and Otsuka SOPs. Contribute to the development and review of all critical clinical study documents, including clinical protocols, informed consent forms, or other study-related clinical documents....

Jan 12, 2026
Or
Change Management Integration Consultant
Oracle Frankfort, KY, USA
Job Description Oracle Health Government Services is seeking a detail-oriented and analytical professional to join our team as a Change Management Integration Consultant to join our mission-driven organization. In this role, you will be responsible for developing the plans for how to support users as new functionality or system changes in the electronic health record (EHR) are rolled out. As a member of the change management team you will also create change management collateral. The ideal candidate will have a solid understanding of the Oracle Health EHR, change management best practices, and strong project management skills. You will collaborate with cross-functional teams-both internal stakeholders and client partners-so strong communication and collaboration skills are essential. Top skills or competencies to be successful: Knowledge of change management frameworks (e.g., Prosci,). Strong project management skills (e.g. PMP) Excellent...

Jan 12, 2026
Humana
Risk Management Professional
Humana Frankfort, KY, USA
Become a part of our caring community and help us put health first The Risk Management Professional 2 identifies and analyzes potential sources of loss to minimize risk. The Risk Management Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines and procedures. As a Risk Management Professional 2 - HCPR Compliance, you will work with HCPR Operations to ensure operational processes are complaint with appropriate regulations and report data that accurately reflects operations. In this role you will: In this role you will: Develop data universe generation guidelines (DUGG) for audit universes by interpreting protocols/guidance and reconciling it to processes/system logic Produce monthly...

Jan 11, 2026
CBRE
Transaction Management Sr Consultant (Remote)
CBRE Frankfort, KY, USA
Transaction Management Sr Consultant (Remote) Job ID 253082 Posted 06-Jan-2026 Service line Advisory Segment Role type Full-time Areas of Interest Transaction Management Location(s) Baltimore - Maryland - United States of America, Remote - US - Remote - US - United States of America About the Role: As a CBRE Transaction Management Sr. Consultant, you will be responsible for managing real estate transaction activities for a defined portfolio of medium to generous-sized properties. This job is part of the Brokerage job function. They are responsible for the buying, selling, and letting of residential, office, and commercial properties on behalf of clients for occupation. What You'll Do: -Prepare, recommend, and execute complex transaction strategies for acquiring and disposing of properties. -Develop real estate plans with an understanding of the client's strategic goals. -Gather resources to execute elaborate lease renewals, new site...

Jan 11, 2026
Or
Senior Director, Technical Program Management - Cloud Architecture & AI Infrastructure
Oracle Frankfort, KY, USA
Job Description The Office of the Chief Technical Architect at OCI is seeking an experienced, dynamic, and strategic Senior Director of Technical Program Management (TPM) to lead, coordinate, and drive execution across cross-functional, org-wide architectural initiatives and programs. You will operate at the intersection of technology and business, influencing technical direction, organizational priorities, and the overall architecture vision for OCI. This is a unique opportunity to define and drive the next generation of cloud architecture for the world's most demanding workloads. Key Responsibilities: Architectural Program Leadership: Develop, lead, and continuously improve large-scale, cross-cutting architectural programs and initiatives that align with OCI's strategy and architecture vision. GPU and AI Infrastructure: Drive architectural programs focused on the design, implementation, and scaling of GPU and AI infrastructure. Collaborate with...

Jan 11, 2026
Or
Senior director technical program management - cloud architecture
Oracle Frankfort, KY, USA
Job Description The Office of the Chief Technical Architect at OCI is seeking an experienced, dynamic, and strategic Senior Director of Technical Program Management (TPM) to lead, coordinate, and drive execution across cross-functional, org-wide architectural initiatives and programs. You will operate at the intersection of technology and business, influencing technical direction, organizational priorities, and the overall architecture vision for OCI. This is a unique opportunity to define and drive the next generation of cloud architecture for the world's most demanding workloads. Key Responsibilities: Architectural Program Leadership: Develop, lead, and continuously improve large-scale, cross-cutting architectural programs and initiatives that align with OCI's strategy and architecture vision. GPU and AI Infrastructure: Drive architectural programs focused on the design, implementation, and scaling of GPU and AI infrastructure. Collaborate with...

Jan 11, 2026
Humana
Utilization Management Applied Behavioral Analysis Professional
Humana Frankfort, KY, USA
Become a part of our caring community and help us put health first The Utilization Management Behavioral Health Professional 2 utilizes behavioral health knowledge and skills to support the coordination, documentation, and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. The Utilization Management Behavioral Health Professional 2 uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or services for members. Coordinates and communicates with providers, members, or other parties to facilitate optimal care and treatment. Understands department, segment, and organizational strategy and operating objectives,...

Jan 10, 2026
Humana
Lead - Medicaid and Group Medicare Project Management
Humana Frankfort, KY, USA
Become a part of our caring community and help us put health first The Project Management Lead manages all aspects of a project, from start to finish, so that it is completed on time and within budget. The Project Management Lead works on problems of diverse scope and complexity ranging from moderate to substantial. The Project Management Lead designs, communicates, and implements an operational plan for completing the project; monitors progress and performance against the project plan; takes action to resolve operational problems and minimize delays. Identifies, develops, and gathers the resources to complete the project. Prepares designs and work specifications; develops project schedules, budgets and forecasts; and selecting materials, equipment, project staff, and external contractors. Communicates with other operational areas in the organization to secure specialized resources and contributions for the project. Conducts meetings and prepare reports to communicate the...

Jan 10, 2026
Humana
Director, Risk Management
Humana Frankfort, KY, USA
Become a part of our caring community and help us put health first The Director, Home Health Risk Management identifies and analyzes potential sources of risk, proactively ensuring controls and processes are in place to reduce risk. The Director, Home Health Risk Management requires an in-depth understanding of how organization capabilities interrelate across the Home Health segment. The Director of Risk Management for Home Health will be responsible for development and implementation of controls and cost-effective approaches to minimize risks to the organization as well as estimating the potential consequences of risks. Assesses and communicates information regarding business risks with functions across the organization. Their focus will be on CenterWell risk assessments, issue management, auditing and monitoring. Areas of oversight will include CenterWell Home Health, OneHome, as well as new growth initiatives. This role requires an in-depth understanding of Home Health...

Dec 27, 2025
Humana
Encounter Data Management Professional
Humana Frankfort, KY, USA
Become a part of our caring community and help us put health first Encounter Data Management Professional is responsible for ensuring accurate submission and reconciliation of encounter data to Medicaid and Medicare through effective business processes. Ensures claims submissions meet or exceed all compliance standards via analysis of data and develops tools to enhance the encounter acceptance rate by Medicaid/Medicare. Looks for long-term improvements of claims submission processes. Takes ownership by applying professional standards, regulations, and strategies within their work area. Independently sets priorities and makes decisions on work approach while following established direction. Work is managed and often guided by precedent and/or documented procedures/regulations/professional standards with some interpretation. Humana's Encounter Data Management (EDM) team is seeking an Encounter Data Management Professional that has experience with business processing and data...

Dec 24, 2025
Highmark Health
Program Manager (Delivery Management)
Highmark Health Frankfort, KY, USA
Company : Highmark Health Job Description : GENERAL OVERVIEW Flexible Work Arrangements: At Highmark, we value both collaboration and flexibility. For this role, if you are located within 50 miles of Pittsburgh or any Highmark office, you'll enjoy a hybrid schedule, working from the office three days a week (Tuesday, Wednesday, and Thursday). If you live beyond this 50-mile radius, you'll primarily work remotely, with an expectation of traveling to an office location for team-focused building meetings a maximum of 1-2 times annually. This job is responsible for the successful definition, implementation and delivery of complex programs that requires cross-functional collaboration and interdependencies between a group of projects and/or related activities within the constraint of scope, quality, time and budget and under circumstances involving multiple moderate-probability, moderate-impact risk factors. Manages a matrix group of employees and contractors who...

Dec 23, 2025
Highmark Health
Director of Data Product Management
Highmark Health Frankfort, KY, USA
Company : Highmark Health Job Description : JOB SUMMARY The Director of Data Product Management is a leadership role responsible for developing, implementing, and continually refining our customer data product strategy from its foundational stages. This individual will define, develop, and execute the strategy for our core customer data products, ensuring they meet the evolving needs of Highmark and our customers. This individual will lead a team of product managers and analysts focused on specific areas of customer data, driving the realization of our Customer Data Product Strategy vision to empower downstream teams with personalized, high-quality, and timely interactions. This role requires a strong leader who can translate strategic opportunities into actionable product roadmaps, champion data quality and governance, and foster a data-driven culture. A robust technical background and the ability to effectively collaborate with engineering teams are paramount to...

Dec 23, 2025
Highmark Health
Manager Product Management
Highmark Health Frankfort, KY, USA
Company : Highmark Health Job Description : JOB SUMMARY This is a hybrid role if you live within a 50 mile radius of one of our office locations in PA, NY or DE This role is responsible for contributing to the product strategy and roadmap for a defined product area, by managing a team while working under the direction of leadership. This role focuses on deeply understanding customer needs, market trends, and competitive landscape to inform product development decisions. The incumbent works cross-functionally to manage a team that is executing a portfolio roadmap or portfolio of product roadmaps and delivering high-quality products that meet business objectives. They will manage the product backlog for a specific product or feature set. ESSENTIAL RESPONSIBILITIES Perform management responsibilities to include, but are not limited to: involved in hiring and termination decisions, coaching and development, rewards and recognition, performance...

Dec 22, 2025
Or
Technical Program Manager - Video Management Systems
Oracle Frankfort, KY, USA
Job Description Oracle's Global Physical Security (GPS) Systems Team is responsible for securing the corporation's global datacenter and facility footprint through advanced Physical Access and Identity Management (PIAM) technologies. We are seeking a seasoned Technical Program Manager - Video Management Systems. The Global Physical Security (GPS) Systems Team is responsible for deploying, maintaining, and continuously enhancing Oracle's physical security technology landscape. Oracle seeks a highly skilled Technical Program Manager (TPM) for Video Management Systems (VMS) who will own the end-to-end lifecycle of enterprise video systems, standards, and best practices for a complex and global security environment. Reporting to the Director, Physical Security Products & Services, you will lead the technical roadmap, policies, education, and integrations necessary for VMS excellence, partnering closely with security operations, integration partners, internal maintenance...

Dec 22, 2025
CBRE
Senior Project Analyst- Data Management for Real Estate Transactions (EST Preferred)
CBRE Frankfort, KY, USA
Senior Project Analyst- Data Management for Real Estate Transactions (EST Preferred) Job ID 251951 Posted 18-Dec-2025 Service line PJM Segment Role type Full-time Areas of Interest Administrative, Project Management, Transaction Management Location(s) Remote - US - Remote - US - United States of America About the Role: As a CBRE Project Sr. Analyst, you be responsible for providing advanced administrative support to the Retail Program Team. This includes presentation creation, data and database management, reporting, etc. This job is part of the Project Management and Program Management functions. The team this role works with is responsible for presenting retail commercial real estate opportunities to a financial services client, coordinating those sites through the client's governance process, managing communications with the client and the Projects and Transactions Teams, etc. What You'll Do: Manage the implementation of and monitor...

Dec 22, 2025
Humana
Care Management Support Assistant
Humana Frankfort, KY, USA
Become a part of our caring community and help us put health first Care Manager Support Assistants assist in ensuring TRICARE beneficiaries receive the highest quality health care for Autism Spectrum Disorder (ASD) related services in accordance with the Autism Care Demonstration (ACD). This role supports the Autism Service Navigator (ASN) by verifying eligibility for the ACD and monitoring and supporting the family for 180 to assist with any barriers to accessing services; education and initial registration into ECHO registration portal for active duty family members; assistance with regional transfers and ensuring the receiving Managed Care Support Contractor receives the appropriate paperwork; processes faxes for ECHO eligibility or other paperwork pertaining to ACD requirements such as eligibility, referrals, etc.; and identification of ABA providers and researching necessary resources to support the beneficiary. KEY ACCOUNTABILITIES Assist beneficiaries with...

Dec 21, 2025
EY
Manager - Data Management Architect
EY Frankfort, KY, USA
Location: Anywhere in Country At EY, we're all in to shape your future with confidence. We'll help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go. Join EY and help to build a better working world. Manager - Data Management Architect The opportunity We're hiring an experienced Data Management Architect that is an expert in the modern data engineering and data management. The Data Management Architect will design the architecture for data ingestion, data preparation/transformation, data governance, data security, data training and other functions for complex enterprise applications. Deep understanding of structured and unstructured data management in context of AI training and fine tuning. Data formats and storage capabilities with performance considerations in the selection of storage systems and formats. The candidate should thrive in fast-paced environments and are passionate about enabling scalable...

Dec 21, 2025
Highmark Health
Senior Change Management and Process Improvement Consultant
Highmark Health Frankfort, KY, USA
Company : Highmark Health Job Description : JOB SUMMARY *This will be a hybrid role if you live within a 50 mile radius a Highmark Office This senior-level job will lead and facilitate integrated process improvement and change management initiatives across multiple functional units Responsibilities encompass designing and implementing process optimization strategies, developing and executing comprehensive change management plans across all impacted stakeholders throughout the change lifecycle, coaching leaders and teams as applicable, and ensuring seamless alignment between people, process, and technology solutions - all while directly contributing to successful business outcomes and ongoing improvements. The successful candidate will leverage expertise in Lean Six Sigma, as well as change management methodologies to drive efficiency, effectiveness, and improved business outcomes. ESSENTIAL RESPONSIBILITIES Process Improvement and Change Management...

Dec 21, 2025
PT
Compliance Analyst (Regulatory Change Management) - Remote
Prime Therapeutics Frankfort, KY, USA
At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Compliance Analyst (Regulatory Change Management) - Remote Job Description The Compliance Analyst assists in the implementation of Prime's compliance programs within their designated areas and partners with key internal stakeholders to monitor aspects of compliance and validate policies, procedures, licensure, and program manuals are effectively followed and maintained. Responsibilities Executes compliance procedures and enforces policy governance across the organization to validate requirements are met and that business operations are aligned with expectations of applicable regulatory guidance Develop solutions to moderately complex compliance problems by referring to precedence, policies and standard...

Dec 21, 2025
PT
Senior Compliance Analyst (Regulatory Change Management) - Remote
Prime Therapeutics Frankfort, KY, USA
At Prime Therapeutics (Prime), we are a different kind of PBM, with a purpose beyond profits and a unique ability to connect care for those we serve. Looking for a purpose-driven career? Come build the future of pharmacy with us. Job Posting Title Senior Compliance Analyst (Regulatory Change Management) - Remote Job Description The Senior Compliance Analyst assists in the implementation of Prime's compliance programs and leads initiatives within their designated areas. This role partners with key internal stakeholders to monitor aspects of compliance and validate policies, procedures, licensure, and program manuals are effectively followed and maintained. Responsibilities Executes compliance procedures and enforces policy governance across the organization to validate regulatory reporting requirements are met and that business operations are aligned with expectations of applicable regulatory guidance Lead project management efforts for highly sensitive...

Dec 21, 2025
TI
Manager, Alternative Distribution Product Management - Small Commercial
Travelers Insurance Company Frankfort, KY, USA
Who Are We? Taking care of our customers, our communities and each other. That's the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 170 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it. Job Category Product Compensation Overview The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards....

Dec 21, 2025
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