Process Improvement & Opportunity Identification * Proactively identifies, analyzes, and ... delivery, claims adjudication, billing/revenue cycle, and regulatory compliance workflows)
Quick apply
Process Improvement & Opportunity Identification * Proactively identifies, analyzes, and ... delivery, claims adjudication, billing/revenue cycle, and regulatory compliance workflows)
... the treatment process. * Collect psychosocial health history and collaborate with the medical ... Flexibility to work early evening hours (up to 7pm schedule) Preferred: * Bilingual English/Spanish.
... the treatment process. * Collect psychosocial health history and collaborate with the medical ... Flexibility to work early evening hours (up to 7pm schedule) Preferred: * Bilingual English/Spanish.
... the treatment process. * Collect psychosocial health history and collaborate with the medical ... Flexibility to work early evening hours (up to 7pm schedule) Preferred: * Bilingual English/Spanish.
... the treatment process. * Collect psychosocial health history and collaborate with the medical ... Flexibility to work early evening hours (up to 7pm schedule) Preferred: * Bilingual English/Spanish.
... the treatment process. * Collect psychosocial health history and collaborate with the medical ... Flexibility to work early evening hours (up to 7pm schedule) Preferred: * Bilingual English/Spanish.
... the treatment process. * Collect psychosocial health history and collaborate with the medical ... Flexibility to work early evening hours (up to 7pm schedule) Preferred: * Bilingual English/Spanish.
... the treatment process. * Collect psychosocial health history and collaborate with the medical ... Flexibility to work early evening hours (up to 7pm schedule) Preferred: * Bilingual English/Spanish.
... the treatment process. * Collect psychosocial health history and collaborate with the medical ... Flexibility to work early evening hours (up to 7pm schedule) Preferred: * Bilingual English/Spanish.
Field Reimbursement Manager
Louisville, KY · On-site +1
... remote interaction and on-site training. This position is client-facing and customer-facing and ... Educate on Benefit Investigation, Prior Authorization Process, Support Center Services, Medicare ...
New
Field Reimbursement Manager
Louisville, KY · On-site +1
... remote interaction and on-site training. This position is client-facing and customer-facing and ... Educate on Benefit Investigation, Prior Authorization Process, Support Center Services, Medicare ...
New
Field Reimbursement Manager
Lexington, KY · On-site +1
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New
Field Reimbursement Manager
Lexington, KY · On-site +1
... remote interaction and on-site training. This position is client-facing and customer-facing and ... Educate on Benefit Investigation, Prior Authorization Process, Support Center Services, Medicare ...
New
Field Reimbursement Manager
Somerset, KY · On-site +1
... remote interaction and on-site training. This position is client-facing and customer-facing and ... Educate on Benefit Investigation, Prior Authorization Process, Support Center Services, Medicare ...
New
Field Reimbursement Manager
Somerset, KY · On-site +1
... remote interaction and on-site training. This position is client-facing and customer-facing and ... Educate on Benefit Investigation, Prior Authorization Process, Support Center Services, Medicare ...
New
Field Reimbursement Manager
Florence, KY · On-site +1
... remote interaction and on-site training. This position is client-facing and customer-facing and ... Educate on Benefit Investigation, Prior Authorization Process, Support Center Services, Medicare ...
New
Field Reimbursement Manager
Florence, KY · On-site +1
... remote interaction and on-site training. This position is client-facing and customer-facing and ... Educate on Benefit Investigation, Prior Authorization Process, Support Center Services, Medicare ...
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Field Reimbursement Manager
Richmond, KY · On-site +1
... remote interaction and on-site training. This position is client-facing and customer-facing and ... Educate on Benefit Investigation, Prior Authorization Process, Support Center Services, Medicare ...
Field Reimbursement Manager
Richmond, KY · On-site +1
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Financial Audit Senior Consultant
Shelbyville, KY · Remote
$108K/yr
... the audit process; instruct audit flow facilitation; analyze and assess audit trends, best ... Intermediate knowledge of auditing, finance, and claims operations. * Advanced negotiation ...
Financial Audit Senior Consultant
Shelbyville, KY · Remote
$108K/yr
... the audit process; instruct audit flow facilitation; analyze and assess audit trends, best ... Intermediate knowledge of auditing, finance, and claims operations. * Advanced negotiation ...
Experience working within insurance technology ecosystems (e.g., claims, policy administration ... Experience in problem analysis, process engineering, or operational excellence within an insurance ...
Experience working within insurance technology ecosystems (e.g., claims, policy administration ... Experience in problem analysis, process engineering, or operational excellence within an insurance ...
Experience working within insurance technology ecosystems (e.g., claims, policy administration ... Experience in problem analysis, process engineering, or operational excellence within an insurance ...
Experience working within insurance technology ecosystems (e.g., claims, policy administration ... Experience in problem analysis, process engineering, or operational excellence within an insurance ...
Experience working within insurance technology ecosystems (e.g., claims, policy administration ... Experience in problem analysis, process engineering, or operational excellence within an insurance ...
Experience working within insurance technology ecosystems (e.g., claims, policy administration ... Experience in problem analysis, process engineering, or operational excellence within an insurance ...
Licensed Mental Health Therapist (Kentucky)
Louisville, KY · Remote
$55 - $65/hr
CSW, LPCA, Marraige and Family Therapy Associates, LCSW, LPCC, LMFT Work Type: 100% Remote (W-2) At ... hours/week; evening availability required About You * Well versed and confident integrating ...
Quick apply
Licensed Mental Health Therapist (Kentucky)
Louisville, KY · Remote
$55 - $65/hr
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HR Business Specialist
Louisville, KY · Remote
This position is responsible for coordinating HR programs and processes, supporting compliance ... Manages and support HR compliance including but not limited to I-9 completion, unemployment claims ...
HR Business Specialist
Louisville, KY · Remote
This position is responsible for coordinating HR programs and processes, supporting compliance ... Manages and support HR compliance including but not limited to I-9 completion, unemployment claims ...
HR Business Specialist
Louisville, KY · Remote
This position is responsible for coordinating HR programs and processes, supporting compliance ... Manages and support HR compliance including but not limited to I-9 completion, unemployment claims ...
HR Business Specialist
Louisville, KY · Remote
This position is responsible for coordinating HR programs and processes, supporting compliance ... Manages and support HR compliance including but not limited to I-9 completion, unemployment claims ...
HR Business Specialist
Louisville, KY · Remote
This position is responsible for coordinating HR programs and processes, supporting compliance ... Manages and support HR compliance including but not limited to I-9 completion, unemployment claims ...
Quick apply
HR Business Specialist
Louisville, KY · Remote
This position is responsible for coordinating HR programs and processes, supporting compliance ... Manages and support HR compliance including but not limited to I-9 completion, unemployment claims ...
HR Business Specialist
Louisville, KY · Remote
$65K - $75K/yr
This position is responsible for coordinating HR programs and processes, supporting compliance ... remote position. Benefits and perks for You! * Medical, Dental, Vision ...
Quick apply
HR Business Specialist
Louisville, KY · Remote
$65K - $75K/yr
This position is responsible for coordinating HR programs and processes, supporting compliance ... remote position. Benefits and perks for You! * Medical, Dental, Vision ...
Part-Time Remote Licensed Psychologist
Louisville, KY · On-site +1
$90/hr
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Part-Time Remote Licensed Psychologist
Louisville, KY · On-site +1
$90/hr
Direct deposit every two weeks with no need to worry about unpaid claims * Rula pays you even when ... process so you can accept insurance without ever interacting with it directly. Further, we have a ...
Remote Claims Processor Evening information
What is the difference between Remote Claims Processor Evening vs Remote Claims Processor Night?
| Aspect | Remote Claims Processor Evening | Remote Claims Processor Night |
|---|---|---|
| Work Hours | Typically 4 PM to 12 AM | Typically 12 AM to 8 AM |
| Certifications | Same certifications required | Same certifications required |
| Work Environment | Remote, collaborative with daytime teams | Remote, quieter, less team interaction |
| Industry Usage | Common in insurance and healthcare sectors |
The main difference between Remote Claims Processor Evening and Night roles lies in their work hours. Evening shifts typically run from late afternoon to late evening, while Night shifts cover overnight hours. Both roles require similar certifications and work in remote environments within the insurance and healthcare industries. Your choice depends on your preferred working hours and lifestyle.
What are the most commonly searched types of Remote Claims Processor jobs in Kentucky? The most popular types of Remote Claims Processor jobs in Kentucky are:
What are popular job titles related to Remote Claims Processor Evening jobs in Kentucky? For Remote Claims Processor Evening jobs in Kentucky, the most frequently searched job titles are:
What job categories do people searching Remote Claims Processor Evening jobs in Kentucky look for? The top searched job categories for Remote Claims Processor Evening jobs in Kentucky are:
- Remote Car Insurance Claims Adjuster
- Direct Claims
- Entry Level Pet Insurance Claims Adjuster
- Remote Dental Claims Analyst
- Freelance Car Insurance Claims Adjuster
- Contractual Remote Claims Manager
- Remote Dental Claims Consultant
- Remote International Insurance Claims
- Medical Claims Coordinator
- Remote Liberty Mutual Claims Adjuster
What cities in Kentucky are hiring for Remote Claims Processor Evening jobs? Cities in Kentucky with the most Remote Claims Processor Evening job openings:
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 14 days ago
Job description
Our Company
PharMerica
Overview
PharMerica, a part of Brightspring Health Services, is a long-term care pharmacy services provider that supplies medications, clinical support, and pharmacy management to healthcare organizations across the United States.
We are a non-retail pharmacy that focuses on providing exceptional customer service and meeting the pharmacy needs for hospitals, rehabilitation facilities, long-term acute care centers, and other specialized care centers nationwide. Our organization is in high growth mode, which can provide opportunities for advancement for individuals looking for career progression!
The Business Analyst serves as the critical bridge between long-term care (LTC) pharmacy operations and our IT partners and technology vendors. This role is responsible for identifying, analyzing, and championing process improvement opportunities across pharmacy operations - including order entry, fulfillment, claims adjudication, billing, and clinical workflows - and translating those opportunities into clear, actionable business requirements, user stories, and functional specifications for technical delivery teams.
The ideal candidate is equally comfortable on the pharmacy floor and in a sprint planning session: someone who can shadow a technician to map a workflow in the morning and write acceptance criteria for a developer in the afternoon. This person doesn't just document what the business asks for - they ask why, challenge assumptions, quantify the opportunity, and ensure the delivered solution actually solves the problem.
Schedule: Monday - Friday, hours per business needs
Remote Opportunity. May live anywhere within the Continental USA
Benefits and perks for You!
*Benefits may vary by employment status
Responsibilities
Qualifications
About our Line of Business
PharMerica, an affiliate of BrightSpring Health Services, delivers personalized pharmacy care through dedicated local teams, serving health care providers such as skilled nursing facilities, senior living communities, and hospitals. We also cater to individuals with behavioral needs, infusion therapy needs, seniors receiving in-home care, and patients with cancer. Operating long-term care, home infusion, and specialty pharmacies across the nation, we combine the personal touch of a neighborhood pharmacy with the resources of a national network. Our comprehensive solutions, backed by industry-leading technology and regulatory expertise, ensure accurate medication access, cost control, and compliance with best-in-class clinical standards. We are committed to enhancing resident health, reducing staff burdens, and supporting our clients' success. For more information, visit www.pharmerica.com. Follow us on Facebook, Twitter, and LinkedIn.
PharMerica
Overview
PharMerica, a part of Brightspring Health Services, is a long-term care pharmacy services provider that supplies medications, clinical support, and pharmacy management to healthcare organizations across the United States.
We are a non-retail pharmacy that focuses on providing exceptional customer service and meeting the pharmacy needs for hospitals, rehabilitation facilities, long-term acute care centers, and other specialized care centers nationwide. Our organization is in high growth mode, which can provide opportunities for advancement for individuals looking for career progression!
The Business Analyst serves as the critical bridge between long-term care (LTC) pharmacy operations and our IT partners and technology vendors. This role is responsible for identifying, analyzing, and championing process improvement opportunities across pharmacy operations - including order entry, fulfillment, claims adjudication, billing, and clinical workflows - and translating those opportunities into clear, actionable business requirements, user stories, and functional specifications for technical delivery teams.
The ideal candidate is equally comfortable on the pharmacy floor and in a sprint planning session: someone who can shadow a technician to map a workflow in the morning and write acceptance criteria for a developer in the afternoon. This person doesn't just document what the business asks for - they ask why, challenge assumptions, quantify the opportunity, and ensure the delivered solution actually solves the problem.
Schedule: Monday - Friday, hours per business needs
Remote Opportunity. May live anywhere within the Continental USA
Benefits and perks for You!
- Medical, Dental, Vision insurance
- Health Savings & Flexible Spending Accounts (up to $5,000 for childcare)
- Tuition discounts & reimbursement
- 401(k)
- Company Paid Time Off*
- Shift Differential
- DailyPay
- Pet Insurance
- Employee wellness and discount programs
*Benefits may vary by employment status
Responsibilities
- Process Improvement & Opportunity Identification
- Proactively identifies, analyzes, and prioritizes process improvement and automation opportunities across LTC pharmacy operations (order entry, dispensing, fulfillment, delivery, claims adjudication, billing/revenue cycle, and regulatory compliance workflows)
- Conducts current-state / future-state process analysis, including workflow observation, stakeholder interviews, process mapping (e.g., swim-lane diagrams, value stream maps), and root cause analysis
- Quantifies improvement opportunities through cost/benefit analysis, ROI modeling, and business case development to support prioritization and executive decision-making
- Defines, baselines, and tracks key performance indicators (KPIs) and operational metrics to measure process health and validate benefits realized post-implementation
- Analyzes operational data (production volumes, error rates, turnaround times, rework, claim rejections) to surface trends, anomalies, and opportunities
- Business Requirements & User Story Development
- Elicits, analyzes, documents, and validates business requirements through interviews, workshops, job shadowing, surveys, and data analysis
- Translates business needs into well-formed deliverables for IT partners and vendors: business requirements documents (BRDs), functional specifications, user stories with acceptance criteria, use cases, and process flow diagrams
- Decomposes complex or ambiguous business problems into clearly scoped, testable requirements
- Maintains and grooms requirement backlogs; partner with product owners, project managers, and development teams to prioritize work based on business value
- Manages requirements traceability from initial request through design, build, test, and deployment; assess and communicate impacts of scope changes
- Stakeholder Engagement & IT/Vendor Liaison
- Serves as the primary liaison between pharmacy operations stakeholders and internal IT teams and external technology vendors
- Facilitates requirements workshops, design reviews, and working sessions with cross-functional audiences ranging from front-line pharmacy staff to executive leadership
- Translates between business and technical languages - ensuring operations understands technical constraints and trade-offs, and IT/vendors understand operational context, urgency, and regulatory realities
- Builds and maintains productive relationships with vendor partners; participate in vendor solution evaluations, gap analyses, and configuration decisions
- Communicates project status, risks, decisions, and open items clearly and proactively to stakeholders at all levels
- Data Analysis & Reporting
- Performs ad-hoc and recurring data analysis to support decision-making, using tools such as Excel, SQL, and Power BI
- Designs and maintains dashboards and reports that give operational and executive audiences visibility into process performance
- Ensures data quality and consistency in analyses; document data definitions, sources, and logic
Qualifications
- Required Qualifications
- Bachelor's degree in Business, Healthcare Administration, Information Systems, or related field - or equivalent practical experience
- 3+ years of business analysis, process improvement, or related analytical experience
- Demonstrated experience eliciting and documenting business requirements, functional specifications, and/or user stories with acceptance criteria
- Experience working directly with IT teams and/or software vendors through a full solution lifecycle (analyze, design, build, test, implement, support)
- Strong proficiency with Microsoft Office suite, including advanced Excel (pivot tables, lookups, data analysis); proficiency with Visio or equivalent process mapping tools
- Proven ability to analyze data, draw insights, and make business recommendations that influence stakeholders
- Excellent written and verbal communication skills, with demonstrated ability to communicate effectively with both technical and non-technical audiences, including senior leadership
- Strong organizational skills with the ability to manage multiple concurrent initiatives and deal with ambiguity in a fast-paced environment
- Preferred Qualifications
- Experience in pharmacy operations, long-term care pharmacy, PBM, or healthcare claims/revenue cycle
- Familiarity with pharmacy systems (e.g., Framework LTC, DocuTrack, PrimeCare, QS/1) and/or pharmacy claims adjudication (NCPDP standards, rejection codes, GPI/NDC constructs)
- Working knowledge of SQL, Power BI, or other query/visualization tools
- Knowledge of SDLC and both Agile/Scrum and Waterfall delivery methodologies; experience with Jira, Azure DevOps, or similar backlog management tools
- Lean Six Sigma training or certification (Green Belt or higher)
- Business analysis certification (CBAP, CCBA, PMI-PBA) or Scrum certification (CSPO, PSPO)
- Understanding of healthcare regulatory frameworks relevant to LTC pharmacy (HIPAA, CMS requirements, state board of pharmacy regulations)
- Experience supporting automation, AI/ML, or workflow technology initiatives in an operations environment
About our Line of Business
PharMerica, an affiliate of BrightSpring Health Services, delivers personalized pharmacy care through dedicated local teams, serving health care providers such as skilled nursing facilities, senior living communities, and hospitals. We also cater to individuals with behavioral needs, infusion therapy needs, seniors receiving in-home care, and patients with cancer. Operating long-term care, home infusion, and specialty pharmacies across the nation, we combine the personal touch of a neighborhood pharmacy with the resources of a national network. Our comprehensive solutions, backed by industry-leading technology and regulatory expertise, ensure accurate medication access, cost control, and compliance with best-in-class clinical standards. We are committed to enhancing resident health, reducing staff burdens, and supporting our clients' success. For more information, visit www.pharmerica.com. Follow us on Facebook, Twitter, and LinkedIn.