The following career opportunities are currently available at KYHC. Please direct your response to the person listed at the bottom of each job description. Please include a cover letter including salary expectations and your resume. Thank you.
Chief Executive Officer
Working through Functional Heads, and in concert with the priorities and policies of the KYHC Board of Directors, the Chief Executive has responsibility for achievement of the Objectives of the KYHC Organization.
Responsibilities include relationship with Board of Directors, Planning, Management and Organizational Development, Policy, Controls, Product Development, Growth and Solvency, Member Engagement and Focus.
Community Relations Representative
Creates and manages Commonwealth wide community outreach programs. Works on the “grass roots level, building a data base of community leaders, advocates and other individuals with whom the Cooperative should build local relationships.
Credentialing Administrator
Credentials and recredentials participating providers and facilities in the provider network. Coordinates and performs enrollment of assigned providers and physicians to ensure satisfaction of the health plan requirement for certification, licensure, and accreditation.
Director of Communications and Development
Responsible for communications on a statewide basis. Educates employer groups, individual, broker, community leaders and others about the Cooperative and what it means to people in the area.
Government Relations and Compliance Officer
The Government Relations and Compliance Officer acts as staff to the CEO and Board of Directors’ Corporate Compliance Committee by monitoring and reporting results of the compliance/ethics efforts of the CO-OP and in providing guidance for the Board and senior management team on matters relating to compliance. The Government Relations and Compliance Officer, together with the Board Compliance Committee, is authorized to implement all necessary actions to ensure achievement of the objectives of an effective compliance program.
Manager – Applications & Development
The Manager – Applications & Development oversees the conception, design and deployment of software projects that bring value to the enterprise. By working closely with business leaders and the IT department, the Manager – Applications & Development coordinates technical resources to create and maintain information systems and software that solves problems and facilitates the sharing of knowledge throughout the company.
Manager – Network Operations
The Manager – Network Operations is responsible for the setup and performance of technology that is operated for the purposes of the business. This includes procurement, implementation and maintenance of all hardware, software and related service including the networking and communications infrastructure that serves as a backbone for operating business-related computer systems and telephony. This manager also oversees computer systems training, sets technology standards, advises on and helps enforce adherence to IT usage policies.
Network Development Representative
Builds effective provider networks by negotiating contractual agreements with all provider types that pose a mid- to high-level degree of difficulty to ensure consistency with corporate goals and budget. Acts as a professional resource to answer most contractual questions posed by providers and assists providers with more difficult problems they cannot get resolved through normal channels.
Acts as point of contact for providers by monitoring and overseeing the implementation of providers in the network as well as providing all the materials and paperwork necessary to participate in networks, such as credentialing and all e-business and electronic services offered by the Cooperative to ensure efficiencies, provider satisfaction, and goals of the department for timely setup are met.
Project Manager
The role of the Project Manager is to plan, execute, and finalize projects according to strict deadlines and within budget. This includes acquiring resources and coordinating the efforts of team members and third-party contractors or consultants in order to deliver projects according to plan. The Project Manager will also define the project’s objectives and oversee quality control throughout its life cycle.
Vice President and Chief Financial Officer
Responsible for supporting the Chief executive and the Board in the achievement of the strategic and financial objectives of the Organizations. Directs all financial area for KYHC and ensures the safeguarding of assets.
Vice President, Clinical Care Integration
Provides strategic guidance and develops medical programs to ensure strategies for provider development, partnerships, and outcomes management are met on an ongoing basis to effectively deliver healthcare products which meet utilization and financial objectives.
Vice President, Member Group
Provides strategic direction for Member Group functions and implements community outreach strategies for education and awareness of the target markets. Develops strategies which will result in membership growth.
Vice President, Network Development and Provider Relations
Ensure strategies for provider development, partnerships, and outcomes management are met on an ongoing basis to effectively deliver healthcare products, which meet network access standards, as well as Cooperative financial objectives.
Oversee all aspects of provider networks for the Health Plan, including network development, contracting, credentialing, and provider relations. Responsible for ensuring members have a complete and comprehensive network of providers (physicians, facilities, and other services.)
Vice President, Operations and Information Technology
The Head of Operations and Information Technologies will direct the health plan’s overall operations including enrollment, claims, member services, member communications and call center ensuring that all operations meet the plan’s overall objectives and requirements with regard to subscribers, providers, and regulatory entities. In addition, this individual will direct the data processing and information technology activities and ensure that that the technology utilized is aligned to the goals of the business. This individual is also responsible for identifying opportunities for enhancing business value through IT as well as creating a culture of collaboration and innovation through the effective use of software and hardware tools. This position has the responsibility for the operation and maintenance of all internal and external computer system and information services.
Writer
Responsible for writing communications materials for education of target markets, including brochures, PowerPoint presentations, press releases and other materials, such as an Annual Report to the community.