Role Description To provide quality clinical criteria review for Prior Authorizations as defined by Client specifications to ensure patients are serviced accurately and timely. Qualifications - Knowledge of pharmacy, pharmaceuticals, or healthcare business required - Ability to analyze and interpret clinical criteria - Works effectively across organization and fosters teamwork - Demonstrates the ability to manage production independently while building strong credible working relationships with clients, patients, and internal partners - Excellent communication skills both verbal and written - Demonstrated knowledge of medical terminology and capacity to thoroughly analyze clinical criteria - Active professional affiliations and/or national certification in related clinical specialty preferred - Ability to work flexible work schedule

Role Description Covalus is a growing management consulting firm, encompassed by an impact-driven culture that touches virtually every aspect of healthcare construction. We foster a culture where you can grow, make an impact, and be empowered to put forward new ideas. Together, we thrive as we shape the future of healthcare for patients, our communities, and our people. Serving as Senior Program Manager, you will be responsible for managing all aspects of a specific project or program, including leading the client relationship to exceed expectations. - Interacts regularly with client(s) to ensure that goals and objectives are established and achieved. - Develop and implement action plans to correct variances. - Key focus areas include scope, budget, schedule, quality, and risk management. - Demonstrate knowledge of advanced contracting methods, including IPD and CPD. - Responsible for accurate, timely, and compliant contract procurement, contract negotiation, contract execution, contract administration, and closeout. - Demonstrate ability to identify complex project risks, lead constructability reviews, develop risk mitigation and contingency plans, and implement action plans to reduce or eliminate project risks for client and company. - Oversee the preparation of accurate, timely, and complete deliverables to the client and company. - Ensures proper utilization of in-house project management tools for execution of services. - Provide input on the development of standards across all projects. - Collaborates with internal subject matter expert in the implementation of dashboard reporting tools. - Leads by example and models behaviors that are consistent with the company's values. - Responsible for developing and maintaining detailed project/program outlines, including scope, deliverables, goals, and timelines. - Collaborates with internal subject matter expert in creating complete project budgets. - Oversee project cost control efforts, quality control, site management, and the preparation of timely and accurate monthly cost control budget reports and invoicing. - Provide coordination and leadership for cross-functional project teams to ensure project deliverables and timelines are met. - Identify, document, and mitigate key risks, issues, and dependencies across projects or program. - Recommend actions to ensure successful completion of projects. - Provide monitoring and support on program status, key performance indicators, and other qualitative/quantitative metrics to key stakeholders and leaders across multiple segments. - Conduct regular program reviews with key stakeholders and leadership to keep team apprised of progress, next steps, and key risks identified. - Participate in and provide input into the marketing and business development of the company’s program management services. - Additional responsibilities that may become apparent beyond the above outlined responsibilities. Qualifications - Bachelor’s degree in construction management, engineering, or business administration. - A minimum of 8 years of progressive healthcare project management experience. - Must be able to demonstrate a high level of professionalism and performance leading planning, design, pre-construction, contract negotiations, cost control, scheduling, and team coordination activities. - Excellent project budgeting, contract negotiations, and scheduling skills are essential for success in this position. - Ability to prioritize and delegate responsibilities to internal direct reports and external partners. - Ability to read and interpret contracts, including a thorough understanding of contract documents, including drawings and specifications. - Strong written and verbal communication skills with the ability to analyze data for the client and team to achieve project goals. - Strong interpersonal skills with an ability to interact with executive-level external and internal healthcare clients. - Strong ability to multitask, work independently, and manage all aspects of construction projects effectively and efficiently. - Must be self-motivated and possess a proactive attitude. - Intermediate to advanced proficiency of Microsoft Office programs, including PowerPoint, Word, Excel, and Teams. - eBuilder, Bluebeam, and Smartsheet experience is preferred. - Act in a manner of integrity that shows support for the company, its values, and the employees. - Strong analytical and critical thinking skills with the ability to prioritize and adhere to tight deadlines. - Strong oral and written communication skills with an ability to effectively communicate at all levels of management. - Ability to work in a fast-paced, team-oriented environment with a desire to learn new skills, be challenged, and demonstrate growth potential. - Willingness to remain flexible and adapt to change as we continue to grow as a company. Requirements - Must be able to travel by car, plane, or other forms of transportation to attend owner/client meetings. - Travel to a client or project site could be in the range of 25-75% of the time commitment required to complete many of the functions of the position. - Hazard exposure is mainly confined to job-site visits and travel.

• Lead complex, multi-team programs spanning core banking, card issuing, ledger, authorization, settlement, disputes, fraud, and payment processing domains. • Drive execution of strategic initiatives from concept through production rollout. • Establish and maintain program plans, milestones, dependencies, risks, and success criteria. • Provide clear visibility to leadership on delivery status, blockers, and mitigation plans. • Partner with Engineering, Product, and Architecture teams to ensure scalable and resilient solutions. • Understand and challenge technical designs, architecture trade-offs, and implementation plans. • Drive alignment on technical requirements, NFRs, operational readiness, scalability, security, and resiliency objectives. • Identify integration, performance, reliability, and operational risks early in the lifecycle. • Coordinate activities across Product Management, Engineering, SRE, Architecture, Client Delivery, Compliance, and Operations teams. • Drive accountability and resolution of cross-team dependencies. • Facilitate planning, execution, release readiness, and post-launch reviews. • Ensure alignment between business objectives and engineering execution. • Support strategic client initiatives involving large financial institutions and enterprise customers. • Drive readiness for major client launches, platform migrations, and production rollouts. • Communicate technical and delivery risks effectively to internal and external stakeholders. • Lead risk management, issue resolution, and escalation processes. • Establish metrics and reporting to improve delivery predictability and execution quality.

Role Description The Department for Aging and Independent Living provides services for the aged and physically disabled populations across the state. The Department is charged with assisting individuals in obtaining needed home and community-based care and services to prevent premature admission into a long-term care facility. The goal of the department's programs is to assist individuals with remaining in their own home for as long as possible. The Department is currently seeking a high energy, self-motivated individual with the desire to assist the Division in supporting the department's goals. - Supervise and coordinate the work of waiver staff within the Certification and Monitoring Section. - Perform advanced analysis of records to identify provider deficiencies. - Evaluate regulations and policies, providing expert recommendations for improvement. - Develop, interpret and maintain comprehensive statistical reports and tracking spreadsheets. - Address complex inquiries and prepare detailed oral or written responses. - Analyze and report impact of policy changes, providing expert insight to inform decision making and strategic planning. - Conduct monitoring and technical reviews of agencies providing waiver services. Qualifications - Excellent verbal and written communication skills. - Excellent computer skills. - Ability to plan and establish priorities, differentiating between urgent, important, and unimportant tasks. - Excellent organization skills including time management, scheduling, coordinating resources and meeting deadlines. - Attention to detail, being thorough and accurate in completing tasks. - Ability to work cooperatively as part of a team. - Ability to work under pressure, being able to cope with a high volume of work and meeting deadlines. - Exceptional customer service. - Effective problem solver. - Works well in a fast-paced environment. - Organization and time management skills. Requirements - EDUCATION: Graduate of a college or university with a bachelor's degree. - EXPERIENCE, TRAINING, OR SKILLS: Four years of professional experience in the administration of human services programs, emergency management services, emergency medical technician, paramedic, or related field. - Substitute EDUCATION for EXPERIENCE: A master's degree in social work, health administration, labor relations, public or business administration or related field will substitute for one year of the required experience. - Substitute EXPERIENCE for EDUCATION: Administrative or business experience, or professional, subprofessional, or clerical work in a human services area, emergency management services, emergency medical technician, paramedic, or related field will substitute for the required education on a year-for-year basis. - SPECIAL REQUIREMENTS (AGE, LICENSURE, REGULATION, ETC.): NONE Working Conditions Incumbents working in this job title typically perform duties in an office setting. Probationary Period This job has an initial and promotional probationary period of 6 months, except as provided in KRS 18A.111. Contact Information If you have questions about this advertisement, please contact Dena Rogers at denam.rogers@ky.gov or 502-234-0455.