Top 175 Clinical data coordinator Jobs in Kentucky

Senior Coordinator, Complaint & Appeals - Remote
CVS Health —Kentucky
- $18.50 - $38.82 an hour
- Full-time
- Remote
- Data analysis skills
- Research
- High school diploma or GED
- Health insurance
- Dental insurance
7d
Complaint Appeals, Senior Coordinator - Fully Remote
CVS Health —Kentucky
- $18.50 - $38.82 an hour
- Weekends as needed
- Remote
- Research
- High school diploma or GED
- Mentoring
- Health insurance
- Dental insurance
1d
MDS Nurse Coordinator (RN) (LPN)
Morganfield Nursing and Rehab —Morganfield, KY
- Full-time
- LVN
- RN License
- Mid-level
Quick Apply
Clinical Manager (BCBA)
Cultivate Behavioral Health & Education —Lexington, KY
- $88,000 - $100,000 a year
- Full-time
- Pass drug screening
- Public speaking
- Mid-level
- Continuing education credits
- Paid holidays
Quick Apply
14d
HIM Coordinator
Vibra Travels —Corbin, KY
- Full-time
- Word processing
- Computer literacy
- Mid-level
- Paid time off
HIM Coordinator
Vibra Healthcare —Corbin, KY
- Full-time
- Word processing
- Computer literacy
- Mid-level
- Paid time off
Clinical Research Coordinator I
University of Kentucky —Lexington, KY
- $23.18 - $38.25 an hour
- Online Application
- Background check
- Patient monitoring
- Bachelor of Science
2d
HIM COORDINATOR
ContinueCare Hospital at Baptist Health —Corbin, KY
- Hospital
- Word processing
- Computer literacy
Quick Apply
Front Desk / Call Center Receptionist
Associates in Dermatology —Louisville, KY
- English
- High school diploma or GED
- Typing
Patient Access and Intake Coordinator Full Time
Kindred Hospitals Dallas/Ft Worth District —Louisville, KY
- Full-time
- Hospital
- English
- Mid-level
6d
Medical Support Assistant (Advanced)
US Veterans Health Administration —Lexington, KY
- $47,779 - $62,112 a year
- Online Application
- Background check
- Pass drug screening
- No experience needed
- Paid parental leave
- Paid holidays
Senior Intake Coordinator
Paradigm Corp —Kentucky
- $19 - $21 an hour
- Full-time
- Remote
- Microsoft Outlook
- Word processing
- Mid-level
- Health savings account
- Paid holidays
Front Desk Coordinator
Ellis and Badenhausen Ortho —Louisville, KY
- US work authorization
- Communication skills
- Entry level
- Profit sharing
- 401(k)
Quick Apply
AR Coordinator-Clinical
Trilogy Health Services —Louisville, KY
- Full-time
- Research
- Mid-level
- High school diploma or GED
- Health savings account
- Loan repayment program
Workforce Operations Coordinator
Family Medical Centers —Russell Springs, KY
- Full-time
- Research
- Mid-level
- Office
- Disability insurance
- Health insurance
Quick Apply
Clinical Research Coordinator V
University of Louisville —Louisville, KY
- $48,225 - $72,389 a year
- Online Application
- Mid-level
- Bachelor's degree
- Team management
9d
Patient Care Coordinator
Associates in Dermatology —Louisville, KY
- $18 - $20 an hour
- Full-time
- English
- High school diploma or GED
- Typing
Quick Apply
Dental Coordinator
Grace Health —Corbin, KY
- Full-time
- Microsoft Word
- Dental office
- Microsoft Excel
Quick Apply
Manager, Human Resources
ContinueCare Hospital at Baptist Health —Corbin, KY
- Mid-level
- Wellness program
Quick Apply
Scribe, Cardiology Clinic
T J SAMSON COMMUNITY HOSPITAL —Glasgow, KY
- Hospital
- Computer literacy
- HIPAA
Quick Apply

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Senior Coordinator, Complaint & Appeals - Remote

CVS Health -
Kentucky

Apply Now

Job Details

Full-time
$18.50 - $38.82 an hour
7 days ago

Benefits

Health insurance
Dental insurance
Paid time off
Vision insurance

Qualifications

Research
Policy analysis

Full Job Description

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time.

Position Summary

Responsible for Oversight of that that investigates and resolution of appeals scenarios for all products, which may contain multiple issues and, may require coordination of responses from multiple business units. Ensure timely, customer focused response to appeals. Identify trends and emerging issues and report and recommend solutions. Independently coaches others on appeals ensuring compliance with Federal and/or State regulations. Manage control and trend inventory, independently investigate, adapts to changes or revise policy to resolve the most escalated cases coming from internal and external constituents for all products. Responsible for serving as the point of contact for the appeal if there is an inquiry from leadership, compliance and State regulators. Understand and adapt to departmental process and policies. Medicare knowledge is a plus. Fast Turn Around of inventory, collaboration with clinical team and management. Attention to detail is needed and must be able to maintain compliance turn-around times, with accurate case resolution or research. Remain a part of the solution by escalating issues that may impact compliance timeliness. Additional duties as assigned which will include a carrying a modified case load including but not limited to:

Serves as a content model expert and mentor to team regarding Aetna's policies and procedures, regulatory and accreditation requirements.
Ensures work of team meets federal and state requirements and quality measures, with respect to letter content and turn-around time for appeals, complaints and grievances handling.
Independently researches and translates policy and procedures into intelligent and logically written responses for Executive or Senior leaders on escalated cases.
Successfully works across functions, segments, and teams to create, populate, and trend reports to find resolution to escalated cases.
Identify potential risks and cost implications to avoid incorrect or inaccurate responses and/or decisions which may result in additional rework, confusion to the constituents, or legal ramifications.
Additional duties as assigned which will include a carrying a modified case load including but not limited to:-Research incoming electronic appeals, complaints and grievance to identify if appropriate for unit based upon published business responsibilities. Identify correct resource and reroute inappropriate work items that do not meet appeals, complaints and grievance criteria.
Research Standard Plan Design or Certification of Coverage (Evidence of Coverage) relevant to the member to determine accuracy/appropriateness of benefit/administrative denial.
Research claim processing logic to verify accuracy of claim payment, member eligibility data, billing/payment status, prior to initiation of appeal process.
-Research incoming electronic appeals, complaints and grievance to identify if appropriate for unit based upon published business responsibilities. Identify correct resource and reroute inappropriate work items that do not meet appeals, complaints and grievance criteria.
Research Standard Plan Design or Certification of Coverage relevant to the member to determine accuracy/appropriateness of benefit/administrative denial.
Identify and research all components within member or provider/practitioner appeals, complaints and grievance for all products and services.

Required Qualifications

At least 2+ years in one of the following areas: claim platforms, products, and benefits; patient management; product or contract drafting; compliance and regulatory analysis; special investigations; provider relations; customer service or audit experience

Preferred Qualifications

Some Medicare and/or Medicaid knowledge
Experience in reading or researching benefit language
Ability to work in fast paced, high volume environment
Excellent verbal and written communication skills
Excellent organizational skills to handle high inventory which aids in meeting or exceeding metrics
Solution driven and can handle complex issues with accuracy

Education

High School or GED

Anticipated Weekly Hours

Time Type

Full time

Pay Range

The typical pay range for this role is:

$18.50 - $38.82

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.

Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 07/30/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

Apply Now

Refine Your Search

clinical data coordinator jobs in kentucky

Senior Coordinator, Complaint & Appeals - Remote

Complaint Appeals, Senior Coordinator - Fully Remote

MDS Nurse Coordinator (RN) (LPN)

Clinical Manager (BCBA)

HIM Coordinator

HIM Coordinator

Clinical Research Coordinator I

HIM COORDINATOR

Front Desk / Call Center Receptionist

Patient Access and Intake Coordinator Full Time

Medical Support Assistant (Advanced)

Senior Intake Coordinator

Front Desk Coordinator

AR Coordinator-Clinical

Workforce Operations Coordinator

Clinical Research Coordinator V

Patient Care Coordinator

Dental Coordinator

Manager, Human Resources

Scribe, Cardiology Clinic

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