- Humana (Frankfort, KY)
- …and help us put health first** Humana Healthy Horizons is seeking a Capture Lead , Clinical & Population Health Strategy, to lead initiatives developing ... experts to synthesize, assess, and translate state requirements into actionable go-to-market clinical strategy. The Lead will consult with growth partners to… more
- Humana (Frankfort, KY)
- …their own contributions together with other key stakeholders from across the enterprise ( clinical , quality , operations , analytics, and business) and leading ... on opportunities to improve member health outcomes, member and provider experience, clinical quality , and savings to medical costs. The Strategy Advancement… more
- Merck (Frankfort, KY)
- …will engage with all levels within the CI organization to participate in and/or lead projects that support quality operations driving the efficient and ... will include one or more projects. These opportunities in Clinical Operations can provide you with great...limited to): + Support the CI team which oversees Clinical Quality Management System for trials conducted… more
- HealthEdge Software Inc (Frankfort, KY)
- …user experience, client needs and organizational and business priorities, while maintaining the clinical quality and standards of our product. Because you will ... and standardization projects (40%) + Collaborate with Director, Content Operations to review and evaluate tickets for clinical...and evaluate tickets for clinical risk or clinical improvement opportunities. + Lead the … more
- Evolent Health (Frankfort, KY)
- …within another organization preferred. + Sophisticated knowledge of clinical operations in managed care, including quality management, outcomes, provider ... the opportunity to positively impact member's care daily. Our clinical operations team possess a can-do spirit,...with a global workforce and a working knowledge of clinical quality metrics such as HEDIS and… more
- Merck (Frankfort, KY)
- …with company requirements and regulations are delivered and sustained. The Country Clinical Quality Manager (CCQM) has an important impact in achieving ... right company for your long-term goals. Our company's Global Clinical Trial Operations (GCTO) team is currently...to): + Support the US CCQM team which oversees quality operations for trials conducted by GCTO… more
- Fresenius Medical Center (Lexington, KY)
- …Care, you will ensure that quality patient care is delivered while maintaining clinical operations . As the facility leader, you will be part of a close-knit, ... kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture...you may advance your career into an Area Team Lead or Director of Operations role. **Our… more
- Cardinal Health (Frankfort, KY)
- …Strong skills in stakeholder management and internal evangelism of IT Operations /service principles. + Track record of identifying clinical /applications product ... about helping oncology practices navigate the future. The Director, IT Practice Operations will join forces with business and solution/product leaders to plan,… more
- Takeda Pharmaceuticals (Frankfort, KY)
- …Team (GRT) + Liaises with US Labeling Operations , EU Labeling Operations , Labeling Devices Lead and Labeling Compliance to ensure labeling objectives ... therapies to patients worldwide. Join Takeda as Associate Director, Global Labeling Lead where you will be responsible for the development and implementation of… more
- Humana (Frankfort, KY)
- …services. **Responsibilities:** The Value-Based finance team is seeking a Financial Analytics Lead . This individual will work across the business, and will be highly ... make recommendations to support critical business decisions and optimize outcomes. + Lead design and development of Power BI reporting and dashboards that provide… more
- Veterans Affairs, Veterans Health Administration (Lexington, KY)
- Summary The incumbent serves as a Lead Medical Support Assistant in Ambulatory Care and Processing Section of Health Administration Service. S/he works at a ... are not limited to: Conducting ongoing reviews to ensure quality of work; Ensuring accurate and timely scheduling of...requirements, you must meet the following grade requirements. GS-07 Lead Medical Support Assistant Experience. To qualify at the… more
- Highmark Health (Frankfort, KY)
- …Partner to develop, implement and monitor interventions to improve the clinical STARS measures. Lead /participate in both departmental and interdepartmental ... cross-functional teams, locations and departments to improve Stars and/or Quality Rating outcomes for Medicare Advantage across footprint. Designs, implements… more
- Humana (Frankfort, KY)
- …and present educational seminars on various behavioral health topics to the clinical operations team and healthcare organization. The Behavioral Health Medical ... develop procedures, processes, productivity targets and new delivery models maintaining efficient operations while ensuring attainment of quality of care and… more
- Humana (Frankfort, KY)
- …Health Medical Director responsible for behavioral health care strategy and/or operations . The Behavioral Health Medical Director work assignments involve moderately ... compliance and assisted by diverse resources, which may include national clinical guidelines, state policies, CMS policies and determinations, clinical … more
- Evolent Health (Frankfort, KY)
- …on opportunities to increase solution value creation for customers - including clinical quality improvement, cost of care reduction, and provider/member ... as well as broad cross-functional collaboration with our teams in Product, Technology, Clinical , Operations , and Growth. This position will report to the VP,… more
- Humana (Frankfort, KY)
- …PowerPoint **Preferred Qualifications** + MPH or MBA or similar higher-level education + Clinical operations and medical coding experience + Proven ability to ... lieu of Service packages that delight key customers and support sustainable health plan operations . + Lead product and benefit filing efforts with the regulatory… more
- Evolent Health (Frankfort, KY)
- …variety of operational functions and in support of matrixed teams across the broader Clinical and Customer Service Operations . This individual will report to the ... Vice President (VP) of Customer Service Operations and will be responsible for initiating, planning, and executing on key strategic initiatives and projects that… more
- Intermountain Health (Frankfort, KY)
- …improvement culture + Manage quality control processes, define and communicate quality standards, and hold the operations team accountable to achieving the ... tools and resources to perform the required legal and business analysis of clinical , non- clinical and IT related contracts. Minimum Qualifications + Bachelor's… more
- CVS Health (Frankfort, KY)
- …Leader, RX to build profitable pharmacy business and script growth through execution of clinical and patient care programs + **3. Operations ** + Work the bench ... to a fully operational Pharmacist with the ability to independently function and lead their own pharmacy team + **Primary Job Duties & Responsibilities:** **1.… more
- Evolent Health (Frankfort, KY)
- …in in provider operations , practice/network management, provider contracting, UM operations , clinical improvement, or healthcare client management + Be ... with our local providers in **Hawaii** and act as the primary lead /quarterback responsible for provider onboarding across the division along with identifying… more