• Behavioral Health Clinical

    Humana (Frankfort, KY)
    **Become a part of our caring community and help us put health first** The Intern - General 2 performs duties in field of study or profession. The Intern - General 2 ... us** Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers and...millions of people we serve to achieve their best health - delivering the care and service they need,… more
    Humana (05/31/25)
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  • Senior Clinical Strategy Consultant

    Highmark Health (Frankfort, KY)
    …insights, and partner with account teams to close complex deals. Translate Enterprise clinical strategy . Act as a crucial link between enterprise-level ... feedback and market trends into actionable insights for internal product development, clinical strategy , and sales enablement, influencing the overall … more
    Highmark Health (05/10/25)
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  • Behavioral Health Assessor - Weekend…

    Addiction Recovery Care (Ashland, KY)
    …key elements of every thing we do! We are hiring an as needed (PRN) Behavioral Health Assessor for our growing team in our in-patient psychiatric hospital ... division! The Behavioral Health Assessor provides in-person risk assessment...sources, families, patients, and unit staff. **Open to RNs, Clinical Counselors, and Social Workers Key Responsibilities: + Completes… more
    Addiction Recovery Care (05/29/25)
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  • Utilization Management Behavioral

    Humana (Frankfort, KY)
    health first** Humana Healthy Horizons in Kentucky is seeking a Utilization Management Behavioral Health Professional 2 who utilizes behavioral health ... of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work assignments are varied and… more
    Humana (05/31/25)
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  • Marketing Strategy Consultant - EnGen

    Highmark Health (Frankfort, KY)
    …owned subsidiary of Highmark Health and a leading provider of administrative and clinical technologies to health plans and health systems, is seeking an ... **Company :** Highmark Health **Job Description :** **GENERAL OVERVIEW:** enGen, a...in this role will partner closely with the enGen strategy leader and their team to develop a deep… more
    Highmark Health (05/21/25)
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  • Market Partnership and Finance Strategy

    CenterWell (Frankfort, KY)
    …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... part of our caring community and help us put health first** The Market Partnership and Finance Strategy...in the PCO risk adjustment area implements and supports strategy and targeted initiatives aimed at increasing clinical more
    CenterWell (04/26/25)
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  • Medical Director- Medicare

    Elevance Health (Louisville, KY)
    …hours. The **Medical Director** is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and most ... Leads, develops, directs, and implements clinical and non- clinical activities that impact health care quality...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
    Elevance Health (05/20/25)
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  • Transitions of Care - RN, 100% Virtual, CareBridge…

    Elevance Health (KY)
    …plans by educating members regarding clinical needs and facilitating referrals to health professionals for behavioral health needs. + Uses motivational ... may include, but are not limited to: + Conducts behavioral or clinical assessments to identify individual...and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy .… more
    Elevance Health (05/30/25)
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  • Associate Medical Director - Orthopedic Surgery

    Elevance Health (Louisville, KY)
    Health family of companies, Carelon Behavioral Health , formerly Beacon Health Options, offers superior clinical mental health and substance use ... ** Clinical Operations Associate Medical Director** **Orthopedic Surgery** **Virtual**...and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy .… more
    Elevance Health (05/01/25)
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  • Provider Network Manager

    Elevance Health (Louisville, KY)
    Health family of companies, Carelon Behavioral Health , formerly Beacon Health Options, offers superior clinical mental health and substance use ... **Provider Network Manager** Carelon Behavioral Health **_Location:_** **_Hybrid 1:_** _This...and financial education resources, to name a few. Elevance Health operates in a Hybrid Workforce Strategy .… more
    Elevance Health (05/30/25)
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  • Manager Of Training Design And Development

    BrightSpring Health Services (Louisville, KY)
    …including pharmacy, home health care and primary care, and rehabilitation and behavioral health , we provide comprehensive and more integrated care and ... Our Company BrightSpring Health Services Overview The Manager of Training Design...accuracy of all assignments, learning objects, and available reporting Strategy : + + Assists with executing the training… more
    BrightSpring Health Services (05/21/25)
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  • IPA Coding Associate Director

    CenterWell (Frankfort, KY)
    … Documentation Improvement, Audit, and Education to develop programs to improve clinical documentation. + Partner with MRA Strategy and Analytics teams ... Coding Leader manages a diverse team responsible for ensuring clinical documentation supports accurate coding and is reflective of...and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral more
    CenterWell (04/24/25)
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  • Supervisor Market Facing Analytics

    Highmark Health (Frankfort, KY)
    …to obtain detailed knowledge of business partner and market objectives and strategy as well as MFA and/or EI capabilities, including staff experience, skills ... business partners. Assist the director of MFA in establishing the vision and strategy for Highmark's market facing analytics function and determine how this function… more
    Highmark Health (05/26/25)
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  • Director of Sales & Partnerships - enGen

    Highmark Health (Frankfort, KY)
    …modular utilization and care management solutions, patient-focused digital products, and clinical data exchange capabilities, as well as outsourced technology and ... solution architecture, and ensuring meticulous attention to detail. + Pricing Strategy & Execution: Provide market guidance and input into competitive pricing… more
    Highmark Health (04/19/25)
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  • National Contracting Director (Value Based Care)…

    Molina Healthcare (Owensboro, KY)
    …VBC program design, working across diverse provider types including primary care, behavioral health , long-term supports and services (LTSS), hospitals, and ... without direct authority. + Data-driven mindset with ability to interpret complex clinical , utilization, and financial data to inform strategy . + Experience… more
    Molina Healthcare (04/24/25)
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  • VP, Centerwell PCO, IPA CMO

    CenterWell (Frankfort, KY)
    …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... IPA CMO will develop and support the MSO's National Clinical Vision and Strategy , directly lead a...passion for serving high-risk seniors in achieving their best health and outcomes and the clinical experience… more
    CenterWell (05/28/25)
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  • Nurse Educator Perioperative

    HCA Healthcare (Bowling Green, KY)
    …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... have an exciting opportunity for you to join Tristar Health which is part of the nation's leading provider...that promote professional competency for nursing, inter-professional, and non-licensed clinical staff at the assigned facility. . In this… more
    HCA Healthcare (03/07/25)
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  • Senior Business Intelligence Engineer

    CenterWell (Frankfort, KY)
    …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... **Become a part of our caring community and help us put health first** As a Sr. Business Intelligence Engineer for CenterWell Primary Care, you can directly impact… more
    CenterWell (05/31/25)
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  • Program Management Lead, Wholly Owned Medical…

    CenterWell (Frankfort, KY)
    …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... part of our caring community and help us put health first** The Program Management Lead optimizes the effectiveness...with the Wholly Owned & IPA Medical Coding teams. ** Strategy :** + Advises coding leaders to develop functional strategies… more
    CenterWell (05/22/25)
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  • Outreach Coordinator

    WestCare Foundation (Elkhorn City, KY)
    …or closely related population. Experience and Competencies: + Basic knowledge of behavioral health , social services, judicial system, law enforcement, veteran ... staff accordingly. Essential Job Functions: + Design and implement overall recruiting strategy , client referral program, and referral network data base. + Maintain… more
    WestCare Foundation (03/14/25)
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