- CommonSpirit Health at Home (Lexington, KY)
- …embody our mission of delivering hope and healing to those we serve. The Director , Clinical Services is responsible for the planning, direction, ... mission, values, strategic goals, and high standards of customer service . + **Ethical Conduct & Compliance:** Uphold the Corporate...all HCHB clinical workflow for both the Director of Clinical Services (DCS)… more
- Prime Therapeutics (Frankfort, KY)
- …our passion and drives every decision we make. **Job Posting Title** Sr Director Clinical Strategy and Oncology Specialty Solutions/PharmD required- REMOTE **Job ... Description** The Senior Director Clinical Strategy and Oncology Specialty Solutions...collaboration across departments and ensuring the seamless delivery of services to clients + Provide direction, leadership and subject… more
- Sedgwick (Frankfort, KY)
- …Companies Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Director , Clinical Programs **PRIMARY PURPOSE** : ... in claims and/or managed care. Preferred experience in: client services , clinical operations, and or workers comp...clinical programs. + Negotiates changes or improvements to service plan. + Facilitates the reduction of process barriers,… more
- HCA Healthcare (Louisville, KY)
- …Click here to learn more about Galen! (https://galencollege.edu/about) **Position Overview:** As a Director of Clinical Learning at Galen College of Nursing, you ... of experience in clinical education, simulation, or clinical learning lab leadership. + Previous director -level...including: + Comprehensive medical coverage that covers many common services at no cost or for a low copay.… more
- Norstella (Frankfort, KY)
- Sr. Director /VP/ Clinical Delivery Lead, Advisory Services Company: Citeline Location: Remote, United States Date Posted: Nov 4, 2025 Employment Type: Full ... Time Job ID: R-1553 **Description** Sr. Director /VP/ Clinical Delivery Lead, Advisory Services **Reports to** :SVP, Advisory Services **Location** :US/UK… more
- ChenMed (Louisville, KY)
- …rapidly expanding and we need great people to join our team. The Market Clinical Director will directly supervise, performance manage and train Clinical ... remainder of their time allocated to leadership responsibilities including Clinical Director performance, engagement, building a strong...the ChenMed core model, core values & behaviors and service standards. + Assists Clinical COE in… more
- Prime Therapeutics (Frankfort, KY)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Clinical Account Director - Remote **Job Description** The Clinical Account ... to meet client requirements and builds strong relationships with key clinical stakeholders through effective consultative services . **Responsibilities** +… more
- RxBenefits (Louisville, KY)
- The Clinical Account Director will be responsible for nurturing high-level strategic client relationships, effectively collaborating with various levels of ... development and execution of tailored solutions that meet client needs. The Director is ultimately responsible for a pharmacy benefits relationship that meets client… more
- Molina Healthcare (Lexington, KY)
- …* Develops, performs and promotes interdepartmental integration and collaboration to enhance clinical services . * Collaborates with and keeps clinical ... JOB DESCRIPTION Job Summary Leads and directs a team supporting clinical performance improvement activities. Responsible for continuous improvement and successful… more
- BrightSpring Health Services (Louisville, KY)
- …Care Partners Overview We are seeking a results-driven and experienced clinical leader to drive provider education, quality improvement, and operational excellence ... play a key role in developing scalable training programs, standardizing clinical workflows, and enhancing documentation and coding practices that advance value-based… more
- Sumitomo Pharma (Frankfort, KY)
- …a dynamic, highly motivated, and experienced individual for the position of **Associate Director , Clinical Systems R&D IT Business Applications** who will serve ... needs including project delivery, solution design, enhancement requests and support services + Accountable for managing clinical application systems through… more
- Humana (Frankfort, KY)
- …health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided ... experience with national guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case reviews of requests received by members of… more
- Humana (Frankfort, KY)
- …health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided ... experience with national guidelines such as NCD/LCD, MCG(R) or InterQual** **The Medical Director conducts clinical case reviews of requests received by members… more
- ChenMed (Louisville, KY)
- …internal or family medicine who plays a key role as part of the clinical operations team providing direct patient care and providing assessments primarily in the ... referrals, follow-up and clear documentation according to ChenMed standards for quality, service , productivity and teamwork. It also includes the participation in … more
- BrightSpring Health Services (Louisville, KY)
- …wound care, deprescribing/antipsychotic stewardship). + Promote innovations and tech-enabled services (telehealth, remote reviews, clinical decision support) + ... five years progressive leadership in PALTC/senior care; prior multiple medical director or enterprise clinical leadership required, with demonstrated success… more
- Molina Healthcare (Lexington, KY)
- …in Psychiatry **REQUIRED EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years' experience in Utilization/Quality ... and case management programs for mental health and chemical dependency services and assists with implementing integrated Behavioral Health care management programs.… more
- CVS Health (Frankfort, KY)
- …Appeals / Special Projects and Committee participation when needed. + The Medical Director will provide clinical , coding, and reimbursement expertise as well as ... in support of medical management programs through participation in clinical team activities. + The Medical Director ...and facilities to support the effective execution of medical services programs by the clinical teams. **Required… more
- Molina Healthcare (Lexington, KY)
- …NCQA-compliant clinical quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + ... that guide and support the provisions of medical staff services . Maintains a working knowledge of applicable national, state,...including: + 2 years previous experience as a Medical Director in a clinical practice. + Current… more
- Growth Ortho (Lexington, KY)
- …following protocols given by the Physician. Job Relationship 1. Reports to Clinical Supervisor/ Director of Clinical Operations 2. Positions supervised: ... Bluegrass Orthopaedics is hiring a full-time Clinical /Cast Technician in Lexington, KY. The Clinical...signs 2. Cast/DME application and removal 3. Exceptional customer service skills 4. Ability to maintain effective and organized… more
- Humana (Frankfort, KY)
- …outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or ... **Use your skills to make an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more