- ChenMed (Louisville, KY)
- …We're rapidly expanding and we need great people to join our team. The Market Clinical Director will directly supervise, performance manage and train ... duties. The remainder of their time allocated to leadership responsibilities including Clinical Director performance, engagement, building a strong clinical… more
- ChenMed (Louisville, KY)
- …PCP capacity, market needs, size of centers, patient membership, and Market Clinical Director direction. **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + ... with the PCPs (reduced involvement of market clinical leader) + Partnering with Center Operations Director... clinical leader) + Partnering with Center Operations Director / Market General Manager to drive continued improvement… 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**...to** :SVP, Advisory Services **Location** :US/UK Norstella unifies five market -leading companies that all have a shared goal of… more
- Cardinal Health (Frankfort, KY)
- …products company headquartered in Dublin, OH. The _Director of Business Development, Market Access_ is a seasoned managed care executive and strategic individual ... in value-based care contracting. Functioning as a strategic hunter, this Director is the deal architect, personally driving the identification, structuring, and… more
- CommonSpirit Health (Lexington, KY)
- …position with a strong preference for someone in the KY or TN area. The Market Director , Payer Strategy and Relationships (PSR), is responsible for managed care ... contract language and reimbursement, negotiation strategy, and payer relationships. The Director collects and communicates Market -level insight and strategic… more
- Sumitomo Pharma (Frankfort, KY)
- …seeking a dynamic, highly motivated, and experienced individual for the position of Associate Director , Market Access Engagement - Rare Disease, who will act as ... to key payer accounts, policymakers, qualified treatment center (QTC) staff, and market access partners, while focusing on meeting and exceeding their performance… 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
- 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 ... service, productivity and teamwork. It also includes the participation in clinical rounds and conferences plus in-depth documentation through written progress notes… more
- Highmark Health (Frankfort, KY)
- …and ROI realization. Critical partners include Advanced Analytics, Contracting, Market and Provider support teams, Actuary, Finance, Highmark Health Solutions, ... and seeks for innovative ways to make improvements based on data and market research. Working closely with Contracting and Provider Relation Leaders and others… more
- Catholic Health Initiatives (Lexington, KY)
- …to meet goals established to enhance professional development, to increase the clinical , leadership, and managerial competency of the staff, to enhance patient ... outcomes through clinical competency, education, research and evidence based practice, to...learning needs to achieve desired patient outcomes, to increase clinical , leadership, and managerial competency, to promote error reduction,… more
- CenterWell (Frankfort, KY)
- …a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews health claims. The Medical ... Director , Primary Care work assignments involve moderately complex to...is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical … more
- Humana (Frankfort, KY)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Frankfort, KY)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Frankfort, KY)
- …to the clinical operations team and healthcare organization. The Medical Director 's work includes computer based review of moderately complex to complex ... community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The Behavioral… more
- Humana (Frankfort, KY)
- …Lead Medical Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care received by ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Merck (Frankfort, KY)
- **Job Description** The Oncology Regional Medical Scientific Director , Oncology is a credentialed (ie, MD, PhD, PharmD, or DNP) therapeutic and disease expert who ... drug, vaccine or biologic product. The Oncology Regional Medical Scientific Director provide to Scientific Leaders balanced, factual, scientific information about… more
- Humana (Frankfort, KY)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... and work is assisted by diverse resources, which may include national clinical guidelines, CMS policies and determinations, clinical reference materials,… more
- Elevance Health (Louisville, KY)
- **Behavioral Health Medical** ** Director -Psychiatrist** **Appeals** **Location:** This role enables associates to work virtually full-time, with the exception of ... Monday - Friday. Half day Saturday rotation, once a month.** The **Medical Director ** is responsible for the administration of behavioral health medical services, to… more
- CommonSpirit Health (Lexington, KY)
- **Job Summary and Responsibilities** The Market IT Director assists the Region Chief Information Officer in the top management of CommonSpirit Health's ... the Market President and is a part of his/her leadership cabinet. The Market IT Director applies management principles with critical impact on technology and… more
- Evolent (Frankfort, KY)
- …market trends + Represent the organization at regional forums/ clinical symposiums, conferences, and support business growth opportunities **Qualifications ... SOUTHWEST REGION We are seeking a strategic and collaborative Associate Director , Provider Engagement to lead our oncology-focused provider engagement and practice… more