- Veterans Affairs, Veterans Health Administration (Florence, KY)
- Summary The Clinical Medical Director directly reports the Chief of Primary Care / ACOS and will be responsible for all aspects of medical care delivered to ... For more information, refer to Required Documents below. Responsibilities The Clinical Medical Director must be able to perform all services required in the… more
- Molina Healthcare (Covington, KY)
- …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... years relevant experience, including: + 2 years previous experience as a Medical Director in a clinical practice. + Current clinical knowledge. + Experience… more
- Molina Healthcare (Covington, KY)
- …reviews behavioral health portions of state contracts. * Assists behavioral health medical director lead trainers in the development of enterprise-wide education ... JOB DESCRIPTION Job SummaryProvides medical oversight and expertise related to behavioral health...and chemical dependency services - working closely with regional medical directors to standardize behavioral health utilization management policies… more
- Molina Healthcare (Covington, KY)
- …Certification in Psychiatry **REQUIRED EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years' experience in ... health and chemical dependency services. Works closely with the Regional Medical Directors to standardized utilization management policies and procedures to improve… more
- Molina Healthcare (Covington, KY)
- JOB DESCRIPTION Job Summary Provides medical oversight and expertise in appropriateness and medical necessity of services provided to members, targeting ... and cost-effective member care. Essential Job Duties * Determines appropriateness and medical necessity of health care services provided to plan members. * Supports… more
- Molina Healthcare (Covington, KY)
- …including clinical practice experience, and at least 2 years as a medical director in managed care organization supporting utilization management/quality program ... management programs. Develops clinical practice guidelines and oversees appropriateness and medical necessity of services provided to plan members - targeting… more
- ThermoFisher Scientific (Highland Heights, KY)
- …Scientific Solutions within Thermo Fisher supports the pharmaceutical/ biotechnology/ medical device companies throughout the product lifecycle, from early ... their products, through analysis of large health administrative databases (eg, medical claims, electronic health records, registries, etc.). **Position Summary** :… more
- Molina Healthcare (Covington, KY)
- **Job Description** **Job Summary** The Director , Clinical Data Acquisition for Risk Adjustment, is responsible for the implementation, monitoring, and oversight of ... supplemental data source (SDS) acquisition from providers as well as Electronic Medical Record (EMR) access. This position oversees management of training for all… more
- Molina Healthcare (Covington, KY)
- …+ Analyze results to identify early signs of trends or other issues related to medical care cost. + Design and perform actuarial studies related to medical care ... with operational management to identify saving opportunities and areas of medical utilization concerns. + Provide support to financial closing process regarding… more
- Molina Healthcare (Covington, KY)
- …reserves for appropriateness monthly + Work collaboratively with Actuarial and Medical Economics partners to evaluate correlation among various parameters impacting ... IBNR, including bed days and admits per 1,000, prescription drug utilization, billed dollars of inventory, and other measurable factors that may be leading indicators of the level of reserve required for a particular cell (eg, a particular product within a… more
- Prysmian (Highland Heights, KY)
- …status, disability, military service or veteran status, pregnancy, parental leave, medical conditions, or any other characteristic protected by applicable federal, ... state or local laws. Prysmian will endeavor to make a reasonable accommodation for any disclosed physical or neurological condition or disability of a qualified applicant unless the accommodation would impose an undue hardship on the operation of our… more
- CenterWell (Fort Mitchell, KY)
- …of care and outcome planning. + Works in conjunction with the Branch Director and Company Finance Department to establish location's revenue and budget goals. + ... objectively, in consultation with the Human Resources Department and the Executive Director / Director of Operations. + Participates in the interviewing, hiring,… more
- L'Oreal USA (Florence, KY)
- …: Manager -Safety Validation Division: EHS Location: Florence KY Manufacturing Reports To: Director EHS Who We Are: For more than a century, L'Oreal has devoted ... the evolution of safety practices at our Manufacturing site, reporting to the Director of Environmental, Health, and Safety. As a strategic Safety Manager, you will… more
- Prysmian (Highland Heights, KY)
- …solutions for specialized markets, and you will report to the Commercial Operations Director for the Specialties BU. This position is responsible for managing sales ... specialty market, as well as working closely with the Commercial Operations Director on business analysis of the commercial processes, financial reports, market… more
- CDM Smith (Covington, KY)
- …Packages and defining Scopes of Work under the supervision of the Director of Construction/President or Project Manager. * Responsible for overseeing total ... reports, etc.), purchase requisitions, change request, etc., under supervision of Director of Construction/President or Project Manager. * Ensures all field… more
- Radial (Walton, KY)
- …a new or existing building and associates. + Work closely in partnership with the Site Director + Work closely with the TA and Staffing Team to serve as a point of ... to develop and explore career advancement + Competitive benefits package including medical , dental, vision, paid life insurance and disability, employer HSA funding… more
- AO Smith (Florence, KY)
- …and safety awards + Report on safety performance to Corporate EHSS Director and plant management + Coach/Supervise indirect reports (EHSS Committee) + Perform ... Competitive compensation package and comprehensive benefits plans which include medical and dental insurance, company-sponsored life insurance, retirement security… more
- Molina Healthcare (Covington, KY)
- …issue escalations and Joint Operating Committees on exception. * Assists Manager and/or Director in the negotiation of medical group/IPA and hospital VBC ... contracting. * Serves as VBC regulatory data and reporting lead by developing and producing as required to engage with provider and facilitate VBC performance. * Supports VBC network throughout the state to include onboarding VBC providers and supporting… more
- Molina Healthcare (Covington, KY)
- …with national quality and risk adjustment VPs, Regional Directors of Quality/Risk, Director of Value Based Programs, and local health plan resources. + Responsible ... metrics such as HEDIS and STARS, knowledge of coding + Knowledge of medical economics and financial reporting. Must be able to walk stakeholders (internal and… more
- Molina Healthcare (Covington, KY)
- …to better support overall population heath management, reduce gaps in care and drive medical loss ratio (MLR) targets. In conjunction with the Manager of the In-Home ... policy and procedures by acting as a key business partner to the Director , Prospective Programs, Market & Segment Leaders, health plan teams, member services,… more