- Sumitomo Pharma (Frankfort, KY)
- …Responsibilities** + Lead and demonstrate ownership of the design and implementation of a clinical development program or programs in support of the overall ... and experienced individual for the position of **Associate** **Medical Director , Clinical Development - Oncology** . The...**Key Core Competencies** + Ability to run a complex clinical research program with minimal direction +… more
- Sumitomo Pharma (Frankfort, KY)
- …Contributes to company responses to health authorities and ethics committees for ongoing clinical programs to ensure timely registration and initiation of trials ... and experienced individual for the position of Senior Medical Director , Clinical Research (Ophthalmology) to join our...development plan(s) for assigned asset(s) and serve as the Clinical Research Lead for stem cell program … more
- Molina Healthcare (Louisville, KY)
- **Job Description** **Job Summary** The Director , Clinical Data Acquisition for Risk Adjustment, is responsible for the implementation, monitoring, and oversight ... within Molina plans. + Develops and implements targeted collection of clinical data acquisition related to performance reporting and improvement, including member… more
- Sedgwick (Frankfort, KY)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Director , Clinical Programs **PRIMARY PURPOSE** : **The ideal candidate ... of potential dissatisfaction and creates solutions. + Creating and implementing new clinical programs . + Negotiates changes or improvements to service plan.… more
- BrightSpring Health Services (Louisville, KY)
- …This individual will play a key role in developing scalable training programs , standardizing clinical workflows, and enhancing documentation and coding practices ... Responsibilities + Clinical Training & Development: Design and deliver comprehensive clinical education programs for ACO partners and Abode providers through… more
- Humana (Frankfort, KY)
- …experience with national guidelines such as NCD/LCD, MCG(R) or InterQual** **The Medical Director conducts clinical case reviews of requests received by members ... part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home… more
- ChenMed (Louisville, KY)
- …ensure compliance with guidelines along with participating in risk and quality management programs , clinical meetings and other meetings as required. The PCP ... who plays a key role as part of the clinical operations team providing direct patient care and providing...productivity and teamwork. It also includes the participation in clinical rounds and conferences plus in-depth documentation through written… more
- BrightSpring Health Services (Louisville, KY)
- …officer (or equivalent) for the Quality Assurance & Performance Improvement (QAPI/QAA) programs and oversight of clinical scorecards and dashboards with a ... five years progressive leadership in PALTC/senior care; prior multiple medical director or enterprise clinical leadership required, with demonstrated success… more
- Molina Healthcare (Louisville, KY)
- … clinical practice guidelines and medical necessity review criteria * Tracks all clinical programs for BH quality compliance with NCQA and CMS * Assists ... EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years'...clinical practice * 3 years' experience in Utilization/Quality Program Management * 2+ years HMO/Managed Care experience *… more
- CVS Health (Frankfort, KY)
- …business direction in support of medical management programs through participation in clinical team activities. + The Medical Director will act as lead ... implementation. + You will participate in the development, implementation, and evaluation of clinical / medical programs and expand Aetna's medical management … more
- Molina Healthcare (Louisville, KY)
- …NCQA-compliant clinical quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + ... resource management. + Develops and implements a Utilization Management program and action plan, which includes strategies that ensure...including: + 2 years previous experience as a Medical Director in a clinical practice. + Current… more
- Sunrise Senior Living (Louisville, KY)
- …NAME** Sunrise of Louisville **Job ID** 2025-228193 **JOB OVERVIEW** The Resident Care Director (RCD) serves as the nursing clinical leader for the community ... community. Responsible for oversight and implementation of all Care programs , regulatory compliance, recruiting, and performance management. **RESPONSIBILITIES &… more
- Cognizant (Frankfort, KY)
- …. Draft and submit the medical necessity determinations to the Health Plan/Medical Director based on the review of clinical documentation in accordance with ... an impact by performing advanced level work related to clinical denial management and managing clinical denials...support a healthy work-life balance though our various wellbeing programs . The working arrangements for this role are accurate… more
- BrightSpring Health Services (Louisville, KY)
- …clients and exchanges information to identify the clients' needs and consults with Director of Clinical Management to determine the Company's ability to meet ... mandates. + Adheres to and participates in Company's mandatory HIPAA privacy program /practices and Business Ethics and Compliance programs . + Participates in… more
- CenterWell (Frankfort, KY)
- …patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, ... community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews...is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical … more
- Elevance Health (Louisville, KY)
- …to staff including Medical Director Associates. May be responsible for an entire clinical program . **How you will make an impact:** + Supports clinicians to ... **Medical Director -PSCCR** Location: This role enables associates to work...immediate manager. + May be responsible for an entire clinical program and/or independently performs clinical… more
- Merck (Frankfort, KY)
- …identification of potential investigators for consideration for participating in phase II-IV clinical development programs + In response to unsolicited requests ... **Job Description** The Oncology Regional Medical Scientific Director , Oncology is a credentialed (ie, MD, PhD,...contact within the company. + Upon request from Global Clinical Trial Operations (GCTO), support Company-Sponsored Trials to enhance… more
- Elevance Health (Louisville, KY)
- …with oversight from immediate manager. + May be responsible for an entire clinical program and/or independently performs clinical reviews. + Typically ... **Behavioral Health Medical** ** Director -Psychiatrist** **Appeals** **Location:** This role enables associates to...responses to members and providers. + Provides guidance for clinical operational aspects of a program . +… more
- Elevance Health (Louisville, KY)
- …timely and consistent responses to members and providers. + Provides guidance for clinical operational aspects of a program . + Conducts peer-to-peer clinical ... **Plan Performance Medical Director ** Location: This role enables associates to work...This role involves managing the overall medical policies and clinical guidelines to ensure appropriate and cost-effective care. The… more
- Merck (Frankfort, KY)
- …study sites and identifies potential investigators to participate in phase II-IV clinical development programs , conducts Site Initiation Visits (SIVs), and ... **Job Description** The Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP,...Maintains current knowledge and comprehension of dynamic scientific and clinical environment in the Company's Areas of Interest (AOI)… more