- Prime Therapeutics (Frankfort, KY)
- …our passion and drives every decision we make. **Job Posting Title** Director , Compliance ( Regulatory ) - Remote **Job Description** The Director of ... to internal and external leaders regarding escalated legal and compliance issues, regulatory and client audits; serves as primary contact for assigned… more
- Humana (Frankfort, KY)
- …site of service should be authorized. All work occurs with a context of regulatory compliance , and work is assisted by diverse resources which may include ... 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 … more
- Evolent (Frankfort, KY)
- …setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional cardiology to ... innovation, continuous improvement, and clinical excellence. + **This position is 100% Remote and can be completed from any state. Multiple opportunities for a… more
- Prime Therapeutics (Frankfort, KY)
- …our passion and drives every decision we make. **Job Posting Title** AI Delivery Director AI Center of Excellence - Remote **Job Description** **We are putting ... an AI Center of Excellence. Come join us!** The Director IT is responsible for leading in the delivery...including Enterprise Project Life Cycle (EPLC), Solution Delivery and compliance with and adhering to security policies and best… more
- Prime Therapeutics (Frankfort, KY)
- …Sr Director Clinical Strategy and Oncology Specialty Solutions/PharmD required- REMOTE **Job Description** The Senior Director Clinical Strategy and Oncology ... management abilities + Knowledge of healthcare regulations, payer strategies, and compliance requirements + Proficient in Microsoft products, including excel and… more
- Molina Healthcare (Louisville, KY)
- **Job Description** **Job Summary** The Director of IT (Telecom) provides strategic and operational leadership for the organization's enterprise communication, ... and secure interactions for members, providers, and employees. The director leads multidisciplinary teams responsible for communication engineering, AI innovation,… more
- Molina Healthcare (Louisville, KY)
- …to define and resolve. **Knowledge/Skills/Abilities** Responsible for the oversight of regulatory compliance of Corporate Operations functions, including but not ... limited to performance of internal compliance audits, represent Corporate Operations on external ... compliance audits, represent Corporate Operations on external regulatory or associated audits, oversee function support areas requiring… more
- Molina Healthcare (Louisville, KY)
- …knowledge of Medicare Advantage and/or Medicare Supplement programs, including CMS regulatory requirements, enrollment processes, and compliance standards. + ... **Job Description** **Job Summary** The Director of Business Analysis & Process Improvement leads...and healthcare domains, aligning strategic initiatives with business and regulatory goals. + Experience managing vendor partnerships + Expertise… more
- Fujifilm (Frankfort, KY)
- **Position Overview** The Regulatory Compliance Manager (Corporate) is a member of the FUJIFILM Holdings America Corporation ("HLUS") Department reporting to the ... Corporate Compliance Director . The Compliance Manager...Collaborate closely with colleagues in Legal, IT, HR, Finance, Regulatory and other core functions in order to direct… more
- CVS Health (Frankfort, KY)
- …in alignment with contract, and implementing cost-effective drug utilization initiatives. + ** Regulatory Compliance :** The Pharmacy Director ensures ... heart, each and every day. **This is a fully remote , work from home role. The ideal candidate will...in the state of Kentucky.** **Position Summary** The Pharmacy Director for Aetna Better Health of Kentucky will be… more
- CenterWell (Frankfort, KY)
- …site of service should be authorized. All work occurs with a context of regulatory compliance , and work is assisted by diverse resources which may include ... 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 … more
- Humana (Frankfort, KY)
- …site of service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include ... 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 … more
- Humana (Frankfort, KY)
- …policies, procedures, and performance standards. All work occurs with a context of regulatory compliance , and work is assisted by diverse resources which may ... for consistency in thinking, authorship, meeting departmental expectations, and compliance timelines. **Use your skills to make an impact**...+ Other activities as assigned by the managing Medical Director Travel: While this is a remote … more
- Humana (Frankfort, KY)
- …policies, procedures, and performance standards. All work occurs with a context of regulatory compliance , and work is assisted by diverse resources which may ... for consistency in thinking, authorship, meeting departmental expectations, and compliance timelines. **Use your skills to make an impact**...+ **Other activities as assigned by the managing Medical Director ** Travel: While this is a remote … more
- Humana (Frankfort, KY)
- …accordance with Medicare and Humana policy. All work occurs within a context of regulatory compliance and work is assisted by diverse resources, included but not ... community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare...and compensated hourly * Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- Humana (Frankfort, KY)
- …site of service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include ... 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
- Humana (Frankfort, KY)
- …site of service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include ... 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
- BrightSpring Health Services (Louisville, KY)
- …clinical quality initiatives, and interdisciplinary teams + Experience with healthcare compliance , regulatory standards, and value-based care models + Strong ... or equivalent) preferred + Comprehensive knowledge of clinical best practices, regulatory standards, and healthcare compliance requirements + Strong… more
- Renaissance (Louisville, KY)
- …information, acts with discretion and is accountable for legal and regulatory compliance . **In this role as Global Director ** **Total Rewards, you will have ... Benefits, and Equity Plans including overall management, design, administration, communication, compliance , activities and vendor management. The Director will… more
- Merck (Frankfort, KY)
- **Job Description** + The Precision Medicine - Medical Affairs Director - Health Systems Oncology (PM MAD-HSO) develops ongoing professional relationships with ... and quality management in a balanced and credible manner consistent with the regulatory environment and the company's ethical standards. This role also serves as a… more