- Centene Corporation (Frankfort, KY)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical ... performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals...plus holidays, and a flexible approach to work with remote , hybrid, field or office work schedules. Actual pay… more
- Highmark Health (Frankfort, KY)
- …current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and ... RESPONSIBILITIES** + Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- CVS Health (Frankfort, KY)
- …to bring accessible healthcare to our members. Aetna is recruiting for an Executive Director , Supporting Kentucky Youth (SKY) who is a key member of the Aetna Better ... managers, quality of care staff, and provider relations staff. This Executive Director is responsible for developing and nurturing relationships with SKY and health… more
- Cognizant (Frankfort, KY)
- **Title: Director , Strategic Product Management (Life Sciences Products & Platform)** **Location: Remote ** **Job ID: 00061957061** **Build a Meaningful Career ... to meet revenue targets as well as develop partnerships. **Job Title: Director , Strategic Product Management (Life Sciences Products & Platform)** **Role: People… more
- Centene Corporation (Frankfort, KY)
- …on best practice models and utilization management processes + Interact with the Medical Director , or designee, to discuss clinical authorization questions and ... 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national...behavioral health care? Centene is looking for a Remote Psychologist to support our Kentucky Medicaid plan. In… more
- Centene Corporation (Frankfort, KY)
- …on best practice models and utilization management processes. + Interact with the Medical Director , or designee, to discuss clinical authorization questions and ... evidence-based behavioral health care.** **Why Join Us?** + **100% remote flexibility** + **Meaningful work impacting care for individuals with Autism** +… more