- Molina Healthcare (Lexington, KY)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. + **Knowledge/Skills/Abilities** + Strategically plans, ... **Job Description** **Job Summary** The Network Solutions Director is responsible for...solutions utilizing provider data such as the Provider Online Directory, Utilization Management , Customer Experience,… more
- Molina Healthcare (Lexington, KY)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. **Knowledge/Skills/Abilities** * Strategically plans, ... in developing and implementing appropriate Corrective Action Plans for submission of provider network files, etc. * Engages with IT and other departments to… more
- Evolent (Frankfort, KY)
- …Account teams and payer clients to align priorities and deliver high-quality provider network engagement, performance reporting, and present to health plans ... OR THE SOUTHWEST REGION We are seeking a strategic and collaborative Associate Director , Provider Engagement to lead our oncology-focused provider engagement… more
- Acxiom (Frankfort, KY)
- As the Director , Campaign Management , Retail & Commerce Networks Acxiom's Commerce & Retail Media Network Practice, you will play a critical role in ... channels. In this role, you will focus on yield optimization, campaign management , media activation, and performance reporting, ensuring every campaign is planned… more
- HCA Healthcare (Frankfort, KY)
- …Our Frankfort Regional Medical Center team is looking for a Medical Surgical Nurse Director . HCA Healthcare is an advanced healthcare network that has committed ... part of the innovation of ideas. **Job Summary and Qualifications** The Med/Surg Director assists the CNO in executive-level management of resources, strategic… more
- Cardinal Health (Frankfort, KY)
- …we can get life-changing therapies to patients who need them-faster.** The Director of Business Development, Patient Hub Services, is responsible for business ... of Access and Patient Support, Clinical Services and Reimbursement Services. The Director will build key customer relationships to uncover customer needs to align… more
- CommonSpirit Health (Lexington, KY)
- …Bachelor's Degree - equivalent education and experience in payer strategy, managed care or provider network senior level role may be considered in lieu of degree ... a strong preference for someone in the KY or TN area. The Market Director , Payer Strategy and Relationships (PSR), is responsible for managed care policies, goals… more
- Pfizer (Frankfort, KY)
- The HTA, Value and Evidence Oncology Pipeline Senior Director will support the strategic goals of the Oncology Division by driving optimal clinical development ... value of our oncology pipeline. The HTA, Value & Evidence Senior Director will be responsible for independently leading the evidence generation strategy, including… more
- Highmark Health (Frankfort, KY)
- …cross organizational programs and projects + 5 years Familiarity with health plan and provider contracting or revenue management + 2 years Understanding of ... provider contract documents and overall contract management process **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + None **SKILLS** + Excellent… more
- Otsuka America Pharmaceutical Inc. (Frankfort, KY)
- **Job Summary** **Job Description** The Associate Director (AD), Federal Government Affairs, will assist in the development, communication, and deployment of ... activities and policy priorities that promote access to therapies, preserve patient/ provider choice, and generally protect Otsuka's business interests in policy… more
- SHI (Frankfort, KY)
- …every year since, and today we're proud to be a $15 billion global provider of IT solutions and services.** **Over 17,000 organizations worldwide rely on SHI's ... **Job Summary** SHI is seeking an executive visionary to serve as Sr Director of Services Delivery Integrators & GTM Alliances, responsible for crafting the program,… more
- Molina Healthcare (Lexington, KY)
- …as meeting or exceeding productivity standards. Educates and interacts with network and group providers and medical managers regarding utilization practices, ... guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization ...(QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
- CVS Health (Frankfort, KY)
- …medical license without encumbrances in one of these states.** + In the Medical Director role you will provide oversight for medical policy implementation. + You ... Appeals / Special Projects and Committee participation when needed. + The Medical Director will provide clinical, coding, and reimbursement expertise as well as… more
- Cardinal Health (Frankfort, KY)
- … of Sales, Market Access_ will directly support the team's diverse account management responsibilities across our network of 500+ existing payers. This hands-on ... healthcare services and products company headquartered in Dublin, OH. The _National Director of Sales, Market Access_ serves as the dynamic commercial leader for… more
- Merck (Frankfort, KY)
- …activities from innovation, development, commercialization, as well as product lifecycle management for drug-device combination products. Reporting to the Sr. ... Director of Device Product Assessment & Innovation (DPAI), the Director , Lead of Strategy for Device Product Assessment & Innovation will define and build… more
- CVS Health (Frankfort, KY)
- …developing their strategy / solving complex strategic questions as needed, across network / provider partnership strategy, clinical strategy, and product ... it all with heart, each and every day. **Position Summary** The Lead Director , Mental Well-being Strategy is responsible for leading the development and execution on… more
- CommonSpirit Health at Home (Lexington, KY)
- …and Responsibilities** VNA Health at Home is part of an expansive health care network that is committed to providing better patient care, with better outcomes, where ... mission of delivering hope and healing to those we serve. The Director , Clinical Services is responsible for the planning, direction, coordination, supervision,… more
- Molina Healthcare (Lexington, KY)
- …the Network Operating Center (NOC) and Enterprise Business Continuity Management (EBCM) Team. This role is primarily responsible for Cyber Recovery activities ... **Job Description** **Job Summary** The Director of Cyber Recovery will oversee and manage...Cloud, disaster recovery, business continuity, team leadership, and project management . + Strong knowledge of application, network ,… more
- Arrow Electronics (Frankfort, KY)
- …is estimated to be in January 2026.** Arrow is seeking a Sales Engineering Director (SED) to provide strategy, technical direction and business guidance for our ... **Position:** Sales Engineering Director - Cloud, Data/AI **Job Description:** **The start...responsibility to, and tight alignment with, Sales and Supplier/Vendor Management . The SED will have leadership responsibility for the… more
- UNUM (Frankfort, KY)
- …part of an organization committed to helping you thrive. Here, we work to provide the employee benefits and service solutions that enable employees at our client ... succeed both professionally and personally. To enable this, we provide : + Award-winning culture + Inclusion and diversity as...of our franchise business models and have a strong network of relationships across the Unum ecosystem. They will… more