- Magnolia Medical Technologies, Inc. (Lexington, KY)
- …of critical laboratory tests. Dr. Richard Patton, the company's co-founder and Medical Director , invented and patented the Initial Specimen Diversion Technique ... in healthcare. What you do: The Territory Account Manager (TAM) brings medical device account management experience demonstrating technical, clinical , business… more
- Highmark Health (Frankfort, KY)
- …responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using ... Medical Policy criteria sets to evaluate the ... necessity and appropriateness of the requested treatment of service . Depending on the nature of the case, telephonic… more
- Humana (Frankfort, KY)
- …and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by other healthcare ... Humana policies, clinical standards, and (in some cases) contracts. The Medical Director provides medical interpretation and decisions about the… more
- BrightSpring Health Services (Louisville, KY)
- …+ More than five years progressive leadership in PALTC/senior care; prior multiple medical director or enterprise clinical leadership required, with ... Service Line + Lead the development and oversight of educational programming for medical directors and other medical service providers. + Assist… more
- Molina Healthcare (Owensboro, KY)
- …Board Certification in Psychiatry **REQUIRED EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years' experience in ... case management programs for mental health and chemical dependency services . Works closely with the Regional Medical ...* Supports BH committees for quality compliance. * Implements clinical practice guidelines and medical necessity review… more
- Molina Healthcare (Covington, KY)
- …NCQA-compliant clinical quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. ... and procedures that guide and support the provisions of medical staff services . Maintains a working knowledge...experience, including: + 2 years previous experience as a Medical Director in a clinical … more
- HCA Healthcare (Bowling Green, KY)
- …obtain + 16 bed Medical ICU with planned expansion in the future + Medical Director will hold clinical and administrative responsibilities + Ability to ... Summary:** ICC (Intensive Care Consortium) is seeking an Intensivist Medical Director to lead the TriStar Greenview...and operates over 186 facilities in 21 states providing services to over 26 million patients annually + The… more
- CommonSpirit Health at Home (Lexington, KY)
- …embody our mission of delivering hope and healing to those we serve. The Director , Clinical Services is responsible for the planning, direction, ... mission, values, strategic goals, and high standards of customer service . + **Ethical Conduct & Compliance:** Uphold the Corporate...all HCHB clinical workflow for both the Director of Clinical Services (DCS)… more
- Prime Therapeutics (Frankfort, KY)
- …our passion and drives every decision we make. **Job Posting Title** Sr Director Clinical Strategy and Oncology Specialty Solutions/PharmD required- REMOTE **Job ... Description** The Senior Director Clinical Strategy and Oncology Specialty Solutions...the development of strategic business roadmaps that integrate both medical and pharmacy solutions. This position will provide leadership… more
- Highmark Health (Frankfort, KY)
- …anchor, including MAQCs and pharmacists, in collaboration with the partnership director who manages non- clinical workforce activity. + **Relationship Management ... :** **JOB SUMMARY** This role will support the leadership team for Clinical Transformation and executive physicians in leading the day-to-day operational model of… more
- Cognizant (Frankfort, KY)
- …submit the medical necessity determinations to the Health Plan/ Medical Director based on the review of clinical documentation in accordance with ... denials including but not limited to referral, preauthorization, medical necessity, non-covered services , investigational/experimental and billing resulting… more
- ChenMed (Louisville, KY)
- …internal or family medicine who plays a key role as part of the clinical operations team providing direct patient care and providing assessments primarily in the ... The responsibilities include but are not limited to: geriatric assessment, medical history, physical exam, diagnosis and treatment, development of the plan… more
- Grifols Shared Services North America, Inc (Louisville, KY)
- …(MSL primary call points include Immunology, Neurology, Hematology/Oncology). The Field Director ensures compliant execution of field medical plans, strategy, ... and develop, produce and market innovative medicines, solutions and services in more than 110 countries and regions. The...solutions for the therapeutic area(s). + Partners with the Medical Directors, National MSL Sr Director , and… more
- Humana (Frankfort, KY)
- …processes, and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, ... , requested level of care, and/or requested site of service should be authorized. All work occurs with a...**Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more
- Humana (Frankfort, KY)
- …an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided by other healthcare ... clinical documentation, dispute/grievance and appeals processes, and outpatient services and equipment, within their scope. Medical ...a Lead Medical Director . The Medical Director conducts post- service , inpatient… more
- Humana (Frankfort, KY)
- …all activities. **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided by other ... Medical Director 's work includes reviewing of all submitted medical records, synthesizing complex hospital-based clinical scenarios, and providing expert… more
- Wellpath (Eddyville, KY)
- …They ensure necessary documentation of services is provided to the Site Medical Director ordesigneetomonitorthe provision of clinical services . ... benefits varies based on employee type and length of service . **Why Us** **Now is your moment to make... Director and HSA andmake arrangementsfor coverage of medical services if unavailable for an extendedperiod… more
- HCA Healthcare (Frankfort, KY)
- …and the United Kingdom. We are looking for a Director Emergency Services for our Frankfort Regional Medical Center team where excellence creates excellence. ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services ...to be an influencer in healthcare? **Apply for our Director Emergency Services role today!** **Job Summary… more
- CenterWell (Frankfort, KY)
- … Medical Director for Home-Based Care Programs is a key clinical leadership position responsible for the medical direction, clinical oversight, ... polychronic, and high-risk Medicare patients within a full-risk, value-based framework. The Medical Director collaborates in a dyad partnership with the Strategy… more
- Humana (Frankfort, KY)
- …an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided by other healthcare ... caring community and help us put health first** The Medical Director relies on medical ...medical interpretation and decisions about the appropriateness of services provided by other healthcare professionals in compliance with… more
