- Molina Healthcare (Lexington, KY)
- JOB DESCRIPTION Job Summary Leads and directs a team supporting clinical systems . Responsible for provision of product ownership of clinical applications ... as industry subject matter expert in the functional area and leads clinical systems to meet critical needs. * Communicates and collaborates with customers to… more
- Sumitomo Pharma (Frankfort, KY)
- …highly motivated, and experienced individual for the position of Senior Medical Director , Clinical Research (Ophthalmology) to join our R&D Organization. This ... individual will contribute to the design and execution of clinical development plan(s) for assigned asset(s) and serve as the Clinical Research Lead for stem… more
- Humana (Frankfort, KY)
- …products, or other Medical management organizations, hospitals/ Integrated Delivery Systems , health insurance, other healthcare providers, clinical group ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical … more
- Humana (Frankfort, KY)
- …products, or other Medical management organizations, hospitals/ Integrated Delivery Systems , health insurance, other healthcare providers, clinical group ... 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)
- …products, or other Medical management organizations, hospitals/ Integrated Delivery Systems , health insurance, other healthcare providers, clinical group ... 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
- CenterWell (Frankfort, KY)
- …National Medical Director for Home-Based Care Programs is a key clinical leadership position responsible for the medical direction, clinical oversight, and ... improvement. + Work collaboratively with the Strategy Advancement and Operations Director to align clinical and operational priorities. **Quality Improvement… more
- Grifols Shared Services North America, Inc (Lexington, KY)
- …more than 110 countries and regions. The primary responsibility of the MSL Field Director is the management, performance, and coaching of a team of MSL direct ... (MSL primary call points include Immunology, Neurology, Hematology/Oncology). The Field Director ensures compliant execution of field medical plans, strategy, and… more
- Humana (Frankfort, KY)
- …products, or other Medical management organizations, hospitals/ Integrated Delivery Systems , health insurance, other healthcare providers, clinical group ... 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)
- …THE WEST REGION We are seeking a strategic and collaborative Associate Director , Provider Engagement to lead our oncology-focused provider engagement and practice ... efforts in **California** . Reporting to the National Provider Engagement Sr. Director , you will be responsible for building and managing relationships with oncology… more
- CommonSpirit Health (Lexington, KY)
- **Job Summary and Responsibilities** The Market IT Director assists the Region Chief Information Officer in the top management of CommonSpirit Health's information ... President and is a part of his/her leadership cabinet. The Market IT Director applies management principles with critical impact on technology and the organization,… more
- Molina Healthcare (Lexington, KY)
- …NCQA-compliant clinical quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + ... + 3+ years relevant experience, including: + 2 years previous experience as a Medical Director in a clinical practice. + Current clinical knowledge. +… more
- Option Care Health (Frankfort, KY)
- …patients with acute and chronic conditions in all 50 states. Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the ... the best and brightest talent in healthcare. **Job Description Summary:** The Director of Contracting is responsible for leading the entire contracting process from… more
- CVS Health (Frankfort, KY)
- …with heart, each and every day. **Position Summary:** Ready to take your Medical Director skills to the next level with a Fortune 6 company? Checkout this ... the Southeast Region (FL, LA and WV). This Medical Director will be a "Work from Home" position primarily...years of experience in Health Care Delivery System eg, Clinical Practice and Health Care Industry. - Active and… more
- Pfizer (Frankfort, KY)
- …relevance to proposed HIT methodologies + Analyze workflows in the context of clinical healthcare information systems to facilitate care processes to reduce care ... and medical presentations. The role is responsible for educating customers on the clinical and economic impact of Pfizer medicines and products. The colleague may… more
- Molina Healthcare (Lexington, KY)
- …in Psychiatry **REQUIRED EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years' experience in Utilization/Quality ... enterprise-wide teaching on psychiatric diagnoses and treatment * Provides second level BH clinical reviews, BH peer reviews and appeals * Supports BH committees for… more
- Evolent (Frankfort, KY)
- …mission with a company behind it. **What You'll Be Doing:** **Associate Director , Performance Analytics - Oncology & Member Product Focus** **Overview:** Evolent is ... seeking an experienced and strategic **Associate Director of Performance Analytics** to lead data-driven initiatives focused on oncology and member-centric products.… more
- Evolent (Frankfort, KY)
- …the mission. Stay for the culture. **Who You'll Be Working With:** The Director , Performance Suite Analytics, utilizes and develops analytic tools to solve complex ... partnering with Business Development, Product Strategy, Finance/Accounting, Actuarial, EDWBI, Clinical , Performance Solutions and Partner Delivery. **What You'll Be… more
- Sedgwick (Frankfort, KY)
- …ADAA and FMLA + Knowledge of utilization review procedures + Knowledge of clinical quality systems and measurements + Knowledge of resources available regarding ... Fortune Best Workplaces in Financial Services & Insurance Sr. VP Medical Director **PRIMARY PURPOSE** **:** To evaluate medical reports escalated due to deficient… more
- Travelers Insurance Company (Frankfort, KY)
- …assigned. **What Will Our Ideal Candidate Have?** + Understanding of healthcare systems including Hospital Services, Pharmacy and Group Health insurance + Strong ... analysis skills **What is a Must Have?** + Licensed MD + 5 years clinical and utilization management experience + Certified by the American Board of Medical… more
- Fresenius Medical Center (Georgetown, KY)
- …requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory ... and FMS patient care and administrative policies as the clinical leader, has the authority to make daily decisions...for unexcused and missed treatments in collaboration with the Director . + Plans, coordinates and acts as the liaison… more