- 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...collaboration across departments and ensuring the seamless delivery of services to clients + Provide direction, leadership and subject… more
- Norstella (Frankfort, KY)
- Sr. Director /VP/ Clinical Delivery Lead, Advisory Services Company: Citeline Location: Remote, United States Date Posted: Nov 4, 2025 Employment Type: Full ... Time Job ID: R-1553 **Description** Sr. Director /VP/ Clinical Delivery Lead, Advisory Services **Reports to** :SVP, Advisory Services **Location** :US/UK… more
- Humana (Frankfort, KY)
- …the needs of the users and that they are compliant. The Associate Director , Market/Industry Insights delivers clinical insight and information to both internal ... our caring community and help us put health first** The Associate Director , Market/Industry Insights works closely with physicians, nurses, G&A, UMC, vendors, risk,… more
- Prime Therapeutics (Frankfort, KY)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Clinical Account Director - Remote **Job Description** The Clinical Account ... to meet client requirements and builds strong relationships with key clinical stakeholders through effective consultative services . **Responsibilities** +… more
- Molina Healthcare (Lexington, KY)
- …* Develops, performs and promotes interdepartmental integration and collaboration to enhance clinical services . * Collaborates with and keeps clinical ... JOB DESCRIPTION Job Summary Leads and directs a team supporting clinical performance improvement activities. Responsible for continuous improvement and successful… more
- Sumitomo Pharma (Frankfort, KY)
- …a dynamic, highly motivated, and experienced individual for the position of **Associate Director , Clinical Systems R&D IT Business Applications** who will serve ... needs including project delivery, solution design, enhancement requests and support services + Accountable for managing clinical application systems through… more
- Humana (Frankfort, KY)
- …health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided ... experience with national guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case reviews of requests received by members of… more
- Humana (Frankfort, KY)
- …health, SNF, DME, dual Medicare/Medicaid and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided ... experience with national guidelines such as NCD/LCD, MCG(R) or InterQual** **The Medical Director conducts clinical case reviews of requests received by members… 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 ... and case management programs for mental health and chemical dependency services and assists with implementing integrated Behavioral Health care management programs.… 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. + ... that guide and support the provisions of medical staff services . Maintains a working knowledge of applicable national, state,...including: + 2 years previous experience as a Medical Director in a clinical practice. + Current… more
- Growth Ortho (Lexington, KY)
- …following protocols given by the Physician. Job Relationship 1. Reports to Clinical Supervisor/ Director of Clinical Operations 2. Positions supervised: ... Bluegrass Orthopaedics is hiring a full-time Clinical /Cast Technician in Lexington, KY. The Clinical...signs 2. Cast/DME application and removal 3. Exceptional customer service skills 4. Ability to maintain effective and organized… more
- Humana (Frankfort, KY)
- …outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or ... **Use your skills to make an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more
- Humana (Frankfort, KY)
- …a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D ... & B). The Medical director work assignments involve moderately complex to complex issues...CMS-recognized Compendia, NCCN, Humana Pharmacy Policies and Procedures, and clinical literature as appropriate. Medical Directors will learn Medicare… more
- HCA Healthcare (Frankfort, KY)
- …of care in 21 states and the United Kingdom. We are looking for a Director Emergency Services for our Frankfort Regional Medical Center team where excellence ... to be an influencer in healthcare? **Apply for our Director Emergency Services role today!** **Job Summary...Collaborates with administrative team and physicians to enhance existing services or develop new service offerings. +… more
- CenterWell (Frankfort, KY)
- …practices and clinical documentation, grievance and appeals processes, and outpatient services and equipment, within their scope. The Medical Director may ... **Use your skills to make an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more
- Humana (Frankfort, KY)
- …**Use your skills to make an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided ... 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)
- …practices and clinical documentation, grievance and appeals processes, and outpatient services and equipment, within their scope. The Medical Director may ... **Use your skills to make an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more
- Cardinal Health (Frankfort, KY)
- …development within the market verticals of Access and Patient Support, Clinical Services and Reimbursement Services . The Director will build key customer ... **Together, we can get life-changing therapies to patients who need them-faster.** The Director of Business Development, Patient Hub Services , is responsible for… more
- Humana (Frankfort, KY)
- …uses their medical background, experience, and judgement to make determinations whether requested services , level of care, and/or site of service should be ... support Humana value throughout all activities. **Responsibilities** The Medical Director provides medical interpretation and determinations whether services … more