- CommonSpirit Health at Home (Lexington, KY)
- …our mission of delivering hope and healing to those we serve. The Director , Clinical Services is responsible for the planning, direction, coordination, ... operational, and financial requirements. + **EMR Workflow Completion:** Guarantee that all HCHB clinical workflow for both the Director of Clinical Services… more
- Sumitomo Pharma (Frankfort, KY)
- …Contributes to company responses to health authorities and ethics committees for ongoing clinical programs to ensure timely registration and initiation of trials ... and experienced individual for the position of Senior Medical Director , Clinical Research (Ophthalmology) to join our...development plan(s) for assigned asset(s) and serve as the Clinical Research Lead for stem cell program … 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...owning the execution of Prime's oncology specialty products and programs , as well as the development of strategic business… more
- Molina Healthcare (Lexington, KY)
- **Job Description** **Job Summary** The Director , Clinical Data Acquisition for Risk Adjustment, is responsible for the implementation, monitoring, and oversight ... within Molina plans. + Develops and implements targeted collection of clinical data acquisition related to performance reporting and improvement, including member… more
- Sedgwick (Frankfort, KY)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Director , Clinical Programs **PRIMARY PURPOSE** : **The ideal candidate ... of potential dissatisfaction and creates solutions. + Creating and implementing new clinical programs . + Negotiates changes or improvements to service plan.… more
- Prime Therapeutics (Frankfort, KY)
- … Director is responsible for the management of all client specific clinical programs and drug strategy recommendations including drug formulary, Utilization ... consultation and recommendations to the client regarding Prime standard clinical program opportunities, formulary recommendations, benefit design… more
- Molina Healthcare (Lexington, KY)
- … performance at Molina. * Monitors performance of assigned clinical programs during each phase of program lifecycle. * Proactively identifies improvement ... executive leadership. * Uses analytical skills to identify variances in expected clinical program performance, and uses problem-solving skills and business… 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 ... as the primary liaison between R&D Clinical Operations team and IT, responsible for the delivery...schedules as needed while maintaining alignment with the overall program plan + Manage financial budget allocated to the… more
- Humana (Frankfort, KY)
- …experience with national guidelines such as NCD/LCD, MCG(R) or InterQual** **The Medical Director conducts clinical case reviews of requests received by members ... part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home… more
- Molina Healthcare (Lexington, KY)
- … clinical practice guidelines and medical necessity review criteria * Tracks all clinical programs for BH quality compliance with NCQA and CMS * Assists ... EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years'...clinical practice * 3 years' experience in Utilization/Quality Program Management * 2+ years HMO/Managed Care experience *… more
- CVS Health (Frankfort, KY)
- …business direction in support of medical management programs through participation in clinical team activities. + The Medical Director will act as lead ... implementation. + You will participate in the development, implementation, and evaluation of clinical / medical programs and expand Aetna's medical management … 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. + ... resource management. + Develops and implements a Utilization Management program and action plan, which includes strategies that ensure...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: ... none 3. Non-Exempt position Qualifications 1. Preferred completion of accredited training program for clinical assisting or a combination of education/work… 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
- CenterWell (Frankfort, KY)
- …patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, ... community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews...is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations, clinical … more
- Merck (Frankfort, KY)
- …identification of potential investigators for consideration for participating in phase II-IV clinical development programs + In response to unsolicited requests ... **Job Description** The Oncology Regional Medical Scientific Director , Oncology is a credentialed (ie, MD, PhD,...contact within the company. + Upon request from Global Clinical Trial Operations (GCTO), support Company-Sponsored Trials to enhance… more
- Evolent (Frankfort, KY)
- …Medical Director . **Qualifications** + MD/DO/MBBS Degree + Current, unrestricted clinical license in medicine or required specialty + Obtaining and maintaining ... make a meaningful impact on patient care in a non- clinical setting? Join our Utilization Management team as a...Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional… more
- Parexel (Frankfort, KY)
- …are expanding our esteemed Medical Sciences Team and seeking an Associate/Medical Director to support the growth of our Global Immunology and Inflammation ... Therapeutic Franchise. As an Associate / Medical Director , you will work closely with some of the...the development and/or review of study documents, such as clinical protocols, Medical Monitoring Plans (MMP), integrated clinical… more
- Evolent (Frankfort, KY)
- …SOUTHWEST REGION We are seeking a strategic and collaborative Associate Director , Provider Engagement to lead our oncology-focused provider engagement and practice ... in the **New Mexico** . Reporting to the National Provider Engagement Sr. Director , you will be responsible for building and managing relationships with oncology… more
- CommonSpirit Health (Lexington, KY)
- …and exercise control and supervision of multiple assigned integrated processes and projects/ programs and significant resources. The Market IT Director supervises ... **Job Summary and Responsibilities** The Market IT Director assists the Region Chief Information Officer in...events, on committees, and/or other related events regarding services, programs , projects and facilities. Partners very closely with a… more