- Elevance Health (Louisville, KY)
- …we are actively defining our innovative role in the industry. **Title** : Population Health Management Clinical Pharmacist **Location(s):** Indianapolis, ... **Build the Possibilities. Make an Extraordinary Impact.** The ** Population Health Management Pharmacist (Pharmacist Clinical ** ) is responsible… more
- Highmark Health (Frankfort, KY)
- …-extensive knowledge of clinical , quality, care, utilization, high-cost claim, and population health management . Must be a recognized subject matter ... **JOB SUMMARY** This job serves as the sales team's clinical expert, providing high-level support and insights for strategic...with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as… more
- ChenMed (Louisville, KY)
- …President direction **ESSENTIAL JOB DUTIES/RESPONSIBILITIES:** + Directs accountability for clinical outcomes and day-to-day management of Medical Directors ... need great people to join our team. The Market Clinical Director will directly supervise, performance manage and train... outcomes and quality improvement processes. + Experience of population risk management or complex chronic disease… more
- Molina Healthcare (Louisville, KY)
- …field. **Preferred Experience** + 3 - 5 years supervisory experience + Experience in Population Health / Clinical Analytics + Experience in Clinical ... management . + Interfaces and maintains positive interactions with Health Plan and Corporate personnel. **JOB QUALIFICATIONS** **Required Education** Bachelor's… more
- Sharecare (Frankfort, KY)
- …who recognizes the impact of the health care delivery system on the clinical and financial outcomes of the member population and can identify and take ... of the health care team to support appropriate total healthcare management and ensure cost effective, appropriate resource utilization and quality outcomes. The … more
- Humana (Frankfort, KY)
- …and analytics to improve strategy and make recommendations + Experience impacting high-needs population health outcomes and social determinates of health + ... multi-disciplinary teams at Humana to design, define and deliver clinical solutions to help drive improved health ...degree + 6 or more years of product management and/or clinical solutions experience and/or strategy… more
- ChenMed (Louisville, KY)
- …rapidly expanding and we need great people to join our team. The Center Clinical Manager (CCM) is an active leadership role responsible for the day-to-day ... management of back office center operations, which may include...operations, which may include but is not limited to: clinical quality, compliance, human resources, patient experience and direct… more
- Otsuka America Pharmaceutical Inc. (Frankfort, KY)
- …unmet medical needs and nutraceutical products for the maintenance of everyday health As a Director, Quantitative Pharmacology, ** Clinical Pharmacology,** you ... the corporate philosophy: "Otsuka-people creating new products for better health worldwide." Otsuka researches, develops, manufactures and markets innovative… more
- CenterWell (Frankfort, KY)
- …frameworks in Medicare Advantage and managed care that affect patient care and population management , such as quality management , utilization management ... regional and center levels to shift the needle in population outcomes. + Launch and lead a Clinical...payment frameworks (eg capitation, partial risk, direct contracting) + Population health minded physician with an understanding… more
- CVS Health (Louisville, KY)
- …right coverage, resources, and care. We are focused on enhancing quality and population health outcomes while integrating CVS assets to bring accessible ... strategic vision and objectives. + Serving as the health plan SME and key clinical lead...integration of relevant pharmacy and social data to inform clinical policies and practices. + Participating in management… more
- Humana (Frankfort, KY)
- …a focus on collaborative business relationships, value based care, population health , or disease or care management . Medical Directors support Humana values, ... Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group...as an MBA, MHA, MPH + Exposure to Public Health , Population Health , analytics, and… more
- Humana (Frankfort, KY)
- …well as a focus on collaborative business relationships, value based care, population health , or disease or care management **Use your skills to make an ... Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group...as an MBA, MHA, MPH + Exposure to Public Health , Population Health , analytics, and… more
- Humana (Frankfort, KY)
- …a focus on collaborative business relationships, value based care, population health , or disease or care management . Medical Directors support Humana values, ... Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group...as an MBA, MHA, MPH + Exposure to Public Health , Population Health , analytics, and… more
- Highmark Health (Frankfort, KY)
- …over a specified panel of members that range in health status/severity and clinical needs; and assesses health management needs of the assigned member ... by performing ongoing assessment of members' health management needs, identifying the right clinical interventions...1 year working with the healthcare needs of diverse population and understanding of the importance of cultural competency… more
- Humana (Frankfort, KY)
- …or other medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice ... quality management , utilization management , case management , discharge planning and/or home health or...as an MBA, MHA, MPH + Exposure to Public Health , Population Health , analytics, and… more
- Sunrise Senior Living (Louisville, KY)
- …State/Provincial law, to promote the health and wellness of the resident population . + Provides clinical care through the direct application of the nursing ... the medication care managers, as applicable by State/Provincial law, to promote the health and wellness of the resident population . + Provides oversight of… more
- Humana (Frankfort, KY)
- …or other Medical management organizations, hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice ... quality management , utilization management , case management , discharge planning and/or home health or...as an MBA, MHA, MPH + Exposure to Public Health , Population Health , analytics, and… more
- BrightSpring Health Services (Louisville, KY)
- …(Fully Remote) *Must have compact state RN licensure *Remote Triage & Home Health RN experience preferred *Potential Start Date: 6/30/2025 *New Openings: 4 PT ... This Registered Nurse provides On-Call and Triage for the assigned population in accordance with triage protocols. This position remotely develops/implements care… more
- BrightSpring Health Services (Louisville, KY)
- …*Must have compact state LPN licensure *Remote Triage & Long Term Care/Home Health LPN experience preferred *Potential Start Date: 6/30/2025 *New Openings: 2 PT ... Eastern) This LPN provides On-Call and Triage for the assigned population in accordance with triage protocols. This position remotely develops/implements care… more
- YesCare Corp (Louisville, KY)
- …as indicated. + Performs risk assessment and intervention, + Provides behavioral health consultation to members of the multi-disciplinary clinical team and ... + Master's degree in Social Work, Counseling Psychology or Other Related Mental Health discipline. + Unrestricted, current license in the state of Kentucky - LCSW,… more