• Medical Director -- Claims

    Humana (Frankfort, KY)
    Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... more
    Humana (10/29/24)
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  • Assistant Claims Manager (Military Move)

    HomeSafe Alliance (Frankfort, KY)
    …and motivated Assistant Claims Manager to assist in all aspects of claims management , to support and promote process improvement methodologies and best ... more
    HomeSafe Alliance (01/15/25)
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  • Medical Director - Florida

    Humana (Frankfort, KY)
    …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... more
    Humana (12/14/24)
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  • Medical Director - National Medicare…

    Humana (Frankfort, KY)
    management or utilization management . **Additional Information** Reports to a Lead Medical Director . The Medical Director conducts Utilization ... more
    Humana (11/08/24)
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  • Director , HIV Medical Affairs - NYC…

    Merck (Frankfort, KY)
    **Job Description** **Role Summary** The Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and disease expert who ... more
    Merck (12/19/24)
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  • Director , Risk Management

    Western Digital (Frankfort, KY)
    …of action. + Develop, formulate and coordinate property and casualty insurance claims control function at all locations. + Continue review of existing safety, ... more
    Western Digital (12/27/24)
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  • Medical Director

    Molina Healthcare (Lexington, KY)
    …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... more
    Molina Healthcare (01/13/25)
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  • Medicare Grievances and Appeals Corporate…

    Humana (Frankfort, KY)
    …help us put health first** The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director ... more
    Humana (01/07/25)
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  • Oncology Regional Medical Scientific…

    Merck (Frankfort, KY)
    …needs to support collaboration to further differentiate our portfolio. The Oncology Regional Medical Scientific Director , RMSD, is a credentialed (ie, MD, PhD, ... more
    Merck (01/10/25)
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  • Director , US Benefits

    Cardinal Health (Frankfort, KY)
    …and delivers human resource programs and policies, including recruitment, talent management , diversity and inclusion, compensation and benefits, among others. This ... more
    Cardinal Health (01/11/25)
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  • Director , Medicaid Trend Mitigation…

    Humana (Frankfort, KY)
    …functions strategy. + Establishes and oversees Medicaid segment trend mitigation strategy ( claims and revenue management ) + Researches industry trends and ... more
    Humana (01/08/25)
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  • Director of International, Global Household…

    HomeSafe Alliance (Frankfort, KY)
    **Title:** Director of International, Global Household Goods Moving Services **_HomeSafe Alliance_** is the single global household goods movement manager of over ... more
    HomeSafe Alliance (12/21/24)
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  • Director Healthcare Economics & Trend…

    Baylor Scott & White Health (Frankfort, KY)
    claims data to uncover trends and assist in managing and understanding incurred medical and pharmacy cost. - The Director will design, develop, and support ... more
    Baylor Scott & White Health (12/21/24)
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  • Associate Director Data Science, US…

    Merck (Frankfort, KY)
    …deliver measurable impact in commercial pharma landscape. + Knowledge in mining medical claims /EMR, social media, etc. data with a strategic/inquisitive mindset ... more
    Merck (01/14/25)
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  • Regional Account Director

    Takeda Pharmaceuticals (Frankfort, KY)
    …to the best of my knowledge. **Job Description** **Regional Account Director ** **Takeda Pharmaceutical** **USA-MA-Virtual** **About the role:** Are you looking for ... more
    Takeda Pharmaceuticals (01/16/25)
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  • Associate Director , Global Labeling Lead…

    Takeda Pharmaceuticals (Frankfort, KY)
    …to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director , Global Labeling Lead where you will be responsible for the development ... more
    Takeda Pharmaceuticals (01/15/25)
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  • Director , SIU / Fraud Waste and Abuse…

    Molina Healthcare (Lexington, KY)
    …* Proficiency in Microsoft Access, Word and Excel * Knowledge and understanding of claims processing systems and medical claims * Knowledge of HMO, ... more
    Molina Healthcare (01/04/25)
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  • Operations Supervisor - Move Management

    HomeSafe Alliance (Frankfort, KY)
    **Title:** Operations Supervisor - Move Management (International Alaska) **_HomeSafe Alliance_** is the single global household goods movement manager of over ... more
    HomeSafe Alliance (01/01/25)
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  • Care Management Associate (Must reside…

    CVS Health (Frankfort, KY)
    …and arranges for health care service delivery under the direction of nurse or medical director , in the most appropriate setting at the most appropriate expense, ... more
    CVS Health (12/20/24)
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  • PBM Sr Business Intelligence Data Visual…

    Prime Therapeutics (Frankfort, KY)
    …with data consolidation and modeling + Prior PBM experience or experience working with medical claims , pharmacy claims , healthcare and/or benefits data + ... more
    Prime Therapeutics (01/08/25)
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