- Parexel (Frankfort, KY)
- …the world's health. We do this by providing a suite of biopharmaceutical services that help clients across the globe transform scientific discoveries into new ... treatments. From clinical trials to regulatory, consulting, and market access, our...Empowerment & Accountability. **Parexel is looking for a Medical Director with a very strong background in Ophthalmology to… more
- 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
- 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
- Prime Therapeutics (Frankfort, KY)
- …purpose-driven career? Come build the future of pharmacy with us. **Job Posting Title** Clinical Account Director - Remote **Job Description** The Clinical ... to meet client requirements and builds strong relationships with key clinical stakeholders through effective consultative services . **Responsibilities** +… more
- Molina Healthcare (Lexington, KY)
- …that goals are achieved. + Manages and evaluates performance of various clinical outreach management activities. + Aligns with leadership, to ensure operational ... and objectives for outsourced operations are understood and met. + Ensures services provided to members are compliant with contractual expectations and specific… more
- CenterWell (Frankfort, KY)
- …of our caring community and help us put health first** The Associate Director , Product Management Conceives of, develops, delivers, and manages products for customer ... use. The Associate Director , Product Management requires a solid understanding of how...dynamic team of product management professionals dedicated to advancing clinical operations and technology solutions. Drive the strategic roadmap… 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
- 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
- CenterWell (Frankfort, KY)
- …achievement of key performance indicators, and people management/development. The Branch Director supervises the branch/ clinical staff. Direct responsibility of ... and help us put health first** Reports To: Market Executive - Director , Area Home Health Branch Administration FLSA: Exempt **Work Schedule** : Full-time/40… 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)
- …achievement of key performance indicators, and people management/development. The Branch Director supervises the branch/ clinical staff. Direct responsibility of ... community and help us put health first** $10K Sign-On Bonus The Branch Director is accountable for managing the day-to-day branch operations to ensure the following:… more
- Sharecare (Frankfort, KY)
- …www.Sharecare.com. **Job Summary:** The VBCM Operations Manager will report to the Director of Clinical Care Operations, consistently directing and overseeing ... performance goals and providing support as needed to the Director of Clinical Care Operations. **Essential Job...clinical /coaching oversight to team to ensure consistency in service delivery to drive contract outcomes. + Collaborate with… more
- Cognizant (Frankfort, KY)
- …+ Draft and submit the medical necessity determinations to the Health Plan/Medical Director based on the review of clinical documentation in accordance with ... Nurse you will make an impact by performing advanced level work related to clinical denial management and managing clinical denials from Providers to the Health… 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
- 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
- Humana (Frankfort, KY)
- … clinical documentation, dispute/grievance and appeals processes, and outpatient services and equipment, within their scope. Medical Directors support Humana ... **Use your skills to make an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… 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
- 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...Inspector General of the Department of Health and Human Services or the General Service Administration (GSA),… more
- Evolent (Frankfort, KY)
- …by the Office of Inspector General of the Department of Health and Human Services or the General Service Administration (GSA), or reprimanded or sanctioned by ... **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the...to make a difference in patients lives, in a non- clinical environment. You can enjoy better work- life balance… more
