• Director of Health

    LifePoint Health (Mayfield, KY)
    …And much more *Job Summary *Jackson Purchase Medical Center Director of Health Information Management directs the department's activities and resources ... take appropriate action. **Job:** ** Health Information Management /Coding* **Organization:** **Jackson Purchase Medical Center* **Title:** * Director of… more
    LifePoint Health (01/24/25)
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  • OP Coder SDS OBS OB Triage- Full TIme

    Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
    …other duties as needed by Coding Data Quality Manager or Director of Health Information Management . Other duties as assigned. ESSENTIAL FUNCTIONS . ... Education High School graduate or GED equivalent. CCS or CPC required. Associates in Health Information Management (or similar program) from an accredited… more
    Jennie Stuart Medical Center, Inc. (01/19/25)
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  • Medicaid Product Management Director

    Elevance Health (Louisville, KY)
    **Medicaid Product Management Director for Vision** **Location:** Alternate locations may be considered. This position will work a hybrid model (remote and ... of one of our PulsePoint locations. The **Medicaid Product Management Director for Vision** responsible for leading...Nevada; New York. In addition to your salary, Elevance Health offers benefits such as, a comprehensive benefits package,… more
    Elevance Health (03/15/25)
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  • Director of Clinical Denials…

    BrightSpring Health Services (Louisville, KY)
    Our Company BrightSpring Health Services Overview Director of Clinical Denials Management and Audit supervises a team of RN/LPN clinical reviewers as well as ... for additional FAQ information . Job LocationsUS-KY-LOUISVILLE ID 2024-144017 Line of Business BrightSpring Health Services Position Type Full-Time more
    BrightSpring Health Services (02/21/25)
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  • Director Behavioral Health Program…

    Elevance Health (Louisville, KY)
    ** Director Behavioral Health Program and Services** **Location:** Alternate locations may be considered. This position will work a hybrid model (remote and ... Beacon Health Options, offers superior clinical mental health and substance use disorder management , a...insightful analytics to improve the delivery of care. The ** Director Behavioral Health Program and Services** is… more
    Elevance Health (03/13/25)
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  • Technical Facilities Management

    CBRE (Frankfort, KY)
    Technical Facilities Management Director - Life Sciences Laboratory/ R&D Facilities Job ID 207421 Posted 25-Feb-2025 Service line GWS Segment Role type Full-time ... and across industries and geographies. **About the role** As a CBRE Technical Director , you will lead the Facility Management Operations teams within the… more
    CBRE (03/07/25)
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  • Behavioral Health Medical Director

    Humana (Frankfort, KY)
    …of our caring community and help us put health first** The Behavioral Health Medical Director responsible for behavioral health care strategy and/or ... operations. The Behavioral Health Medical Director work assignments involve moderately complex to complex issues...a focus on collaborative business relationships, value-based care, population health , or disease or care management +… more
    Humana (02/15/25)
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  • Director Telephonic Care Management

    CenterWell (Frankfort, KY)
    …part of our caring community and help us put health first** The Director , Telephonic Care Management Nursing , in a telephonic environment, assesses and ... appropriate for the care and wellbeing of members. The Director , Telephonic Care Management Nursing requires an...lacking ongoing interruptions to protect member PHI / HIPAA information . CenterWell Home Health offers a variety… more
    CenterWell (03/19/25)
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  • Director Product Management

    Highmark Health (Frankfort, KY)
    **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This job will lead our product management teams including strategy, roadmap formulation, and ... alignment with our overall business objectives. **ESSENTIAL RESPONSIBILITIES** + Perform management responsibilities to include, but are not limited to: involved in… more
    Highmark Health (02/25/25)
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  • Director , Product Management

    Rocket Software (Frankfort, KY)
    …solutions in support of our customer needs and business objectives. The Product Management Director collaborates with stakeholders across a variety of functions ... to ensure the successful development of the entire product line. The Product Management Director ensures that the product and marketing efforts support the… more
    Rocket Software (03/11/25)
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  • Director , Home Health Financial…

    Humana (Frankfort, KY)
    …fully and be their most productive. Against that backdrop, we are seeking a Director of Financial Operations of Home Health Solutions who will provide program ... interrelate across the function or segment for overall financial improvement. The Director of Financial Operations Home Health Solutions has accountability for… more
    Humana (03/15/25)
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  • Product Lifecycle Strategy Director

    Elevance Health (Louisville, KY)
    …results for over 150 years. With capabilities spanning pharmacy, behavioral health , complex care delivery, medical benefits management , payment integrity, ... of initiatives related to the organization's product lifecycle strategy. Our ideal Director brings strong leadership, robust program management skills, and… more
    Elevance Health (03/13/25)
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  • Social Determinants of Health Program…

    Highmark Health (Frankfort, KY)
    **Company :** Highmark Health **Job Description :** **JOB SUMMARY** The job is responsible for key leadership with developing and administering Social Determinants ... of Health (SDoH) initiatives, to include but not limited to...matrixed structure, this position requires expert navigation of indirect management and collaboration across multifaceted teams throughout the enterprise… more
    Highmark Health (03/15/25)
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  • Director of Pharmacy

    Cardinal Health (Glasgow, KY)
    …Patient Care Services at TJ Regional, and the Director of Operations & Account Management for Cardinal Health . The Pharmacy Director must have a Pharmacy ... Cardinal Health best demonstrated practices. + Develop and maintain information systems and other technology applications within the Pharmacy. + Use… more
    Cardinal Health (01/04/25)
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  • Medical Director - Medicaid N. Central

    Humana (Frankfort, KY)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... focus on collaborative business relationships, value based care, population health , or disease or care management **Use...the courage to innovate + **Resides in VA** **Additional Information ** Reports to the Lead Medical Director more
    Humana (03/11/25)
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  • Medicare Benefits Standards & Guidance Lead…

    CVS Health (Louisville, KY)
    …during the plan year. The **Medicare** **Benefits Standards & Guidance Lead Director ** ensures accountability for the implementation, management , and maintenance ... At CVS Health , we're building a world of health...Employer Groups. The **Medicare** **Benefits Standards & Guidance Lead Director ** acts as the point of contact to our… more
    CVS Health (03/14/25)
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  • Physician Medical Director - LTSS

    Humana (Frankfort, KY)
    …Agreements, coding practices, Clinical Integration, Long Term Services & Supports, and Case Management . The Medical Director , as indicated, could need to have ... focus on collaborative business relationships, value based care, population health , or disease or care management . **Use...Call on average is 10 weekends per year. **Additional Information ** + The Medical Director conducts clinical… more
    Humana (01/25/25)
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  • Medical Director - Kentucky Medicaid

    CVS Health (Frankfort, KY)
    …Aetna Kentucky plan; but part of a centralized team that supports the Medical Management staff. The Medical Director will ensure timely and consistent responses ... working for an Independent Review Organization a Plus **Preferred Qualifications:** - Health plan/payor Utilization Management / Review experience. -Electronic… more
    CVS Health (01/29/25)
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  • Senior Director Clinical Account…

    Prime Therapeutics (Frankfort, KY)
    …fuels our passion and drives every decision we make. **Job Posting Title** Senior Director Clinical Account Management - Remote **Job Description** The Sr ... Director of Clinical Account Management is responsible for providing strategic and operational leadership...provide and request routine feedback from client contacts, including information on the performance of the pharmacy program and… more
    Prime Therapeutics (02/19/25)
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  • Medical Director - Care Plus - Florida

    Humana (Frankfort, KY)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... focus on collaborative business relationships, value based care, population health , or disease or care management . Medical...** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director ,… more
    Humana (03/18/25)
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