- Merck (Frankfort, KY)
- **Job Description** The Clinical Research Director (CRD) is the Clinical Operations lead in a country/cluster and is responsible for execution of all ... Clinical Trials in scope for GCTO country operations. Adherence...in conjunction with CCQM, compliance, Regulatory, Pharmacovigilance (PV) and Medical Affairs. + Responsible and supports development of audit… more
- Humana (Frankfort, KY)
- …analysis of situations or data requires an in-depth evaluation of variable factors. The Medical Director for the National Medicare Outpatient Team provides ... caring community and help us put health first** The Medical Director relies on medical ...provided by other healthcare professionals are in agreement with national guidelines, CMS requirements, Humana policies, clinical … more
- Humana (Frankfort, KY)
- … clinical reference materials, internal teaching conferences, and other reference sources. Medical Director will learn National LTSS State Medicaid ... work is assisted by diverse resources, which may include national clinical guidelines, state policies, CMS policies...is 10 weekends per year. **Additional Information** + The Medical Director conducts clinical reviews… more
- 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 ... Medical Director work assignments involve moderately complex to complex issues...work is assisted by diverse resources, which may include national clinical guidelines, state policies, CMS policies… more
- 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 ... Medical Director work assignments involve moderately complex to complex issues...work is assisted by diverse resources which may include national clinical guidelines, CMS policies and determinations,… more
- Humana (Frankfort, KY)
- …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...compliance and assisted by diverse resources, which may include national clinical guidelines, state policies, CMS policies… more
- Evolent (Frankfort, KY)
- …non- clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
- Merck (Frankfort, KY)
- …needs are met + Partners with GST, GSC, US Regional Director of Medical Affairs (RDMA) (where applicable), US Global Clinical Trial Organization, Global ... **Job Description** **Role Summary** + The US Scientific Director , Medical Affairs (SDMA) is a...heavily matrixed organization + Knowledge of US healthcare system, national and society treatment guidelines, clinical research… more
- Evolent (Frankfort, KY)
- …the mission. Stay for the culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… more
- CVS Health (Frankfort, KY)
- …/ Appeal Hearings / Special Projects and Committee participation when needed. The Medical Director will provide clinical , coding, and reimbursement expertise ... Health Company, is one of the oldest and largest national insurers. That experience gives us a unique opportunity...directing case management when necessary. The Medical Director will act as a business and clinical… more
- Merck (Frankfort, KY)
- **Job Description** The Executive Director (ED) for Field Medical Affairs in the US understands our Company's corporate and products/portfolio strategies and ... provides strategic and tactical direction to the field Regional Medical Scientific Director (RMSD) is accountable for...the field medical leadership team, Headquarters (HQ) Medical Affairs teams, Global Clinical Development, and… more
- Sumitomo Pharma (Frankfort, KY)
- …. **Job Overview** The **Associate Director , Medical Strateg** **y ... (** **Hematology/Oncology** **)** will be a key member of the Medical Affairs team reporting to the Executive Director , Medical Affairs Strategy. In this… more
- Centene Corporation (Frankfort, KY)
- …including a fresh perspective on workplace flexibility. **Position Purpose:** Assist the Chief Medical Director to direct and coordinate the medical ... implementation of performance improvement initiatives for capitated providers. + Assists Chief Medical Director in planning and establishing goals and policies… more
- Evolent (Frankfort, KY)
- …for the mission. Stay for the culture. **What You'll Be Doing:** **Associate Medical Director - Cardiovascular Medicine (Cardiologist) | Evolent Health** Are you ... to drive meaningful change beyond the bedside? Evolent Health is seeking an **Associate Medical Director - Cardiovascular Medicine** to play a critical role in… more
- Evolent (Frankfort, KY)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director you will be a key member of the utilization management team. ... rationale for standard and expedited appeals. + Utilizes medical / clinical review guidelines and parameters to assure...timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to… more
- Merck (Frankfort, KY)
- …and goals. Leads the US HSO FEP process in collaboration with US HSO Executive Director (HSO ED), US HSO Field Medical Alignment Director (FMAD), US ... communication, networking, and results-oriented project management skills + Thorough knowledge of clinical medicine and medical affairs + Demonstrated ability to… more
- CVS Health (Frankfort, KY)
- …health care more personal, convenient and affordable. **Position Summary:** Ready to take your Medical Director skills to the next level with a Fortune 6 ... and the Southeast Region (FL, LA and WV). This Medical Director will be a "Work from...years of experience in Health Care Delivery System eg, Clinical Practice and Health Care Industry. - Active and… more
- Highmark Health (Frankfort, KY)
- …responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using ... Medical Policy criteria sets to evaluate the ...or Public Health **EXPERIENCE** **Required** + 5 years in Clinical , Direct Patient care (hospital, outpatient, or private practice)… more
- Merck (Frankfort, KY)
- …Global Medical Value Capabilities functional areas, and Regional Field Medical Leadership. The Global Scientific Training Associate Director must possess ... **Job Description** **The Global Scientific Training Associate Director is accountable for these core activities:** +...MD and a minimum of 2 years of relevant medical affairs or clinical practice OR +… more
- Travelers Insurance Company (Frankfort, KY)
- …a local and national level. + May provide input and support medical vendor strategies including vendor selection, negotiation and contracting. + Medical ... Opportunity?** Lead the strategy and operations of Travelers Claim Medical initiatives focusing on how developments in the broader...a Must Have?** + Licensed MD + 5 years clinical and utilization management experience + Certified by the… more