- 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...data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical… more
- Humana (Frankfort, KY)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
- Humana (Frankfort, KY)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical records,… more
- CVS Health (Frankfort, KY)
- …have Internal Medicine or Internal Medicine/Pediatrics (Med/Peds) Board Certification. In the Medical Director role, you will provide oversight for medical ... staff ensuring timely and consistent responses to members and providers. As a Medical Director you will focus primarily on review appeal cases for denied … 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
- Elevance Health (Louisville, KY)
- **Clinical Operations Associate Medical Director ** **Interventional Pain** **Carelon Medical Benefits Management** **Location:** Alternate locations may be ... of one of our Elevance Health PulsePoint locations. The **Clinical Operations Associate Medical Director ** is responsible for supporting the medical … more
- Humana (Frankfort, KY)
- …a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims. The ... Corporate Medical Director works on problems of diverse scope and complexity...and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation… more
- CVS Health (Frankfort, KY)
- …care more personal, convenient and affordable. **Position Summary** The Behavioral Health Medical Director is responsible for behavioral health medical ... managed care organization, and/or at least two (2) years of experience as a Medical Director in clinical practice, and/or at least three (3) years of clinical BH… more
- Molina Healthcare (Louisville, KY)
- …quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to ... years relevant experience, including: + 2 years previous experience as a Medical Director in a clinical practice. + Current clinical knowledge. + Experience… 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. ... a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process,… more
- Elevance Health (Louisville, KY)
- **Clinical Ops Associate Medical Director ** **Orthopedic Surgery** **Location:** This is a virtual position. Candidates must reside within 50 miles of an ... to improve the delivery of care. The **Clinical Ops Associate Medical Director - Ortho** is responsible for performing pre-authorizations and providing quality… more
- Molina Healthcare (Louisville, KY)
- …Certification in Psychiatry **REQUIRED EXPERIENCE:** * 2 years previous experience as a Medical Director in clinical practice * 3 years' experience in ... health and chemical dependency services. Works closely with the Regional Medical Directors to standardized utilization management policies and procedures to improve… more
- Merck (Frankfort, KY)
- …systems accounts + Serves as a resource for the HS MAD Team Lead, HS Executive Director Medical Affairs, and other members of Country Medical Affairs on ... **Job Description** **Role Summary** + The Health Systems Medical Affairs Director (HS MAD) is a therapeutic and disease expert who develops ongoing professional… more
- Merck (Frankfort, KY)
- **Job Description** The Oncology Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and disease expert who engages in ... bidirectional exchange of scientific or medical information with Scientific Leaders (SLs). The role provides...RMSD serves as a role model for other field medical team members in ways that include on-boarding and/or… more
- 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, ... **Job Description** Our Medical Affairs team advances patient care by engaging...patient care by engaging in scientific exchange with external medical experts and industry leaders ensuring the scientific value… more
- Merck (Frankfort, KY)
- **Job Description** **Role Summary** + The Regional Medical Scientific Director (RMSD) is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and disease ... expert who engages in bidirectional exchange of scientific or medical information with Scientific Leaders (SLs). The role provides...RMSD serves as a role model for other field medical team members in ways that include on-boarding and/or… more
- Sumitomo Pharma (Frankfort, KY)
- …website https://www.us.sumitomo-pharma.com or follow us on LinkedIn. **Job Overview** The Director , Medical Affairs Strategy (Hematology/Oncology) will be a key ... member of the Medical Affairs team reporting to the Executive Director , Medical Affairs Strategy. In this role, individuals are responsible for Medical … more
- Sumitomo Pharma (Frankfort, KY)
- …. **Job Overview** The Sr. Director , Medical Strategy (Rare ... Disease) will be a key member of the Medical Affairs team reporting to the Executive Director , Medical Affairs Strategy. The job is responsible for strategic… more
- Merck (Frankfort, KY)
- **Job Description** **Role Summary** + The Ophthalmology Regional Medical Scientific Senior Director Team Lead, (RMSD TL aka MSL Team Lead), is a credentialed ... field environment **Planning and Project Management** + In alignment with Executive Director , Field Medical Affairs, provides project management to ensure… more
- Sumitomo Pharma (Frankfort, KY)
- …. **Job Overview** The Director , Medical Strategy ... (Women's Health) will be a key member of the Medical Affairs team reporting to the Executive Director , Medical Affairs Strategy. The job is responsible for… more