- Molina Healthcare (Louisville, KY)
- **JOB DESCRIPTION** **Job Summary** The Medical Director for Specialty Medical Services & Market Performance will provide clinical expertise and support ... quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… 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...+ Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted… 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
- 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 ... to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of...of age). + Board Certified in an approved ABMS Medical Specialty with continued certification throughout employment.… 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)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all...+ Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted… 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 ... Management staff ensuring timely and consistent responses to members and providers. As a Medical Director you will focus primarily on review appeal cases for… 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. ... timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to...+ Current, unrestricted clinical license in medicine or required specialty - + Obtaining and maintaining medical licenses… 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...of assignment + Board Certified in an approved ABMS Medical Specialty + Excellent communication skills +… more
- Highmark Health (Frankfort, KY)
- …Doctor of Osteopathic Medicine (DO) + Awarded Board Certification at least once in specialty recognized by the American Board of Medical Specialties or the ... American Osteopathic Association Specialty Certifying Boards + Active medical state licensure required. Additional specific state licensure(s) may be required… more
- Humana (Frankfort, KY)
- **Become a part of our caring community and help us put health first** The Medical Director 's primary responsibility is the review of medical authorizations ... necessity of a given service, level of care, or medical item/supply. The Medical Director 's...DO degree + Board Certified in an approved ABMS Medical Specialty + Excellent communication skills with… more
- ChenMed (Louisville, KY)
- …5 years preferred. + Strongly prefer two (2) years' previous experience as Medical Director or equivalent with a Medicare or Medicaid patient population ... DO in Internal Medicine, Family Medicine, Geriatrics or similar specialty required + A minimum of 3 years' clinical...to be an existing high performing PCP partner and/or Medical Director within the ChenMed core model,… more
- Veterans Affairs, Veterans Health Administration (Louisville, KY)
- …Responsibilities Duties Include but not limited to: The incumbent collaborates with the VA medical facility HBPC Medical Director to: (a) Develop a ... clinical aspects of the Home-Based Primary Care Program. The medical facility HBPC Program Director is responsible...specialty service consults and initiating requests for non-VA medical care and consults in accordance with VHA and… more
- Cardinal Health (Frankfort, KY)
- …support our goal of helping more patients get access to life changing specialty therapies. Additionally, the Director will develop and maintain transparent, ... **Position Summary:** Sonexus (TM) is seeking an experienced and motivated ** Director , Access and Patient Support (APS)** to join and support our growing… more
- Veterans Affairs, Veterans Health Administration (Louisville, KY)
- Summary The Home Based Primary Care (HBPC) Program Director executes position responsibilities that demonstrate leadership, experience, and creative approaches to ... will improve the delivery of nursing care. Responsibilities The Program Director /Nurse Practitioner is a professional who demonstrates leadership in delivering and… more
- Cardinal Health (Frankfort, KY)
- …team is passionate about helping oncology practices navigate the future. The Director , Business Development is responsible for driving complex, consultative sales of ... Alliance Development. **Responsibilities** + Grow Navista through strategic acquisition of specialty practices and expansion of existing practices through in market… more
- Sumitomo Pharma (Frankfort, KY)
- …. **Job Overview** Director , MSL Lead, Oncology ... position leads, directs, coordinates, and supports the activities of the Field Medical Science Liaisons (MSLs) within the specified region to achieve clinical,… more
- Cardinal Health (Frankfort, KY)
- **Position Summary:** Sonexus (TM) Access and Patient Support is seeking a ** Director of Data & Advanced Analytics** to join and support our growing organization. ... focuses on advancing initiatives that improve patient access to life-changing specialty medications. The role is responsible for defining, developing, and delivering… more
- Takeda Pharmaceuticals (Frankfort, KY)
- …to the best of my knowledge. **Job Description** **About the Role:** This Regional Director role will be regionally aligned to the Midwest region (IL, MO, KS, IL, ... maintains strong interactions and partnerships with internal stakeholders, including Marketing, Medical Affairs, Patient Value & Access (PVA) and Learning and… more
- Signature Healthcare (Louisville, KY)
- …Plan of Care for each resident in coordination with the physician, Medical Director , nursing staff, and outside consultants (ie, nursing, dietary, ... a row and Modern Healthcare's "Best Places to Work!" Overview The ideal Director of Nursing Candidate is very detailed orientated, organized, great knowledge of… more