- Humana (Frankfort, KY)
- …driving health outcomes and cost-effective care for our members. We are seeking a Clinical Investigation Lead to provide strategic direction to drive ... owners across Humana to drive solutions forward. In this role you will lead quantitative and qualitative investigations to identify actionable insights and bring… more
- Molina Healthcare (Louisville, KY)
- …NCQA-compliant clinical quality improvement activity (QIA) in collaboration with the clinical lead , the medical director, and quality improvement staff. + ... state, and local laws and regulatory requirements affecting the medical and clinical staff. **Job Duties** + Provides medical oversight and expertise in… more
- Elevance Health (Louisville, KY)
- …prior to payment. Researches new healthcare-related questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other ... evaluation of the collected data. + Performs in-depth investigations on identified providers as warranted. + Examines claims...experience, including minimum of 1 year experience in a Clinical Fraud and Abuse Investigation area; or… more
- Elevance Health (Louisville, KY)
- ** Clinical Provider Auditor II** **Supports the Payment Integrity line of business** _Location: This position will work a hybrid model (remote and office). The ideal ... determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor II** is responsible for identifying issues and/or… more
- ThermoFisher Scientific (Louisville, KY)
- …step beyond through research, development and delivery of life-changing therapies. With clinical trials conducted in 100+ countries and ongoing development of novel ... frameworks for clinical research through our PPD clinical research...assigned by CTM (eg trip report review, newsletter creation, lead CRA team calls etc). + Facilitates effective communication… more
- Takeda Pharmaceuticals (Frankfort, KY)
- …identifying, evaluating, and screening qualified research sites for company sponsored clinical investigation + Actively participates in executing USMAO strategy ... molecular pathways, mechanism of action Takeda Oncology products including clinical outcomes and research opportunities. + Formulate and keep...at medical conferences and may "co- lead " a medical conference to inform for being a… more
- Omnicell (Louisville, KY)
- …to transforming pharmacy care through outcomes-centric innovation designed to optimize clinical and business outcomes across all settings of care. We strive ... is helping healthcare facilities worldwide to improve business and clinical outcomes as they move closer to the industry...improve. + In **Doing the Right Thing** , we lead by example in ALL we do. We are… more
- BrightSpring Health Services (Louisville, KY)
- …solutions and enforcing security policies and standards + Acts as a lead for the Security Engineering team and interacts regularly with other departments ... products and services and leads and supports projects + Conducts standard security investigations using data analysis and forensic techniques; supports and is a key… more