- Elevance Health (Louisville, KY)
- **Clinical Documentation and Claims Integrity Director ** **Location:** Alternate locations may be considered. This position will work a hybrid model (remote and ... home-care and community based services. The **Clinical Document Improvement Director ** is responsible for leading encounter processing, diagnostic documentation and… more
- Humana (Frankfort, KY)
- …our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. ... The Corporate Medical Director works on problems of diverse scope and complexity...+ Knowledge of the managed care industry including Medicare, Medicaid and/or Commercial products + Must be passionate about… more
- Humana (Frankfort, KY)
- …our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The ... Corporate Medical Director works on problems of diverse scope and complexity...+ Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products + Must be passionate… more
- Humana (Frankfort, KY)
- …of our caring community and help us put health first** The Associate Director , Business Intelligence solves complex business problems and issues using data from ... and external sources to provide insight to decision-makers. The Associate Director , Business Intelligence requires a solid understanding of how organization… more
- Humana (Frankfort, KY)
- …are seeking an accomplished healthcare physician leader for the newly-created role of Director , Physician Leadership. In this role, you will be a key enterprise ... health outcomes for some of our most vulnerable members. The Director , Physician leadership will lead Medical Directors performing utilization management for… more
- Evolent (Frankfort, KY)
- …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. We can ... per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process,… more
- Evolent (Frankfort, KY)
- …setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional cardiology to ... per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process,… more
- Humana (Frankfort, KY)
- …of our caring community and help us put health first** The Associate Director , Technology Solutions devises an effective strategy for executing and delivering on IT ... business initiatives. The Associate Director , Technology Solutions requires a solid understanding of how...a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at… more
- Elevance Health (Louisville, KY)
- **CareBridge Growth Director ** **Location:** Alternate locations may be considered. This position will work a hybrid model (remote and office). The ideal candidate ... quality of life through home-care and community based services. The CareBridge Growth Director will function as a Chief of Staff, overseeing key initiatives to drive… more
- Evolent (Frankfort, KY)
- …the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , Oncology, you will be a key member of the utilization management team. We ... timely and accurate manner. . May assist the Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation,… more