• Director , Compliance ( Must…

    Molina Healthcare (Bowling Green, KY)
    **Job Description** **Job Summary** Establish a specifically designed compliance program that effectively prevents and/or detects violation of applicable laws and ... the Health Care environment. Ensures the Business' accountability for compliance by overseeing, follow-up and resolution of investigations. **Knowledge/Skills/Abilities**… more
    Molina Healthcare (09/10/25)
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  • Director , Provider Contracts ( Must…

    Molina Healthcare (Covington, KY)
    **_ Remote and must live in Georgia _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network ... Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state and local regulations. Plans, organizes,… more
    Molina Healthcare (10/05/25)
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  • Field Medical Director , Cardiology

    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 ... in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission… more
    Evolent (10/01/25)
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  • Field Medical Director - Vascular Surgery

    Evolent (Frankfort, KY)
    …Stay for the culture. **What You'll Be Doing:** As a Vascular Surgery, Field Medical Director you will be a key member of the utilization management team. We can ... in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission… more
    Evolent (08/28/25)
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  • Field Medical Director , Interventional…

    Evolent (Frankfort, KY)
    …setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional cardiology to ... in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission… more
    Evolent (07/30/25)
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  • Virology (HIV) MSL / Regional Medical Scientific…

    Merck (Frankfort, KY)
    **Job Description** The Virology (HIV) Regional Medical Scientific Director is a credentialed (ie, MD, PhD, DNP, or PharmD) therapeutic and disease area expert who ... travel up to 50% of the time overnights and reside in the coverage region **Skills Required:** + Deep...the pharmaceutical industry and its external stakeholder environment + Must be able to organize, prioritize, and work effectively… more
    Merck (09/13/25)
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  • Field Medical Director , Pain Management

    Evolent (Frankfort, KY)
    …in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission ... + On a requested basis, may function as Medical Director for selecting health plans or regions, assuming overall...Obtaining and maintaining medical licenses in the state you reside and any required per business needs- **Required** +… more
    Evolent (09/25/25)
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  • Regional CPE Director , Tzield Mid South…

    Sanofi Group (Louisville, KY)
    …may be required within the assigned region or nation + Valid driver's license + Must reside within the geographic area of the assigned region **Why Choose Us?** ... **Job Title:** Regional CPE Director , Tzield Mid South /South Atlantic/Southeast **Location:** Remote, US **About the job** **Role Overview:** The Regional Care Path… more
    Sanofi Group (08/20/25)
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  • Field Medical Director , (Orthopedic…

    Evolent (Frankfort, KY)
    …the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , MSK Surgery you will be a key member of the utilization management team. We ... in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission… more
    Evolent (08/29/25)
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  • Field Medical Director , Oncology

    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 ... in the MD review process to reflect appropriate utilization and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission… more
    Evolent (08/19/25)
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