- Molina Healthcare (Covington, KY)
- …sections and reviews behavioral health portions of state contracts. * Assists behavioral health medical director lead trainers in the development ... SummaryProvides medical oversight and expertise related to behavioral health and chemical dependency services, and...and chemical dependency services - working closely with regional medical directors to standardize behavioral health… more
- Molina Healthcare (Owensboro, KY)
- **JOB DESCRIPTION** **Job Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management and case management programs ... and chemical dependency services and assists with implementing integrated Behavioral Health care management programs. **Knowledge/Skills/Abilities** Provides… more
- Elevance Health (Louisville, KY)
- …Medical Director -PSCCR** is responsible for the administration of physical and/or behavioral health medical services, to ensure the appropriate and ... ** Medical Director -PSCCR** Location: This role enables...Osteopathic Association (AOA). + Must possess an active unrestricted medical license to practice medicine or a health… more
- Elevance Health (Louisville, KY)
- ** Medical Director -Cardiology Appeals** **Location:** This role enables associates to work virtually full-time, with the exception of required in-person training ... an accommodation is granted as required by law. The ** Medical Director -Cardiology Appeals** is responsible for the...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
- Elevance Health (Louisville, KY)
- ** Medical Director - Commercial** Location: This role enables associates to work virtually full-time, with the exception of required in-person training sessions, ... fine). Weekend rotation coverage 5-6 weekends a year.** The ** Medical Director ** will be part of the...For Health Solutions and Carelon organizations (including behavioral health ) only, minimum of 5 years… more
- CenterWell (Frankfort, KY)
- **Become a part of our caring community and help us put health first** The National Medical Director for Home-Based Care Programs is a key clinical ... polychronic, and high-risk Medicare patients within a full-risk, value-based framework. The Medical Director collaborates in a dyad partnership with the Strategy… more
- Highmark Health (Frankfort, KY)
- …Patient care (hospital, outpatient, or private practice) **Preferred** + 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed ... current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and… more
- Highmark Health (Frankfort, KY)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This role will support the leadership team for Clinical Transformation and executive physicians ... three primary Workstreams: leadership over the execution of the Population Health Performance strategy roadmap, support physician executives to identify ownership,… more
- HCA Healthcare (Frankfort, KY)
- …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... and the United Kingdom. We are looking for a Director Emergency Services for our Frankfort Regional Medical...Center, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The… more
- HCA Healthcare (Louisville, KY)
- …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... we'd love for you to apply for the _Senior Director of Accreditation - Compliance - RA_ position today!...needs are met. We offer a comprehensive package of medical , dental, and vision plans, tuition discounts, along with… more
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