• Medical Director , Clinical…

    Highmark Health (Frankfort, KY)
    …responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using ... Medical Policy criteria sets to evaluate the ... necessity and appropriateness of the requested treatment of service . Depending on the nature of the case, telephonic… more
    Highmark Health (07/29/25)
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  • Medical Director - OneHome

    Humana (Frankfort, KY)
    …and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by other healthcare ... Humana policies, clinical standards, and (in some cases) contracts. The Medical Director provides medical interpretation and decisions about the… more
    Humana (08/25/25)
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  • Medical Director (Marketplace)

    Molina Healthcare (Lexington, KY)
    …NCQA-compliant clinical quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. ... and procedures that guide and support the provisions of medical staff services . Maintains a working knowledge...experience, including: + 2 years previous experience as a Medical Director in a clinical … more
    Molina Healthcare (08/28/25)
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  • Intensivist Medical Director

    HCA Healthcare (Bowling Green, KY)
    …obtain + 16 bed Medical ICU with planned expansion in the future + Medical Director will hold clinical and administrative responsibilities + Ability to ... Summary:** ICC (Intensive Care Consortium) is seeking an Intensivist Medical Director to lead the TriStar Greenview...and operates over 186 facilities in 21 states providing services to over 26 million patients annually + The… more
    HCA Healthcare (06/21/25)
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  • Healthcare Operations Facility Administrator

    Fresenius Medical Center (Richmond, KY)
    …with all legal, compliance and regulatory requirements and programs. Collaborates with the Medical Director and the Clinical Coordinator /Charge Nurse or ... Clinical Coordinator /Charge RN or Nurse Supervisor and Medical Director to implement FMS quality goals...training when applicable for new hires, and works with Medical Director to ensure mandatory in- services… more
    Fresenius Medical Center (09/09/25)
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  • Market Chief Medical Officer, Kentucky

    Catholic Health Initiatives (Lexington, KY)
    …fulfilling the hospital's clinical , research and educational goals + Establish medical director councils/ clinical program leadership groups to conduct ... and expanding non-acute care services . This includes the Saint Joseph Medical Group, contracted service providers and a large number of independent… more
    Catholic Health Initiatives (09/08/25)
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  • Associate Medical Director

    Elevance Health (Louisville, KY)
    ** Clinical Operations Associate Medical Director ** **Carelon Medical Benefits Management** **Post Acute Care Benefit Utilization Management** **Schedule: ... advancement of care for the people we serve._ The ** Clinical Operations Associate Medical Director **... medical appropriate information in order to make medical necessity determinations for services requested. +… more
    Elevance Health (09/11/25)
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  • Sr Director Clinical Strategy…

    Prime Therapeutics (Frankfort, KY)
    …our passion and drives every decision we make. **Job Posting Title** Sr Director Clinical Strategy and Oncology Specialty Solutions/PharmD required- REMOTE **Job ... Description** The Senior Director Clinical Strategy and Oncology Specialty Solutions...the development of strategic business roadmaps that integrate both medical and pharmacy solutions. This position will provide leadership… more
    Prime Therapeutics (07/01/25)
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  • Clinical Transformation Director

    Highmark Health (Frankfort, KY)
    …anchor, including MAQCs and pharmacists, in collaboration with the partnership director who manages non- clinical workforce activity. + **Relationship Management ... :** **JOB SUMMARY** This role will support the leadership team for Clinical Transformation and executive physicians in leading the day-to-day operational model of… more
    Highmark Health (08/21/25)
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  • Center Clinical Director

    ChenMed (Louisville, KY)
    …internal or family medicine who plays a key role as part of the clinical operations team providing direct patient care and providing assessments primarily in the ... The responsibilities include but are not limited to: geriatric assessment, medical history, physical exam, diagnosis and treatment, development of the plan… more
    ChenMed (08/09/25)
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