- CenterWell (Frankfort, KY)
- **Become a part of our caring community and help us put health first** The Senior Clinical Operations Training Professional provides training support ... and existing clinics across the US and participate in go-live support. The Senior Clinical Operations Training Professional collaborates with training… more
- Sumitomo Pharma (Frankfort, KY)
- …seeking a dynamic, highly motivated, and experienced individual for the position of Senior Medical Director, Clinical Research (Ophthalmology) to join our R&D ... a global pharmaceutical company based in Japan with key operations in the US (Sumitomo Pharma America, Inc.), Canada...individual will contribute to the design and execution of clinical development plan(s) for assigned asset(s) and serve as… more
- Elevance Health (Louisville, KY)
- **Nurse Audit Senior - Payment Integrity Complex and Clinical Audit** **Location:** This role enables associates to work virtually full-time, with the exception ... of required in-person training sessions, providing maximum flexibility and autonomy. This approach promotes productivity, supports work-life integration, and ensures… more
- Molina Healthcare (Covington, KY)
- …Health Insurance Operations ; particularly Utilization Management, Care Management, and Clinical Operations + Ability to work occasional late nights, ... + Knowledge of Health Insurance Utilization Management, Care Management, and Clinical Operations + Ability to work occasional late nights, weekends,… more
- Molina Healthcare (Lexington, KY)
- …knowledge although they may have technical team members. **Expanded Scope:** The Senior Project Manager for Claims Operations drives complex, multi-workstream ... /coursework in project management, process improvement, change management, or healthcare operations . + Specialized training in Salesforce administration, process… more
- CVS Health (Frankfort, KY)
- …standard processes to complete. Develop into a subject matter expert by providing training , coaching, or responding to complex issues. May have contact with outside ... accuracy and appropriateness of a benefit/administrative denial. + Can review a clinical determination and understand rationale for decision. + Able to research… more
- Humana (Frankfort, KY)
- …first** The Medicaid Senior Product Manager leads all phases of the Clinical Operations Intake process and product lifecycle - from inception to delivery ... and continuously improving the intake and evaluation framework that governs Medicaid clinical operations initiatives. This role partners closely across … more
- Cardinal Health (Frankfort, KY)
- …manufacturers to rethink the reach and impact of their products. The Supervisor, Clinical Operations provides management and clinical oversight to a ... positive and satisfactory experience for all customers. The Supervisor, Clinical Operations monitors nurse to patient contact...product training and adverse event/product quality complaint training . + Oversight of clinical training… more
- WelbeHealth (Frankfort, KY)
- WelbeHealth is a value-based healthcare organization that's transforming the future of senior care by providing an all-inclusive care option to our most vulnerable ... senior population. Under the direction of the VP, Compliance,...and Related Entity (FDR) compliance + Collaborate with operational, clinical , and quality leadership to ensure that audit findings… more
- Molina Healthcare (KY)
- …and cost-effective member care. Essential Job Duties * Under the direction of clinical operations leadership, responsible for oversight of internal and external ... health care experience, including 6 years of managed care experience supporting clinical operations and clinical /quality improvement activities, or… more
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