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22 Jobs in Kentucky

  • Associate Medical Director

    Louisville, Kentucky
    ... Clinical Operations Associate Medical Director Carelon Medical Benefits Management ... Associate Medical Director responsible for supporting the medical management staff ensuring timely and ...
  • Medical Oncology Medical Director - Utilization Review

    Louisville, Kentucky
    ... Clinical Operations Medical Director Utilization Management of Medical Oncology ... Medical Director supporting our Medical Oncology team is responsible for supporting the medical ...
  • UM Medical Director - Cardiology

    Louisville, Kentucky
    ... miles of one of our Elevance Health locations.** The Medical Director is responsible for the ... including Medical Director Associates. May be responsible for an entire clinical program. How you ...
  • Associate Medical Director - Neurosurgery

    Louisville, Kentucky
    ... Clinical Operations Associate Medical Director Neurosurgery Carelon ... Associate Medical Director of Neurosurgery responsible for performing pre-authorizations and providing ...
  • Medicare Medical Director Clinical Programs

    Louisville, Kentucky
    ... .** The Medical Director Clinical Programs is responsible for designing and implementing clinical programs with specific medical condition focus for all lines of business enterprise wide. Analyzes and ...
  • UM Medical Director - Orthopedic Surgery

    Louisville, Kentucky
    ... Medical Director is responsible for the administration of physical and/or behavioral health medical ... opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an ...
  • UM Medical Director - Physical Medicine and Rehabilitation

    Louisville, Kentucky
    ... miles of one of our Elevance Health locations.** The Medical Director is responsible for the ... including Medical Director Associates. May be responsible for an entire clinical program. How you ...
  • Associate Medical Director - Interventional Pain

    Louisville, Kentucky
    ... Clinical Operations Associate Medical Director **Carelon Medical Benefit Management ... and oncology._ The Clinical Operations Medical Director is responsible for supporting ...
  • UM Medical Director - Internal Medicine or Family Medicine

    Louisville, Kentucky
    ... Medical Director is responsible for the administration of physical and/or behavioral health medical ... opportunities. May serve as a resource to staff including Medical Director Associates. May be responsible for an ...
  • National Medical Director - Total Cost of Care, Post Acute

    LOUISVILLE, Kentucky
    ... Medical Director for a set of Post Acute Care Solutions.** This high-performing individual contributor will be responsible for serving as a National Solution Medical Director for our Post Acute Solutions ...
  • Behavioral Health Medical Director - Child & Adolescent Psychiatry

    Louisville, Kentucky
    ... .** The Behavioral Health Medical Director is responsible for the administration of behavioral ... identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates ...
  • Associate Medical Director - Post Acute Solutions - Rehab, SNF, LTACH

    Lexington, Kentucky
    ... Clinical Operations Associate Medical Director Carelon Insights **Post Acute ... care for the people we serve. The Clinical Operations Associate Medical Director is ...
  • Associate Medical Director - Post Acute Solutions - Rehab, SNF, LTACH

    Louisville, Kentucky
    ... Clinical Operations Associate Medical Director Carelon Insights **Post Acute Care ... we serve. The Clinical Operations Associate Medical Director is responsible for ...
  • Health Benefits Executive Director

    Louisville, Kentucky
    ... Health Benefits Executive Director Location: This position will work a hybrid ... . The Health Benefits Executive Director is responsible for leading the development and ...
  • Behavioral Health Clinical Quality Audit Analyst, Sr.

    LOUISVILLE, Kentucky
    ... closes case appropriately or refers to BH Medical Director for further review. Prepares cases for ... education and outreach interventions, provider education and outreach interventions, medical record review ...
  • Pharmacy Quality Assurance Specialist

    LOUISVILLE, Kentucky
    ... ) Specialist** . This Pharmacy Quality Assurance Specialist, reporting to the Director of ... of insurance industry and medical terminology and detailed knowledge of relevant systems and proven ...
  • Provider Cost of Care Consultant

    LOUISVILLE, Kentucky
    ... . Provides expert advice, analytic and consultative support to Medical Directors and management on cost of ... negotiation process. Can work with multiple provider types, e.g. physician, ancillary, medical groups ...
  • Nurse Medical Management I-1

    Louisville, Kentucky
    ... Nurse Medical Management I At Federal Health Products and Services - FHPS , a ... 10 am - 7 pm (EST) shift rotation twice a month.** The Nurse Medical Management I is ...
  • Provider Contract/Cost of Care Consultant Senior

    Louisville, Kentucky
    ... looking for a senior analyst who will lead medical cost trend deep dives to uncover root-cause trend ... . Provides advice, analytic and consultative support to Medical Directors and management on cost of care ...
  • Nurse Medical Management II

    Louisville, Kentucky
    ... Nurse Medical Management II At Federal Health Products and Services - FHPS , a ... Medical Management II** is responsible for collaborating with healthcare providers and members to ...
  • Reviewer - Therapy Services

    LOUISVILLE, Kentucky
    ... ** is responsible for the review of medical records to determine if requests for therapy services ... additional data, consults with clinical reviewers and medical directors, when necessary. Acts as a ...
  • Nurse Case Mgr II (US)

    Louisville, Kentucky
    ... necessary. Interfaces with Medical Directors and Physician Advisors on the development of care ...
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