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21 Jobs in Louisville, KY

  • UM Medical Director - Orthopedic Surgery

    Louisville, Kentucky
    ... independently with oversight from immediate manager. May be responsible for an entire clinical program and ... for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical ...
  • UM Medical Director - Physical Medicine and Rehabilitation

    Louisville, Kentucky
    ... manager. May be responsible for an entire clinical program and/or independently performs clinical ... quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to ...
  • UM Medical Director - Cardiology

    Louisville, Kentucky
    ... manager. May be responsible for an entire clinical program and/or independently performs clinical ... quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to ...
  • UM Medical Director - Internal Medicine or Family Medicine

    Louisville, Kentucky
    ... independently with oversight from immediate manager. May be responsible for an entire clinical program and ... for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical ...
  • BH Case Manager I

    Louisville, Kentucky
    ... Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and ...
  • Behavioral Health Medical Director - Child & Adolescent Psychiatry

    Louisville, Kentucky
    ... clinical program and/or independently performs clinical reviews. The Medical Director typically has program management responsibilities including clinical policy development, program development ...
  • Clinical Care Manager II (Union) - Michigan Licensed

    Louisville, Kentucky
    ... .** Training will be provided for 4 weeks during regular business hours. The Clinical Care Manager is ... Beacon Health Options, offers superior clinical mental health and substance use disorder management, a ...
  • Behavioral Health Case Manager I

    Louisville, Kentucky
    ... Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and ...
  • National Medical Director - Total Cost of Care, Post Acute

    LOUISVILLE, Kentucky
    ... development of Medical Management and Quality Management strategies. Develops and enhances relevant clinical ... significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology ...
  • Medicare Medical Director Clinical Programs

    Louisville, Kentucky
    ... designs, analytics and reporting for clinical quality that drives improved healthcare outcomes ... , performance measurement, and quality improvement, and the clinical understanding for clinical quality programs ...
  • Behavioral Health HEDIS Quality Program Director

    LOUISVILLE, Kentucky
    ... development, management, review and reporting of program outcomes for clinical quality programs. Assures ... Quality Program Director** This is an Individual Contributor Role. Location: **This ...
  • Behavioral Health Clinical Quality Audit Analyst, Sr.

    LOUISVILLE, Kentucky
    ... insightful analytics to improve the delivery of care. **BH Clinical Quality Audit Analyst, Sr ... Beacon Health Options, offers superior clinical mental health and substance use disorder management, a ...
  • Associate Medical Director - Neurosurgery

    Louisville, Kentucky
    ... Clinical Operations Associate Medical Director Neurosurgery **Carelon ... clinical domains, including radiology, cardiology and oncology._ The **Clinical Operations ...
  • Nurse Medical Management I-1

    Louisville, Kentucky
    ... responsible for collaborating with healthcare providers and members to promote quality member outcomes ... quality, cost-effective care through assessing the medical necessity of inpatient admissions, outpatient ...
  • Go to Market Director

    LOUISVILLE, Kentucky
    ... Management, Marketing, Operations Product, Network, Clinical, Member Experience) to evaluate opportunities ... portfolio projects. Creates and presents extremely high quality presentations to executive levels ...
  • Pharmacy Quality Improvement Specialist

    LOUISVILLE, Kentucky
    ... activities and quality management program activities. *Internal facing title: Process Improvement Consultant ... quality and operational processes as a result of opportunities identified through CAPA program ...
  • Oncology Practice Enablement Clinician

    Louisville, Kentucky
    ... clinical domain and industry changes, as well as company core quality/value programs and solutions ... enablement to improve member care quality and value. Serves as a strategic solution lead for Oncology and ...
  • Nurse Medical Management II

    Louisville, Kentucky
    ... clinical reviewers and/or medical directors to ensure medically appropriate, high-quality, cost-effective ... promote quality member outcomes, optimize member benefits, and promote effective use of resources for more ...
  • Information Architect

    LOUISVILLE, Kentucky
    ... , Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty ...
  • Business Consultant Lead Sr

    LOUISVILLE, Kentucky
    ... , Carelon Behavioral Health, formerly Beacon Health Options, offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty ...
  • Wound Care UM RN

    LOUISVILLE, Kentucky
    ... members total health needs and ensures the highest quality of continuity of care. **How you will ... . Reviews Home based services for clinical appropriateness of the continued care. Performs reviews ...
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