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15 Jobs in Louisville, KY

  • UM Medical Director - Orthopedic Surgery

    Louisville, Kentucky
    ... for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical ... /or independently performs clinical reviews. The Medical Director typically has program ...
  • UM Medical Director - Physical Medicine and Rehabilitation

    Louisville, Kentucky
    ... quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to ... including Medical Director Associates. May be responsible for an entire clinical program. How you ...
  • UM Medical Director - Cardiology

    Louisville, Kentucky
    ... quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to ... including Medical Director Associates. May be responsible for an entire clinical program. How you ...
  • Behavioral Health HEDIS Quality Program Director

    LOUISVILLE, Kentucky
    ... Quality Program Director** This is an Individual Contributor Role. Location: This ... Friday, 40 hrs a week. The Behavioral Health HEDIS Quality Program Director is ...
  • UM Medical Director - Internal Medicine or Family Medicine

    Louisville, Kentucky
    ... for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical ... /or independently performs clinical reviews. The Medical Director typically has program ...
  • Medicare Medical Director Clinical Programs

    Louisville, Kentucky
    ... .** The Medical Director Clinical Programs is responsible for designing and implementing clinical programs ... designs, analytics and reporting for clinical quality that drives improved healthcare outcomes ...
  • 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 ...
  • Behavioral Health Medical Director - Child & Adolescent Psychiatry

    Louisville, Kentucky
    ... clinical program and/or independently performs clinical reviews. The Medical Director typically has ... .** The Behavioral Health Medical Director is responsible for the administration of behavioral ...
  • Associate Medical Director - Neurosurgery

    Louisville, Kentucky
    ... Clinical Operations Associate Medical Director Neurosurgery **Carelon ... clinical domains, including radiology, cardiology and oncology._ The **Clinical Operations ...
  • 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 ...
  • Pharmacy Quality Assurance Specialist

    LOUISVILLE, Kentucky
    ... ) Specialist** . This Pharmacy Quality Assurance Specialist, reporting to the Director of ... Pharmacy Quality Assurance Specialist Location: This position will work a hybrid ...
  • Go to Market Director

    LOUISVILLE, Kentucky
    ... Go to Market Director Location:  This position will work a hybrid model (remote ... . The Go to Market Director is responsible for defining, building, and operationalizing go to ...
  • 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 ...
  • 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 ...
  • Reviewer - Therapy Services

    LOUISVILLE, Kentucky
    ... additional data, consults with clinical reviewers and medical directors, when necessary. Acts as a ... , and initiatives. Maintains quality and productivity standards and ensures reviews are conducted ...