- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Senior Counsel, Managed Care ? At HCA Healthcare, you come first. HCA Healthcare has committed up to ... Counsel like you to be a part of our Managed Care Contracting team. **Job Summary and...for success. Nashville is also home to our **Executive Development Program** , where exceptional employees are groomed to… more
- Prime Therapeutics (Nashville, TN)
- …educational experience to include: + 5 years of related clinical experience + 2 years of managed care experience + Must be eligible to work in the United States ... and drives every decision we make. **Job Posting Title** Clinical Program Development Director, Stars - Remote **Job Description** The Clinical Program … more
- HCA Healthcare (Brentwood, TN)
- …and prevention of denials, payment discrepancies and other claims adjudication issues from HCA's managed care book of business. Note: This is a senior level ... develop strong working relationships with senior and local PCA leadership , Group CFOs, Division leadership , and SSC/Parallon...paying particular attention to those that involve healthcare reform, managed care , ERISA and health insurance. +… more
- WelbeHealth (Nashville, TN)
- …+ Minimum of three (3) to five (5) years of experience in contract negotiation, managed care , healthcare administration, with at least three (3) years of direct ... team is making it possible for our seniors to receive top-quality clinical care within their communities. The Network Development Manager helps ensure this… more
- Elevance Health (Nashville, TN)
- …or related field and a minimum of 7 years' experience in broad-based analytical, managed care payor or provider environment as well as in depth experience ... **Provider Contract Cost of Care Consultant Senior** **Location:** This position will work...variable analysis. + Prepares complex pre-negotiation analyses to support development of defensible pricing strategies. + Researches the financial… more
- Cardinal Health (Nashville, TN)
- …and expertise to help our customers achieve success and improve specialty care . Cardinal Health Insights and Engagement, a division of Cardinal Health Specialty ... and biotechnology companies. Reporting to the Sr. Director, Business Development , Insights & Engagement Real-World Evidence is an individual contributor,… more
- Public Consulting Group (Nashville, TN)
- …CMS regulations governing Medicaid reimbursement, including the rehabilitation option, EPSDT, managed care , state plan amendments, Medicaid waivers and ... CMS regulations governing Medicaid reimbursement, including the rehabilitation option, EPSDT, managed care , state plan amendments, Medicaid waivers and… more
- HCA Healthcare (Nashville, TN)
- …patient care . Every process, technology and decision matters. Automation Development + Direct strategic development , management and deployment of automation ... sharing, team-based resolutions, cross-training, and process improvement within the area managed to ensure effectiveness, efficiency, and servant leadership +… more
- HCA Healthcare (Nashville, TN)
- …sharing, team-based resolutions, cross-training, and process improvement within the area managed to ensure effectiveness, efficiency, and servant leadership + ... auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling… more
- HCA Healthcare (Nashville, TN)
- …patient care . Every process, technology and decision matters. **Automation Development ** + Direct strategic development , management and deployment of ... sharing, team-based resolutions, cross-training, and process improvement within the area managed to ensure effectiveness, efficiency, and servant leadership +… more
- HCA Healthcare (Nashville, TN)
- …and technical requirements, troubleshoot build as needed + h. Participate in personal leadership development and succession planning + i. Participate in annual ... to caring for patients with purpose and integrity. We care like family! Jump-start your career as a Manager...individual should have a proven track record of employee development , engagement and leadership . The individual must… more
- Prime Therapeutics (Nashville, TN)
- …meetings and for publication acceptance. **Responsibilities** + 7+ years of pharmacy, managed care and pharmaceutical industry experience. + At least 1-2 ... Strong interpersonal, consultation, organizational, tracking and follow-up skills. + Pharmacy, Managed Care , Pharmaceutical Industry experience. + Ability to… more
- Takeda Pharmaceuticals (Nashville, TN)
- …level. + Appropriately uses available tools and resources to monitor and evaluate industry/ managed care trends and communicate relevant information to those who ... and adaptability to changing market conditions + Understanding of managed care landscape and how it influences/impacts...**More about us:** At Takeda, we are transforming patient care through the development of novel specialty… more
- Prime Therapeutics (Nashville, TN)
- …as assigned. **Responsibilities** + 5+ years of clinical pharmacy experience. + Managed care pharmaceutical service experience plus experience with coaching ... systems. + 2+ years of specialty pharmacy and oncology experience. + Managed care , pharmaceutical sales management experience. + Experience with pharmaceuticals… more
- Cardinal Health (Nashville, TN)
- …intersection of 340B and Medicaid, including duplicate discounts, fee-for-service versus managed care , medical versus pharmacy, and entity-owned versus contract ... value that supports the patient throughout the continuum of care . The team's mission is to provide exceptional clinical,...well as having 340B expertise to drive success for Managed Services onsite staff. This is an individual contributor… more
- Vanderbilt University Medical Center (Nashville, TN)
- …talent management and organizational effectiveness (OE) strategies, including leadership competency, career development , performance management, succession ... Nashville, Tennessee, and operating at a global crossroads of teaching, discovery, and patient care , VUMC is a community of diverse individuals who come to work each… more
- HCA Healthcare (Nashville, TN)
- …Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a Product Manager today with HCA ... auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling… more
- Cardinal Health (Nashville, TN)
- … development , and possesses a deep understanding of healthcare reimbursement ( managed care and specialty pharmacy operations). In addition to stewarding ... Strong project management skills + Understanding of the healthcare reimbursement and managed care + Excellent planning, budget forecasting, and presentation… more
- Vanderbilt University Medical Center (Nashville, TN)
- …people throughout Tennessee and the southeast choose Vanderbilt Health for their health care because of our leadership in medical science and our dedication ... at a global crossroads of teaching, discovery, and patient care , VUMC is a community of diverse individuals who...educate by setting the example, giving technical instruction, providing leadership , and generally raising the level of performance of… more
- Prime Therapeutics (Nashville, TN)
- …experience in clinical operations, quality, network, pharmacy or project management OR a managed care pharmacy residency plus two additional years of pharmacist ... Pharmacy contract(s). Manages overall client relationship. Participates in the development of clinical management products and services. Activities address impact… more