• Medical Director -- Claims

    Humana (Nashville, TN)
    Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement… more
    Humana (10/29/24)
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  • Medical Director - Florida

    Humana (Nashville, TN)
    …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
    Humana (10/29/24)
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  • Market Director of Utilization…

    Ascension Health (Nashville, TN)
    …Ascension Saint Thomas hospitals throughout the TN market. We're looking for an experienced Director of Utilization Management to join our team! In this pivotal ... optimize patient care, and partner with the National Senior Director of UM to align on organizational goals. Ready...within the insurance plan. + Ensure integration of utilization management functions with network strategy and claims more
    Ascension Health (10/25/24)
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  • Medicare Grievances and Appeals Corporate…

    Humana (Nashville, TN)
    …us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate ... Medical Director works on problems of diverse scope and complexity...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with… more
    Humana (10/29/24)
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  • Business Change Director (Quality Control…

    Elevance Health (Nashville, TN)
    **JR130960 Business Change Director (Quality Control Test Architect, PBM systems)** CarelonRx's Business Operations org is looking to hire a PBM Test Program Manager ... This high-performing individual contributor will be responsible for working with management to identify and implement varied projects, programs and plans that… more
    Elevance Health (10/04/24)
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  • Associate Director , Global Labeling Lead…

    Takeda Pharmaceuticals (Nashville, TN)
    …to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director , Global Labeling Lead where you will be responsible for the development ... guidance. **How you will contribute:** With guidance from leadership: Management of Labeling Cross-Functional Teams + Independently leads Labeling cross-functional… more
    Takeda Pharmaceuticals (10/16/24)
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  • Director Marketing Campaign Strategy…

    Sedgwick (Nashville, TN)
    …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Director Marketing Campaign Strategy and Execution **PRIMARY PURPOSE OF THE ROLE:** ... The Director , Marketing Campaign Strategy and Execution is responsible for...improve client satisfaction. **QUALIFICATIONS** + 8+ years B2B Campaign Management leadership experience. + Solid experience with campaign technologies… more
    Sedgwick (10/31/24)
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  • Operations Supervisor - Move Management

    HomeSafe Alliance (Nashville, TN)
    **Title:** Operations Supervisor - Move Management (International Alaska) **_HomeSafe Alliance_** is the single global household goods movement manager of over ... directly or through PPM options + Provide consolidated oversight and management of coordinators under supervision + Monitor international operations performing… more
    HomeSafe Alliance (10/02/24)
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  • Human Resources Generalist

    Atrium Hospitality (Murfreesboro, TN)
    …**About Atrium Hospitality** Atrium Hospitality is now one of the largest hotel management companies in the United States and we're still growing. As a result ... our company, our operations, and the guest and associate experience. Reports To: Director , Human Resources or Area Director , Human Resource Equipment: Laptop if… more
    Atrium Hospitality (11/02/24)
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  • Data Scientist- REMOTE

    Prime Therapeutics (Nashville, TN)
    …and program impact measurement using eligibility, medical , and pharmacy administrative claims and external data, (eg, care management , disease management ... advanced scientific model design, including advanced predictive modeling, with health claims data, applying statistical theories and methods to solve complex… more
    Prime Therapeutics (11/01/24)
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  • Human Resources Coordinator

    HEI Hotels and Resorts (Nashville, TN)
    …in the recruiting, screening and interviewing for all management and non- management hotel positions. Assist the Human Resources Director or Human Resources ... Manager in directing and instructing the management staff in effective recruiting and interviewing techniques using...to associates as required and assist with enrollment and claims processing. + Assist with associate relations events and… more
    HEI Hotels and Resorts (09/26/24)
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  • Physician Compensation Analyst

    Intermountain Health (Nashville, TN)
    Director of Physician Compensation, Manager of Physician Compensation, Medical Group, region/market, service line, Provider Recruiting, Professional Staff ... of compensation programs and performs other duties as assigned by the Director - Physician Compensation and/or Physician Compensation Manager. **Skills** + Attention… more
    Intermountain Health (11/05/24)
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  • Billing Integrity Analyst RN

    HCA Healthcare (Brentwood, TN)
    …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision...require an RNs clinical expertise and that are delaying claims from processing in the Patient Accounting and/or Relay… more
    HCA Healthcare (11/02/24)
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  • Onsite Account Support Specialist…

    Wellpath (Nashville, TN)
    …* Growth and training **Perks and Benefits** In addition to comprehensive benefits including medical , dental, vision, paid time off, and 401k, we foster a work, life ... Prisons(FBOP)servicesby managing andmaintainingclient accounts, including scheduling, reporting, record-keeping, and claims /invoice review.The position requires a detail-oriented individual with exceptional… more
    Wellpath (08/13/24)
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  • Sales Account Coordinator Senior

    Intermountain Health (Nashville, TN)
    …a liaison in order to facilitate the prompt resolution of complex benefit, claims or enrollment issues for external, internal and team contacts. Handles service ... the task resolution process in Salesforce by utilizing task management with other departments and complaint tasks to seek...Assists in the design of marketing literature for unique medical and dental plans. SALES SYSTEMS: Is committed to… more
    Intermountain Health (10/31/24)
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  • Senior Compliance Specialist

    Fujifilm (Nashville, TN)
    …limited management oversight. The position will report to the Director of Corporate Compliance. **Duties and responsibilities** + Develop and implement elements ... needs of healthcare across prevention, diagnosis, and treatment. Fujifilm's medical imaging portfolio includes solutions for digital radiography, mammography,… more
    Fujifilm (10/09/24)
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