- 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 (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
- Dialysis Clinic, Inc. (Nashville, TN)
- …potential liability risks for DCI. + Participate in medical and general liability claims management and coordinate with Director of Insurance on claim ... Summary:** We are seeking a highly skilled and experienced Director of Risk Management to join our...+ Minimum of 5-7 years of experience in risk management , including claims administration, preferably in a… more
- Humana (Nashville, TN)
- …help us put health first** The Corporate Medical Director relies on medical background and reviews health claims . The Corporate Medical Director ... of diverse scope and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the… more
- Ascension Health (Nashville, TN)
- …the TN market. Must be located within TN market. We're looking for an experienced Director of Utilization Management to join our team! In this pivotal role, ... 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
- Merck (Nashville, TN)
- …needs to support collaboration to further differentiate our portfolio. The Oncology Regional Medical Scientific Director , RMSD, is a credentialed (ie, MD, PhD, ... **Job Description** Our Medical Affairs team advances patient care by engaging...and scientific community. Scientific exchange does not include promotional claims about any drug, vaccine or biologic product. RMSDs… more
- Cardinal Health (Nashville, TN)
- …and delivers human resource programs and policies, including recruitment, talent management , diversity and inclusion, compensation and benefits, among others. This ... **_Job Summary_** We are seeking an experienced and strategic Director of US Benefits to lead and oversee the...Benefits to lead and oversee the design, implementation, and management of employee benefit programs. This role will be… more
- Intermountain Health (Nashville, TN)
- **Job Description:** Reporting to the Senior Director of Revenue Integrity, the Revenue Integrity Director is responsible for directing and executing the ... Reconciliation, Revenue Guardian, and Claim Edits. The Revenue Integrity Director defines and carries out the strategy for maximizing...for you and your family. Our generous package includes medical , dental, and vision coverage. But health is more… more
- Sumitomo Pharma (Nashville, TN)
- …qualified, highly motivated, experienced individual for the position of **Regional Sales Director , Prostate Cancer - Southeast.** The position reports to the Senior ... Area Sales Director . **The location of the position is field based...key customer interactions as part of an overall performance management process through timely assessment of performance using quantifiable… more
- Nabholz Construction Serv (Franklin, TN)
- …teams with the proper reporting and classification of incidents and provides advice on claims management . + Work with project and specialty group teams to ... services. We are proud to offer you : + Medical , Dental and Vision Care + 401(k) Retirement Savings...Deposit + Wellness Program with Incentives Summary: Regional Safety Director carries out a wide range of functions in… more
- Takeda Pharmaceuticals (Nashville, TN)
- …plasma-derived therapies for patients with immunologic, hematologic, and other complex diseases. The Director , Global Labeling Strategy Lead is a key role in the PDT ... new TLP, CCDS, USPI and EU SmPC. **How you will contribute:** ** Management of Labeling Cross-Functional Teams** + Leads Labeling cross-functional teams providing… more
- 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
- Wellpath (Nashville, TN)
- …Risk Management department, including a specialized correctional health clinical claims director nurse, to develop a comprehensive risk management ... to the Chief Legal Officer, this role oversees the Claims Management team, the company's insurance portfolio,...handling medical malpractice litigation and professional liability claims management is a requirement of the… more
- 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
- Mathematica (Nashville, TN)
- …or APCD claims data; EHR and/or HIE data; healthcare informatics; medical coding). * Ability to describe difficult technical problems and solutions to a ... data pipelines and analyses involving large administrative data sources such as state Medicaid claims and APCDs, as well as clinical data sources such as EHRs and… more
- Evolent (Nashville, TN)
- …to both members and providers + Appropriately identifies and refers quality issues to the Senior Director of Medical Management or Medical Director . ... and Oncology Heathcare experience/knowledge** + Minimum of one year of experience with medical management activities in a managed care environment + Excellent… more
- HCA Healthcare (Nashville, 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 ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
- 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 ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more