- The Cigna Group (Nashville, TN)
- …product, service and clinical . - In partnership with the Regional Growth Leader , develops and executes a local market growth strategy and business plan that ... **OVERVIEW** : Reporting to the Vice President, Regional Growth Leader , this role will function as a key member...helping drive outcomes/results. - Adaptable, flexible and able to lead the organization through transformation ; proven track… more
- The Cigna Group (Franklin, TN)
- …programs across the enterprise. The CMO is individually responsible for overall clinical compliance within the UM programs, including matters concerning clinical ... policy, quality management (QM), program development, review of UM cases, clinical criteria, and provider issues, and always ensuring the clinical integrity and… more
- HealthEdge Software Inc (Nashville, TN)
- …a digital foundation for payers specifically designed to fuel a digital transformation , reduce costs, and improve both clinical outcomes and the ... The Source platform offers the ability for clients to unlock transformation at the reimbursement, payment integrity, and enterprise level. Our Reimbursement… more
- HealthEdge Software Inc (Nashville, TN)
- …a digital foundation for payers specifically designed to fuel a digital transformation , reduce costs, and improve both clinical outcomes and the ... Experienceteam and ownclinical staff satisfaction and efficiency, serving the clinical care teams from our customers that use theWellframeplatform to… more
- HealthEdge Software Inc (Nashville, TN)
- …delivers a digital foundation for payers specifically designed to fuel a digital transformation , reduce costs, and improve both clinical outcomes and the member ... report to the Chief Medical Officer of Healthedge (HE) and ensure that our clinical suite of products (GuidingCare & Wellframe) support our health plan customers in… more
- HealthEdge Software Inc (Nashville, TN)
- …a digital foundation for payers specifically designed to fuel a digital transformation , reduce costs, and improve both clinical outcomes and the ... The Source platform offers the ability for clients to unlock transformation at the reimbursement, payment integrity, and enterprise level. Our Reimbursement… more
- Cardinal Health (Nashville, TN)
- …will help drive that disruption and establish Cardinal Health as a leader in healthcare technology. Fuse's innovation culture and modern product development teams ... Senior Data Scientist is a key role in the transformation of business. They will work closely with business...with an emphasis on ML/GenAI implementations. **Thought Leadership** + Lead data science projects and partner with cross functional… more
- Takeda Pharmaceuticals (Nashville, TN)
- …Works as part of a training team supporting one or more franchises. Serves as lead within the team for either initial field training or brand strategy training for ... the franchise(s), with ability to lead and deliver training for both initial field onboarding...initial a and ongoing sales training consisting of: Product, clinical , managed markets and marketplace knowledge, selling and business… more
- Vanderbilt University Medical Center (Nashville, TN)
- …science companies, including major pharmaceutical companies and those engaged in digital transformation . This position will serve as the primary point of contact, ... Health cultivates distinguished research and educational programs to advance a clinical enterprise that provides compassionate and personalized care and support for… more
- HealthEdge Software Inc (Nashville, TN)
- …a digital foundation for payers specifically designed to fuel a digital transformation , reduce costs, and improve both clinical outcomes and the ... highly skilled and experienced Senior Manager of Product Management to lead our Claims Value Stream.Your responsibilities include creating a high-level vision,… more
- Vanderbilt University Medical Center (Nashville, TN)
- …and designation assignments. Initiates coding queries or tasks. * Serves as a clinical coding subject matter expert. * The responsibilities listed are a general ... in order to form a judgment. * Medical Coding (Advanced): The transformation of healthcare diagnosis, procedures, medical services, and equipment into universal… more
- Humana (Nashville, TN)
- …include rotations through various DVACO departments including Care Coordination, Practice Transformation , Data Analytics, Post-Acute Care and Clinical Quality, ... owner), Main Line Health System, and Jefferson Health System. Humana takes the lead in providing administrative support in various areas including HR. DVACO's MSSP… more