• Director Managed Care

    HCA Healthcare (Nashville, TN)
    …**Introduction** Do you want to join an organization that invests in you as a Director Managed Care ? At HCA Healthcare, you come first. HCA Healthcare ... and you have the opportunity to make a difference. We are looking for a dedicated Director Managed Care like you to be a part of our team. **Job Summary and… more
    HCA Healthcare (12/24/24)
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  • Manager of Payor Contracting

    e CancerCare (Nashville, TN)
    …with Health Insurance companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible ... aligns negotiation with strategy. Essential Functions: In collaboration with the Director of Managed Care , negotiate and manage assigned contracts, including… more
    e CancerCare (11/05/24)
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  • Managing Director , Value Based Care

    Evolent (Nashville, TN)
    …is looking for a Managing Director of Value-Based Operations to join our Primary Care Leadership Team. This role will be a key member of the leadership team for ... for Medicare in the Shared Savings Program. The Managing Director will report to the SVP Primary Care...management experience** **Leadership role within a value based primary care organization (ACO or Managed Services Organization)… more
    Evolent (12/13/24)
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  • Director , Complex Care Strategy…

    CenterWell (Nashville, TN)
    …professional experience in health-related strategy and operations positions, preferably in value-based care , particularly managed care or full risk models ... part of our caring community and help us put health first** The Director , Complex Care Strategy Advancement will play a pivotal role in driving the strategic… more
    CenterWell (12/10/24)
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  • Medical Director - Florida

    Humana (Nashville, TN)
    …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with...size of region or line of business. The Medical Director conducts Utilization Management of the care more
    Humana (12/14/24)
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  • Reviewing Medical Director

    Conviva (Nashville, TN)
    …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... the Director of Physician Leadership in Population Health Strategy at Primary Care Organization. The Medical Director conducts Utilization Management of the … more
    Conviva (12/11/24)
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  • Medical Director - South Central

    Humana (Nashville, TN)
    …services (such as inpatient rehabilitation). **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... management. The clinical scenarios predominantly arise from inpatient or post-acute care environments. The medical director has discussions with external… more
    Humana (11/08/24)
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  • Medical Director - National Medicare Team

    Humana (Nashville, TN)
    …adapt and the courage to innovate. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed Medicaid ... a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with...to a Lead Medical Director . The Medical Director conducts Utilization Management of the care more
    Humana (11/08/24)
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  • Medical Director - Mid West Region

    Humana (Nashville, TN)
    …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with...size of region or line of business. The Medical Director conducts Utilization Management of the care more
    Humana (10/29/24)
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  • HR Service Center Director - Onboarding

    HCA Healthcare (Nashville, TN)
    …want to join an organization that invests in you as a HR Shared Services Director - Onboarding? At HCA Healthcare, you come first. HCA Healthcare has committed up to ... and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +...We are looking for a dedicated HR Shared Services Director - Onboarding like you to be a part of… more
    HCA Healthcare (12/10/24)
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  • RN MDS Director

    Nashville Center for Rehabilitation and Healing (Nashville, TN)
    …an understanding of MDS requirements related to varied payers including Medicare, Managed Care and Medicaid + Ensures timely electronic submission of ... RN MDS Director Nashville Center for Rehabilitation and Healthcare Center...and thorough completion of the Minimum Data Set (MDS), Care Area Assessments (CAAs) and Care Plans,… more
    Nashville Center for Rehabilitation and Healing (11/30/24)
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  • Director of Knowledge Management GME

    HCA Healthcare (Brentwood, TN)
    **Description** This position is incentive eligible. **Introduction** The Director Knowledge Management and Scholarly Communications for Graduate Medical Education ... the library's scholarly communications and education initiatives. The GME Director of Knowledge Management and Scholarly Communications will assist physicians,… more
    HCA Healthcare (10/15/24)
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  • Director Pharmacy and Specialty Operations

    HCA Healthcare (Nashville, TN)
    …for all areas of outpatient and specialty drug management + Coordinate with managed care pharmacy leader, 340B leader, and other outpatient focused leaders ... Do you want to join an organization that invests in you as a(an) Director Pharmacy and Specialty Operations? At HealthTrust, you come first. HCA Healthcare has… more
    HCA Healthcare (12/02/24)
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  • Director Payor Relations

    Vanderbilt University Medical Center (Nashville, TN)
    …in patient care , education, and research. **Organization:** Managed Care Contracting **Job Summary:** The Director of Payer Relations is responsible ... to the organization and aligns with strategic objectives. The Director of Payer Relations will work closely with various...of 7-10 years of experience in healthcare payer relations, managed care , or a related field. *… more
    Vanderbilt University Medical Center (11/24/24)
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  • Specialty Clinical Program Director II…

    Prime Therapeutics (Nashville, TN)
    …+ 3 years of work experience in health care , including pharmacy experience in managed care or specialty pharmacy + Must be eligible to work in the United ... drives every decision we make. **Job Posting Title** Specialty Clinical Program Director II - Remote **Job Description** The Specialty Clinical Program Director more
    Prime Therapeutics (12/18/24)
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  • Associate Director of Employer Relations

    Vanderbilt University (Nashville, TN)
    …resume with your application to be considered for this position. The Associate Director of Employer Relations is part of the Career Center at Vanderbilt University ... and full-time professional opportunities for Vanderbilt University students. The Associate Director of Employer Relations manages the Employer Relations team and… more
    Vanderbilt University (11/01/24)
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  • Director , Clinical Product Development/RPh…

    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 ... passion and drives every decision we make. **Job Posting Title** Director , Clinical Product Development/RPh required- REMOTE **Job Description** The Clinical Program… more
    Prime Therapeutics (12/20/24)
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  • Associate Director Of Retail Dining…

    Compass Group, North America (Nashville, TN)
    …position assists the successful operation of Food & Nutrition Services in an Acute Care Hospital. The Associate Director of Food and Nutritional Services will ... assist in the responsibility for all foodservice-related activities; including patient care , non-patient care (retail, cafeteria, catering etc), quality… more
    Compass Group, North America (12/14/24)
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  • Director of International, Global Household…

    HomeSafe Alliance (Nashville, TN)
    **Title:** Director of International, Global Household Goods Moving Services **_HomeSafe Alliance_** is the single global household goods movement manager of over ... the Role** HomeSafe Alliance is seeking a highly skilled and motivated Director of International, Household Goods Moving Services to drive optimization and improve… more
    HomeSafe Alliance (12/21/24)
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  • Corporate Medical Director - Grievances…

    Humana (Nashville, TN)
    …skills + 5 years of established clinical experience + Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products + ... and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims....serve to achieve their best health - delivering the care and service they need, when they need it.… more
    Humana (11/27/24)
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