- Humana (Nashville, TN)
- …for our provider partners and reducing unnecessary costs from the healthcare system. The Utilization Management Strategy Lead role works closely with ... and providers, (3) achieve these outcomes while driving operating efficiency. The Utilization Management Strategy Lead will bring deep expertise in… more
- The Cigna Group (Franklin, TN)
- The Chief Medical Officer (CMO) Utilization Management will develop and manage efforts to improve and maintain cost and utilization trends. Responsible for ... departments of insurance, and similar accreditors/regulators for the performance of all utilization management (UM) programs across the enterprise. The CMO is… more
- Elevance Health (Nashville, TN)
- …At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... **Clinical Operations Associate Medical Director** **Carelon Health** **Genetics Testing Utilization Review** **Location** : The ideal candidate will live within 50… more
- Humana (Nashville, TN)
- …for key Medicaid programs and subpopulations. Areas of focus include Care Management , Quality Improvement, Utilization Management , Population Health, Social ... health first** Humana Healthy Horizons is seeking a Capture Lead , Clinical & Population Health Strategy , to...Medicaid Managed Care Organization (MCO) focusing on Medicaid clinical strategy and population health management strategy… more
- Humana (Nashville, TN)
- …with various stakeholders to drive strategic advancements in the Clinical - Utilization Management operating model. The Advisor must exercise independent ... caring community and help us put health first** The Strategy Advancement Advisor plays a crucial leadership role that...**Manage the operating model elements of the Clinical - Utilization Management (UM) domain** + Serve as… more
- Amazon (Nashville, TN)
- Description Amazon is seeking an experienced Senior Program Manager to lead the strategic planning and execution of our Diesel Yard Hostler fleet strategy for ... rental, safety (supporting), and forecasting strategies to optimize the performance and utilization of our diesel yard hostler fleet. Expected travel 10% or less.… more
- CVS Health (Nashville, TN)
- …optimal cost recovery, parity of service, minimal service impact, and optimal resource utilization . Establish a strategy to aggregate cross-platform data onto a ... health care more personal, convenient and affordable. **Position Summary** The Lead Director of Observability Governance is responsible for leading strategic… more
- Elevance Health (Nashville, TN)
- …At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. ... Nurse Audit Lead - Carelon Payment Integrity **Location:** The ideal...responsible for identifying, monitoring, and analyzing aberrant patterns of utilization and/or fraudulent activities by healthcare providers through prepayment… more
- Under Armour, Inc. (Nashville, TN)
- Technology Adoption Lead **Date:** Sep 14, 2024 **Location:** Remote, US **Company:** Under Armour **Values & Innovation** At Under Armour, we are committed to ... (https://performancemanager8.successfactors.com/sf/careers/jobsearch?bplte\_company=ua&\_s.crb=aNMP8gWoYkBDFn%252bz2BldysgcgQHZpVs6tHzE9smSuXE%253d) **Purpose of Role** The Technology Adoption Lead is responsible for driving successful global… more
- Humana (Nashville, TN)
- …a part of our caring community and help us put health first** The Lead Cloud Solutions Engineer (Network) is responsible for the planning, design, and engineering of ... infrastructure and platforms related to cloud network & cloud computing. The Lead Cloud Solutions Engineer (Network) provides strategic advice and guidance to… more
- Marriott (Nashville, TN)
- …to handle access, and the strategy and governance of the privileged access management + Lead PAM product definition, requirements and development + Lead ... States **Schedule** Full-Time **Located Remotely?** Y **Relocation?** N **Position Type** Management **JOB SUMMARY** The Director of Privileged Access Management … more
- HCA Healthcare (Brentwood, TN)
- …Data Warehouse and BI strategy for Physician Services. The Manager of Data Management and BI will lead the developers in the delivery of Data Warehouse ... diversity and inclusion thrive? Submit your application for our Manager Data Management Business Intelligence opening with HCA Healthcare today and find out what… more
- HCA Healthcare (Nashville, TN)
- …review/ management + You will consult with facility-level staff regarding delegated utilization management and disease management operations under managed ... to overall hospital strategy and service line development to ensure quality management and promote optimum patient experience. What you will do in this role: +… more
- Humana (Nashville, TN)
- …with mandated and corporate policies regarding other departmental areas such as medical management , utilization management , population health and quality. + ... Horizons in Virginia is seeking an Associate Director, Care Management (LTSS/ABD) who will lead teams of...Humana Healthy Horizons deliver on their contractual and business strategy . + Develops educational and training programs for the… more
- HCA Healthcare (Nashville, TN)
- …of HCA Healthcare's intranet and enterprise solutions, alignment of the Digital Collaboration strategy , and vendor management . The ideal candidate will be able ... verbal and written communications skills. The Director of Collaboration Development will lead the digital collaboration strategy by partnering with business… more
- Elevance Health (Spring Hill, TN)
- …associates, and may be involved in process improvement initiatives. + Submits utilization /authorization requests to utilization management with documentation ... plan, engaging the member's circle of support and overall management of the individuals physical health (PH)/behavioral health (BH)/LTSS...creating a culture that is designed to advance our strategy but will also lead to personal… more
- HCA Healthcare (Nashville, TN)
- …management of Purchased Services; contract optimization, standardization and utilization of contracted Purchased Services categories; participates in development ... the GPO Commercial Products National and Custom Contracting Teams; preparation and management of RFPs for various Purchased Services ** Strategy Development,… more
- Medtronic (Nashville, TN)
- …and innovation, while helping champion healthcare access and equity for all. You'll lead with purpose, breaking down barriers to innovation in a more connected, ... able to convey this information in an effective manner to help support optimal utilization of the full product portfolio by the widest range of healthcare providers… more
- Vanderbilt University (Nashville, TN)
- …the use of data. Reporting directly to the Director of Operations and Strategy , the Assistant Director, Data Analytics will work closely with all Career Center ... and Systems to ensure the Career Center's data activities align with CAE's data strategy and the institutional data strategy overall. Outside of CAE, this role… more
- Pearson (Nashville, TN)
- Product Manager - Generative AI Product Strategy in Higher Education Background: Pearson is the world's learning company. We help people of all ages acquire the ... AI in a thoughtful way and adapting our product strategy to meet customer needs and realize the possibilities...This role will report to the Director of Product Management in the Higher Education division at Pearson and… more