- 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
- Humana (Nashville, TN)
- … management or utilization management . **Additional Information** Reports to a Lead Medical Director . The Medical Director conducts Utilization ... a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests… 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
- Merck (Nashville, TN)
- **Job Description** **Role Summary** The Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and disease expert who ... SLs, including questions about Company products. The work of an Regional Medical Scientific Director is aligned to: Scientific Exchange, Research, Scientific… more
- Western Digital (Nashville, TN)
- …of action. + Develop, formulate and coordinate property and casualty insurance claims control function at all locations. + Continue review of existing safety, ... environment, loss prevention, employment and security programs as related to the management of risk or accidental loss. + Maintain historical record of all losses,… 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
- Humana (Nashville, TN)
- …functions strategy. + Establishes and oversees Medicaid segment trend mitigation strategy ( claims and revenue management ) + Researches industry trends and ... part of our caring community and help us put health first** The Director , Medicaid Trend Mitigation Strategy provides data-based strategic direction to identify and… more
- 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
- Baylor Scott & White Health (Nashville, TN)
- … claims data to uncover trends and assist in managing and understanding incurred medical and pharmacy cost. - The Director will design, develop, and support ... **Position Overview:** Reporting to the VP, Value-based Care Analytics, the Director of Healthcare Economics and Trend Analytics will support the Baylor Scott &… more
- Humana (Nashville, TN)
- …our caring community and help us put health first** The Actuarial Director , Analytics/Forecasting analyzes and forecasts financial, economic, and other data to ... short, medium and long-term financial and competitive position. The Director , Actuarial Analytics/Forecasting requires an in-depth understanding of how organization… 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
- Elevance Health (Nashville, TN)
- …and utilizes multiple systems. May include oversight of multiple functions within claims , customer service, enrollment and billing, document management , mail ... ** Director of Customer Care II** **Location:** This role...goals strongly preferred. + Experience interacting confidently with senior management and executive level stakeholders, as a subject matter… 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
- Elevance Health (Nashville, TN)
- …policies or new business. May include oversight of multiple functions within claims , customer service, enrollment and billing, document management , mail ... Monday - Friday; 8:00am - 5:00pm CT **Location:** On-site; Nashville, TN The ** Director I Customer Care** is responsible for directing an area responsible for… 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
- Marriott (Nashville, TN)
- …**Schedule** Full Time **Located Remotely?** N **Position Type** Management **JOB SUMMARY** As a member of the property ... * High school diploma or GED; 3 years experience in the human resources, management operations, or related professional area. OR * 2-year degree from an accredited… 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
- Fujifilm (Nashville, TN)
- …Sales Administrator for Latin America and the Caribbean will report to the Director of Sales for ID/Optical Devices/ EID. The primary responsibility of this position ... be to support sales for Latin America and Caribbean accounts currently under management by FNAC. Achieve the division sales plan, provide weekly and monthly detail… more