- Humana (Nashville, TN)
- …our caring community and help us put health first** Humana Healthy Horizons is seeking an Associate Director , Medicaid Provider Services to serve in a ... and leading teams, and working in matrixed environments. The Associate Director , Medicaid Provider...subject matter expert on provider relations and provider engagement/performance improvement. + Provide oversight of… more
- Humana (Nashville, TN)
- …are best suited for this role. The Associate Director , Medicaid Implementation (Business Project Management) will provide oversight to the development of ... put health first** Humana Healthy Horizons is seeking an Associate Director , Medicaid Implementation (Business...used only if approved by leadership. + Humana will provide Home or Hybrid Home/Office associates with telephone equipment… more
- Humana (Nashville, TN)
- …a part of our caring community and help us put health first** The Associate Director , Agile Coaching guides, educates, and mentors organizational leaders and ... and practices including Scrum, Kanban and Scaled Agile Framework (SAFe). The Associate Director , Agile Coaching requires a solid understanding of how… more
- Humana (Nashville, TN)
- …a part of our caring community and help us put health first** The Associate Director , Security Architecture will play a key role in implementing security ... frameworks to ensure the enterprise can achieve the enterprise security strategy. The Associate Director , Security Architecture will play a key role in… more
- Humana (Nashville, TN)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Nashville, TN)
- …**Additional Information** Typically reports to a Lead, may also report to a Regional/ Associate Vice President or Corporate Medical Director , depending on size ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Humana (Nashville, TN)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
- Humana (Nashville, TN)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical records, synthesizing complex… more
- Humana (Nashville, TN)
- …to provide equitable healthcare for all. HESI is seeking a Director of Enterprise Solutions and Transformation to provide strategic thought leadership; ... of our caring community and help us put health first** The Director , Strategy Advancement provides data-based strategic direction to identify and address business… more
- Humana (Nashville, TN)
- …our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The ... Corporate Medical Director works on problems of diverse scope and complexity...+ Knowledge of the managed care industry including Medicare, Medicaid and or Commercial products + Must be passionate… more
- Humana (Nashville, TN)
- …load balancing and collaboration + Escalations unable to be resolved by the Associate Director of Product Management or Principal + Oversee the product ... part of our caring community and help us put health first** The Director , Product Management conceives of, develops, delivers, and manages products for customer use.… more
- Humana (Nashville, TN)
- …Best Places to Work, and be a part of our dynamic team as the Director of Technology Solutions. We are on a mission to revolutionize our Customer Relationship ... your chance to make a substantial impact! As the Director of Technology Solutions, you will spearhead the strategy...Effectively lead a high-performing team of associates consisting of Associate Directors, Lead Architects, Tech Leads, and more. +… more
- Public Consulting Group (Nashville, TN)
- …support the delivery of health-related services by helping schools access critical Medicaid reimbursement. Client Success Partners (CSP) are key members of the ... PCG services. This position may report to either a SBS COE Client Success Director or a Client Success Lead. **Duties and Responsibilities** _Clients_ + Own and… more
- CenterWell (Nashville, TN)
- …Medicine or Geriatric Medicine preferred + Active and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum of two ... team-based care environment. We are a value based care provider focused on quality of care for the patients...Referral Coordinators and more. Our approach allows us to provide an unmatched experience for seniors. Our model is… more
- HCA Healthcare (Nashville, TN)
- …location._** Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the Parallon ... as needed to obtain missing documentation when applicable. Ability to associate clinical and coding information to national and local coverage determination.… more
- HCA Healthcare (Nashville, TN)
- …to details is required. The Compliance Nurse TL will be assisting the Director of Payer Analysis with training, education and performing on-going quality assessments ... to ensure that policies and procedures are followed + Meets with the Director regularly to effectively communicate and resolve issues, set and prioritize goals and… more
- HCA Healthcare (Nashville, TN)
- …a Cardiovascular Data Abstractor II for our team to ensure that we continue to provide all patients with high quality, efficient care. Did you get into our industry ... as required. + Attend educational activities as approved by Manager or Director . + Maintain clinical knowledge of various abstracted measures. + Communicate in… more