- Humana (Nashville, TN)
- …driving health outcomes and cost-effective care for our members. We are seeking a Clinical Investigation Lead to provide strategic direction to drive ... owners across Humana to drive solutions forward. In this role you will lead quantitative and qualitative investigations to identify actionable insights and bring… more
- Elevance Health (Nashville, TN)
- …prior to payment. Researches new healthcare-related questions as necessary to aid in investigations . + Collaborates with the Special Investigation Unit and other ... evaluation of the collected data. + Performs in-depth investigations on identified providers as warranted. + Examines claims...experience, including minimum of 1 year experience in a Clinical Fraud and Abuse Investigation area; or… more
- Elevance Health (Nashville, TN)
- ** Clinical Provider Auditor II** **Supports the Payment Integrity line of business** _Location: This position will work a hybrid model (remote and office). The ideal ... determined to recover, eliminate and prevent unnecessary medical-expense spending. The ** Clinical Provider Auditor II** is responsible for identifying issues and/or… more
- ThermoFisher Scientific (Nashville, TN)
- …step beyond through research, development and delivery of life-changing therapies. With clinical trials conducted in 100+ countries and ongoing development of novel ... frameworks for clinical research through our PPD clinical research...assigned by CTM (eg trip report review, newsletter creation, lead CRA team calls etc). + Facilitates effective communication… more
- Veterans Affairs, Veterans Health Administration (Nashville, TN)
- …and the role informatics plays within the organization. This person will lead multi-disciplinary clinical and technical teams in the evaluation, selection, ... at the VISN and facility levels, including Health Informatics Specialists/ Clinical Applications Coordinators, nursing informaticians, system project managers, and… more
- Veterans Affairs, Veterans Health Administration (Murfreesboro, TN)
- Summary The Lead MSA is responsible for daily workload assessments, assigning work, and assuring proper staffing coverage; evaluating training records; and ... training needs of MSAs to provide support across interdisciplinary settings. The Lead assists the unit with complex and non-standard procedures, including … more
- Omnicell (Nashville, TN)
- …in person and virtual meetings with a high level of effectiveness. + Lead discovery meetings to identify and establish complex customer workflows. + Manage multiple ... Communicate project issues and risks appropriately following escalation procedures. + Lead design conversations with our customers, establish customer workflows and… more
- Takeda Pharmaceuticals (Nashville, TN)
- …identifying, evaluating, and screening qualified research sites for company sponsored clinical investigation + Actively participates in executing USMAO strategy ... molecular pathways, mechanism of action Takeda Oncology products including clinical outcomes and research opportunities. + Formulate and keep...at medical conferences and may "co- lead " a medical conference to inform for being a… more
- Omnicell (Nashville, TN)
- …to transforming pharmacy care through outcomes-centric innovation designed to optimize clinical and business outcomes across all settings of care. We strive ... is helping healthcare facilities worldwide to improve business and clinical outcomes as they move closer to the industry...improve. + In **Doing the Right Thing** , we lead by example in ALL we do. We are… more
- HCA Healthcare (Nashville, TN)
- …the data response process, and issue resolution with compliance reviews and investigations invoked by the US Department of Health and Human Services' Office ... all lines of business and project partners (eg, the Clinical Services Group, Internal Audit, Legal, Ethics and Compliance,...our patients and the growth of HCA. Required + Lead and Develop Others: Ability to lead … more
- Permobil (Lebanon, TN)
- …our customers can trust us to provide market-leading solutions driven by insights-based clinical data. You will provide leadership to the Complaint Analysts who are ... Analysts makes consistent and accurate complaint determination decisions Ensures complaint investigations are processed in a uniform and timely manner, to meet… more
- Veterans Affairs, Veterans Health Administration (Clarksville, TN)
- …team, VA medical centers, and other agencies. The AMSA will work with the Lead AMSA in setting priorities and deadlines, providing input in problem solving on ... Clinic AMSA GS-0679-6 will be given direction and guidance by the Clinic Lead MSA, GS-0679-7 and/or the Clinic Supervisory MSA, GS-0679-8.Meets the needs of… more
- HCA Healthcare (Nashville, TN)
- …of staff. + Builds and maintains relationships with business operations, CereCore lead , ITG, Industry groups, ITG, and vendors. + Organizes, plans, assigns, and ... + Excellent verbal and written and communication skills + Critical thinking and investigation skills necessary to quickly and effectively assess the impact of a… more