• Associate Director - Field Reimbursement…

    Bayer (Nashville, TN)
    …diverse minds to make a real difference, there's only one choice.** **Associate Director - Field Reimbursement - Oncology Tennessee Valley** **Associate Director ... + Govt, National and local Commercial Payer experience, State Medicaid , and Managed Plans; + Experience in educating and...up; + Proven experience in flexibility and adaptability Territory Management ; + Ability to engage and navigate HCPs in… more
    Bayer (09/29/24)
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  • Clinical Program Development Director

    Prime Therapeutics (Nashville, TN)
    …Clinical Program Development Director contributes to the development of drug management strategy for the designated clinical product domain (ie Utilization ... and clients within designated clinical product domain; may oversee clinical product management processes to ensure compliance with client delegation or… more
    Prime Therapeutics (11/01/24)
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  • Business Change Director (Quality Control…

    Elevance Health (Nashville, TN)
    **JR130960 Business Change Director (Quality Control Test Architect, PBM systems)** CarelonRx's Business Operations org is looking to hire a PBM Test Program Manager ... This high-performing individual contributor will be responsible for working with management to identify and implement varied projects, programs and plans that… more
    Elevance Health (10/04/24)
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  • Director , Specialty Clinical Solutions-…

    Prime Therapeutics (Nashville, TN)
    …passion and drives every decision we make. **Job Posting Title** Director , Specialty Clinical Solutions- RPH/PharmD required- REMOTE **Job Description Summary** ... Medical Pharmacy Strategy. + Job Description + Supports overall Medical Pharmacy Product line for health plans through validated program enhancements, creation of… more
    Prime Therapeutics (08/23/24)
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  • Client Success Lead (Consultant) - Northwest…

    Public Consulting Group (Nashville, TN)
    …the important points of intersection and overlap between our Special Education/Case Management and school-based Medicaid services work within a state; regularly ... to efficiently and effectively implement, support, and optimize clients.Collaborate with Product to identify system improvements and opportunities for automation +… more
    Public Consulting Group (10/02/24)
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  • Health Plan Account Dir Sr - Remote

    Prime Therapeutics (Nashville, TN)
    …Plan Account Dir Sr - Remote **Job Description** The Sr Health Plan Account Director leads the development and execution of strategic plans for health plans or ... exceptional service. As necessary, this position will oversee a cross-functional account management team, with representation across all lines of business, and key… more
    Prime Therapeutics (10/25/24)
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  • Client Success Partner (Client Service Associate…

    Public Consulting Group (Nashville, TN)
    …must effectively integrate capabilities in client management and project management , collaborating with Operations, Product , Program Integrity, and other ... support the delivery of health-related services by helping schools access critical Medicaid reimbursement. Client Success Partners (CSP) are key members of the… more
    Public Consulting Group (10/08/24)
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  • Compliance Principal - Remote

    Prime Therapeutics (Nashville, TN)
    …within strict timelines, under pressure. + Working knowledge of Medicare Part D, Medicaid , state healthcare product or program related regulations and/or Health ... and leadership expectations. + Serves as a consultant to management on major matters pertaining to laws and regulations,...within a highly regulated industry, including experience with Medicare, Medicaid , and the Affordable Care Act (ACA) + Must… more
    Prime Therapeutics (10/11/24)
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  • Lead Full Stack Engineer

    Humana (Nashville, TN)
    …solutions for one of the leading healthcare organizations. Reporting to the Associate Director of our Experience Team and partnering with Architecture and Product ... front-end development, back-end development, database integrations, network and hosting management , user interface, user experience, and back-end server … more
    Humana (10/29/24)
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