- e CancerCare (Nashville, TN)
- …with Health Insurance companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible ... aligns negotiation with strategy. Essential Functions: In collaboration with the Director of Managed Care , negotiate and manage assigned contracts, including… more
- Humana (Nashville, TN)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with...size of region or line of business. The Medical Director conducts Utilization Management of the care … more
- Humana (Nashville, TN)
- …services (such as inpatient rehabilitation). **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... management. The clinical scenarios predominantly arise from inpatient or post-acute care environments. The medical director has discussions with external… more
- Humana (Nashville, TN)
- …management, or similar activities **Preferred Qualifications:** + Knowledge of the managed care industry, Integrated Delivery Systems, health insurance, or ... community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare...staff to provide Humana members with optimal value based care in accordance with Medicare and Humana policy. All… more
- HCA Healthcare (Nashville, TN)
- …want to join an organization that invests in you as a HR Shared Services Director - Onboarding? At HCA Healthcare, you come first. HCA Healthcare has committed up to ... and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. +...We are looking for a dedicated HR Shared Services Director - Onboarding like you to be a part of… more
- HCA Healthcare (Nashville, TN)
- …and authorization of level of care . + Offers input on managed care contracting issues, best demonstrated practices, process improvement and utilization ... of over 180 hospitals and about 2,000 sites of care in 21 states and the United Kingdom. We...the United Kingdom. We are looking for a Medical Director for our Work from Home team where excellence… more
- Nashville Center for Rehabilitation and Healing (Nashville, TN)
- …an understanding of MDS requirements related to varied payers including Medicare, Managed Care and Medicaid + Ensures timely electronic submission of ... RN MDS Director Nashville Center for Rehabilitation and Healthcare Center...and thorough completion of the Minimum Data Set (MDS), Care Area Assessments (CAAs) and Care Plans,… more
- HCA Healthcare (Brentwood, TN)
- **Description** This position is incentive eligible. **Introduction** The Director Knowledge Management and Scholarly Communications for Graduate Medical Education ... the library's scholarly communications and education initiatives. The GME Director of Knowledge Management and Scholarly Communications will assist physicians,… more
- LifePoint Health (Brentwood, TN)
- …7-10 years of healthcare leadership experience in a multi-group practice, integrated health care system or managed care organization. Leadership experience ... * Director Clinical Integration Network* *Who we are:* At...60 rehabilitation/behavioral health hospitals, and 250 additional sites of care across the United States.As an organization, we are… more
- Gallatin Center for Rehabilitation and Healing (Gallatin, TN)
- …Effectively managing key relationships with hospital therapists, physicians, key hospital staff, managed care providers, rehab suppliers, and other key referral ... GENERAL PURPOSE: The Assistant Director of Rehabilitation is responsible to assist with all but not limited to internal departmental communication and operations,… more
- HCA Healthcare (Nashville, TN)
- …for all areas of outpatient and specialty drug management + Coordinate with managed care pharmacy leader, 340B leader, and other outpatient focused leaders ... Do you want to join an organization that invests in you as a Director Clinical Pharmacy and Specialty Operation? At HealthTrust, you come first. HCA Healthcare has… more
- Cardinal Health (Nashville, TN)
- …intersection of 340B and Medicaid, including duplicate discounts, fee-for-service versus managed care , medical versus pharmacy, and entity-owned versus contract ... value that supports the patient throughout the continuum of care . The team's mission is to provide exceptional clinical,...well as having 340B expertise to drive success for Managed Services onsite staff. This is an individual contributor… more
- Bristol Myers Squibb (Nashville, TN)
- …area + Concentrate field-facing activities on specific accounts, which include regional managed care accounts and key integrated delivery networks in order ... of experience + Minimum ten years of previous work experience in the pharmaceutical, managed care , or consulting industries with a primary focus on Market Access… more
- Bayer (Nashville, TN)
- …this knowledge to address individual customer concerns; + Broad knowledge of Medicare, managed care , third party payers and Medicaid; + Demonstrated excellence ... diverse minds to make a real difference, there's only one choice.** **Associate Director - Field Reimbursement - Oncology Tennessee Valley** **Associate Director … more
- Vanderbilt University (Nashville, TN)
- …resume with your application to be considered for this position. The Associate Director of Employer Relations is part of the Career Center at Vanderbilt University ... and full-time professional opportunities for Vanderbilt University students. The Associate Director of Employer Relations manages the Employer Relations team and… more