- Cardinal Health (Nashville, TN)
- …HMO, ACO, clinically integrated network preferred + Must possess experience with negotiating managed care / health plan contracts, administering and ... about helping oncology practices navigate the future. The Director, Managed Care is responsible for strategy and...well-being. Medical, dental and vision coverage Paid time off plan Health savings account (HSA) 401k savings… more
- Cardinal Health (Nashville, TN)
- …to the National VP of Sales, the Director, Sales & Business Development - Managed Care is an individual contributor, executive sales position. This individual ... at decision-makers and decision influencers at existing and new managed care accounts. This individual must be...Medical, dental and vision coverage + Paid time off plan + Health savings account (HSA) +… more
- e CancerCare (Nashville, TN)
- …. Support Managed Care team with matters relating to external providers, plan sponsors regulatory agencies, managed care payers, and the community. . ... Health care reimbursement experience in a health system, consulting firm, or with a managed care payer preferred. Knowledge of basic Microsoft Office… more
- HCA Healthcare (Nashville, TN)
- …a part of our team. **Job Summary and Qualifications** The Managing Counsel for Managed Care Litigation is a leadership role within HCA's 270-person global legal ... Healthcare offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...high-performing team of lawyers and staff members who handle managed care disputes for HCA that require… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Senior Counsel, Managed Care ? At HCA Healthcare, you come first. HCA Healthcare has committed up to ... Healthcare offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...Counsel like you to be a part of our Managed Care Contracting team. **Job Summary and… more
- HCA Healthcare (Nashville, TN)
- …you to be a part of our team. **Job Summary and Qualifications** As a Managed Care Litigation Paralegal, you will work both independently and under direction of ... Healthcare, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...support all phases of the arbitration and/or litigation of managed care disputes. You will be responsible… more
- HCA Healthcare (Brentwood, TN)
- …Do you want to join an organization that invests in you as a Director Managed Care ? At HCA Healthcare, you come first. HCA Healthcare has committed up ... Healthcare, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...a difference. We are looking for a dedicated Director Managed Care like you to be a… more
- S&P Global (Nashville, TN)
- …provide everything you-and your career-need to thrive at S&P Global. Our benefits include: + Health & Wellness: Health care coverage designed for the mind ... use):** 07 **About the Role:** **The Team:** S&P Global Managed Data Services aims to provide the highest level...compensation, this role is eligible for an annual incentive plan . This role is eligible to receive additional S&P… more
- Highmark Health (Nashville, TN)
- …**Preferred** + 1 year in Medical Management in a Health Insurance Plan ; strong knowledge of managed care industry **LICENSES AND CERTIFICATION** ... + Listening + Telephone Skills + General Computer Skills + Clinical Software + Managed Care **Language (Other than English)** None **Travel Required** 0% - 25%… more
- Humana (Nashville, TN)
- …, or a related field **AND** three (3) to five (5) years of prior experience leading managed care health plan operations **OR** Five (5) to seven (7) ... years of prior experience leading managed care health plan operations. + Minimum two (2) years of prior experience leading integrated LTSS programs such… more
- HCA Healthcare (Nashville, TN)
- …Program + A minimum of one-year experience reviewing medical records for medical necessity in a managed care , health plan , and/or hospital setting + A ... giving back! **Benefits** Parallon, offers a total rewards package that supports the health , life, career and retirement of our colleagues. The available plans and… more
- Humana (Nashville, TN)
- …or related field. + Three (3) or more years of previous experience working in a managed care field. + Previous experience in a field based or a homecare-based ... Humana Healthy Horizons in Virginia is seeking a Manager, Care Management (Physical Health ) who will lead...per yearThis job is eligible for a bonus incentive plan . This incentive opportunity is based upon company and/or… more
- Option Care Health (Nashville, TN)
- …home infusion provider, there is no limit to the growth of your career.** Option Care Health , Inc. is the largest independent home and alternate site infusion ... Through our clinical leadership, expertise and national scale, Option Care Health is re-imagining the infusion ...Evaluate, develop, and implement strategies for key partnerships with health plan subsidiaries and large employer groups.… more
- CVS Health (Nashville, TN)
- …with MCO's clinical leadership as needed for integration of all health care needs and services for aligned plan 's members. Position Description: Aetna ... This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world....Behavioral Health Medical Director + Collaborates with health plan Sr Leadership to identify, develop,… more
- CVS Health (Nashville, TN)
- …of your health . This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with ... our ability to innovate and deliver solutions to make health care more personal, convenient and affordable....field as a psychiatrist. **Preferred Qualifications** * Experience with managed care , as a provider and manager… more
- Humana (Nashville, TN)
- …health management strategies or products. + 5+ years of experience supporting Medicaid managed care health services operations and the Medicaid managed ... model. + Lead cross-functional teams of growth partners and health plan leaders to design high-impact, innovative,...experience in strategy consulting supporting Medicaid managed care clinical strategy and population health management… more
- Somatus (Nashville, TN)
- …and members. **_Preferred_** + 2 or more years of NP experience preferred. + Managed Care /IPA/ Health Plan experience. + Experience conducting annual ... in delivering premium care to every patient. Primary duties include patient health assessment, creating strategies to improve or manage patient's health , and… more
- Humana (Nashville, TN)
- … first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. The Behavioral Health Medical ... services such as inpatient rehabilitation **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed … more
- HCA Healthcare (Nashville, TN)
- …specialty referrals, as appropriate, for conditions/needs managed outside the primary care realm Population Health + Assists with practice and provider ... forms (PAFs) + Understands and addresses short term behavioral health care gaps as needed Transitions of...and/or behavioral care management + Creates a care management action plan with the patient/caregiver… more
- HCA Healthcare (Nashville, TN)
- …our team. **Job Summary and Qualifications** The Senior Counsel role will manage managed - care litigation, arbitration and other disputes with managed - care ... Healthcare offers a total rewards package that supports the health , life, career and retirement of our colleagues. The...role will analyze and advise internal clients about potential managed - care claims or disputes, as well as… more