- Novo Nordisk Inc. (Nashville, TN)
- …with Sickle Cell Disease Coordinate policy initiatives with Government Affairs Territory Management and Planning The SC CL will develop, maintain, and execute a ... own care resulting in patient driven demand for NNI products (once available) Lead planning, execution, and pull-through of speaker programs for the education of… more
- Evolent Health (Nashville, TN)
- …resolutions, driving results, and collaborating with others. **Collaboration Opportunities** : The Lead Nurse of Utilization Management is responsible for ... UM Manager in supervising the operational productivity of the Utilization Management nurses by implementing and maintaining...flow of information through the UM department. The UM Lead , in collaboration with the UM Manager and Director,… more
- The Cigna Group (Franklin, TN)
- The Chief Medical Officer (CMO) Utilization Management will develop and manage efforts to improve and maintain cost and utilization trends. Responsible for ... departments of insurance, and similar accreditors/regulators for the performance of all utilization management (UM) programs across the enterprise. The CMO is… more
- Elevance Health (Nashville, TN)
- ** Utilization Management Representative I** **Location** : This is a remote position. Ideal candidates will live within 50 miles of an Elevance Health PulsePoint ... Schedule : Monday - Friday 8am - 5pm The ** Utilization Management Representative I** is responsible for...is designed to advance our strategy but will also lead to personal and professional growth for our associates.… more
- CVS Health (Nashville, TN)
- …health care more personal, convenient and affordable. **Position Summary** The Lead Director of Observability Governance is responsible for leading strategic ... standards to meet the needs of all CVS Health businesses. As a Lead Director of Observability Governance, you will collaborate with observability engineering and… more
- Humana (Nashville, TN)
- …for key Medicaid programs and subpopulations. Areas of focus include Care Management , Quality Improvement, Utilization Management , Population Health, Social ... health first** Humana Healthy Horizons is seeking a Capture Lead , Clinical & Population Health Strategy, to lead...health of the communities it serves. The **Medicaid Capture Management ** team's purpose is to successfully position Humana to… more
- Elevance Health (Nashville, TN)
- **RN Hospital Bill Audit/Appeal Lead ** **Supports the Carelon Payment Integrity line of business** _Location: This position will work a hybrid model (remote and ... eliminate and prevent unnecessary medical-expense spending. The **RN Hospital Audit/Appeal Lead ** is responsible for leading a team of clinicians responsible for… more
- Humana (Nashville, TN)
- …+ Develop and implement strategies to enhance program efficiency, ensuring optimal utilization of resources. + **Description Management :** + Oversee the ... first** The Medicaid Long-Term Supports and Services (LTSS) Process Improvement Lead analyzes and measures the effectiveness of existing business processes and… more
- Humana (Nashville, TN)
- …a part of our caring community and help us put health first** The Lead Cloud Solutions Engineer (Network) is responsible for the planning, design, and engineering of ... infrastructure and platforms related to cloud network & cloud computing. The Lead Cloud Solutions Engineer (Network) provides strategic advice and guidance to… more
- Merck (Nashville, TN)
- …for this hybrid position will have responsibilities as both an Institutional Account Lead (IAL) and Payer Account Executive within the assigned geography and for ... but are not limited to the following:** The IAL Hybrid Institutional Account Lead / Payer Account Executive will manage the business relationship between our Company… more
- Amazon (Nashville, TN)
- …Transportation org is expanding and introducing new capabilities to our Fleet Management business that supports all Middle Mile assets (tractors, trailers, box ... vision, roadmap and driving program execution of our Fleet Management business with a specific focus on maximizing warranty... business with a specific focus on maximizing warranty utilization for trailers and power units. This will be… more
- Amazon (Madison, TN)
- …we're looking for, please consider applying. About the Role: As a Control Systems Lead , you will lead service technicians on the team with maintaining, ... expertise in material handling and electronic control systems to maximize building utilization of systems - Monitor MHE metrics and partner with Controls Technicians… more
- Amazon (Mount Juliet, TN)
- …we're looking for, please consider applying. About the Role: As a Control Systems Lead , you will lead service technicians on the team with maintaining, ... expertise in material handling and electronic control systems to maximize building utilization of systems - Monitor MHE metrics and partner with Controls Technicians… more
- GAF (Nashville, TN)
- …a financial budget, strategic project execution (fleet growth) regulatory compliance, and utilization metrics. The Director of Asset Management will create a ... service lease to a hybrid (majority owned) fleet. + Lead the asset utilization drive and work...or 10+ years of experience in asset lifecycle, maintenance management and asset utilization leadership + 7+… more
- Evolent Health (Nashville, TN)
- …with others. **Collaboration Opportunities:** + The Manager, Client Services oversees daily utilization management and directs the medical care of our members ... in a supporting role to the Director, Intake and Utilization Management Operations. + This individual will...Management Operations. + This individual will not only lead a production team but will also work closely… more
- Marriott (Nashville, TN)
- …used to handle access, and the strategy and governance of the privileged access management + Lead PAM product definition, requirements and development + Lead ... States **Schedule** Full-Time **Located Remotely?** Y **Relocation?** N **Position Type** Management **JOB SUMMARY** The Director of Privileged Access Management … more
- Humana (Nashville, TN)
- …services, social sciences, or health related field. + Previous experience in utilization management , discharge planning and/or home health or rehabilitation. + ... Humana Healthy Horizons in Virginia is seeking a Manager, Care Management (LTSS-ABD) who will lead a team of nurses and behavior health professionals responsible… more
- HCA Healthcare (Nashville, TN)
- …review/ management + You will consult with facility-level staff regarding delegated utilization management and disease management operations under managed ... ongoing in-service programs to facility medical staff regarding clinical resource management , appropriate documents standards, utilization and quality issues,… more
- HCA Healthcare (Nashville, TN)
- …cohesive, iterative Change Strategy. + Report and escalate issues and risks to the Change Management lead as necessary. + **This job may require up to 50% ... environment where diversity and inclusion thrive? Submit your application for our Change Management Manager opening with HCA Healthcare today and find out what it… more
- Humana (Nashville, TN)
- …interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , discharge ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more