- Humana (Nashville, TN)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical… more
- Humana (Nashville, TN)
- **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...an in-depth evaluation of variable factors. **Job Profile** The Medical Director actively uses their medical… more
- Humana (Nashville, TN)
- …our caring community and help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or operations. ... The Behavioral Health Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires an… more
- Elevance Health (Nashville, TN)
- **Anticipated End Date:** 2024-09-23 **Position Title:** Medical Director **Job Description:** ** Medical Director ** At **Federal Health Products and ... through Friday 8 am - 5 pm MST, PST or CST.** The ** Medical Director ** is responsible for the administration of physical and/or behavioral health medical… more
- Elevance Health (Nashville, TN)
- **Anticipated End Date:** 2024-10-04 **Position Title:** UM Medical Director - Cardiology **Job Description:** **This position will work a hybrid model (remote ... live within 50 miles of one of our Elevance Health locations.** The Medical Director is responsible for the administration of physical and/or behavioral health … more
- Elevance Health (Nashville, TN)
- **Anticipated End Date:** 2024-09-15 **Position Title:** Behavioral Health Medical Director - Child & Adolescent Psychiatry **Job Description:** Wellpoint, ... appeals reviews within our Medicaid and Medicare programs.** The **Behavioral Health Medical Director ** is responsible for the administration of behavioral… more
- Humana (Nashville, TN)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
- Humana (Nashville, TN)
- **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement ... understand how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical records,… more
- Highmark Health (Nashville, TN)
- **Company :** Endorsed **Job Description :** **GENERAL OVERVIEW** The Medical Director will provide qualified medical direction and consultation for care ... provide clinical leadership and guidance to the regional interdisciplinary team. The medical director collaborates clinically with the APP to insure standards… more
- Humana (Nashville, TN)
- …a part of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and ... preservice appeals. The Corporate Medical Director reviews cases of diverse scope and complexity ranging from moderate to substantial. The Corporate Medical … more
- HCA Healthcare (Nashville, TN)
- …Medicine **Job Summary:** CareNow Urgent Care is recruiting an Urgent Care Area Medical Director with demonstrated leadership qualities to join the management ... As the lead physician for this team under the direction of the Market Medical Director , it is important that the following traits and skills are demonstrated: +… more
- CVS Health (Nashville, TN)
- …clinical coverage and policies. **Primary Job Duties & Responsibilities:** Behavioral Health Medical Director + Collaborates with health plan Sr Leadership to ... directors to ensure the delivery of holistic and integrated person-centered care. The Medical Director will be responsible for provider education regarding best… more
- CVS Health (Nashville, TN)
- …**Position Summary** Aetna, a CVS Health Company, has an exciting opportunity for a Medical Director (Cardiology) that can be remote based, work from home. This ... role can be remote based anywhere in the US. The Medical Director (Cardiology) will be a Subject Matter Expert (SME) with a background in Cardiology specialty,… more
- CVS Health (Nashville, TN)
- …preferably resides in North Carolina and have a NC License without encumbrances.** In the Medical Director role you will provide oversight for medical policy ... implementation. You'll participate in the development, implementation, and evaluation of clinical/ medical programs and expand Aetna's medical management programs… more
- CVS Health (Nashville, TN)
- …**This is a remote based (work from home) role.** In this role has Medical Director (Behavioral Health) you will: * Provide comprehensive behavioral health care ... utilization management team, including the management of high-risk cases and medical necessity decisions * Participate in the development, implementation, and… more
- HCA Healthcare (Nashville, TN)
- …Intensive Care Consortium (ICC) Healthcare is seeking a Critical Care Intensivist Facility Medical Director to lead the TriStar Skyline Medical Center ... month + Work 12-hour shifts covering 47 beds across Medical and Neuro ICU settings + Support the following...+ Unmatched growth and leadership opportunities **About TriStar Skyline Medical Center:** + TriStar Skyline Medical Center… more
- HCA Healthcare (Mount Juliet, TN)
- …Summary:** Tristar Summit Medical Center is seeking an Emergency Medicine Associate Medical Director to become part of our prestigious practice at Mt. Juliet ... CT + Competitive compensation package + Malpractice and tail coverage + Medical and Dental insurance, 401K, Elective Deferral Plan, and Business Expense… more
- HCA Healthcare (Nashville, TN)
- …physician to join their team in Nashville, Tennessee as a leader and medical director for the department. **Qualified Candidates:** + ACGME emergency medicine ... hours of APP coverage + Leadership opportunity **About TriStar Southern Hills Medical Center:** + 126-bed facility with a dedicated nine-bed emergency department +… more
- Bausch + Lomb (Nashville, TN)
- …and clinical expert to field medical teams, brand teams and R&D partners. The Medical Director reports directly to the Executive Director , Medical & ... advancement of eye health in the future. **Position** **Summary** The Medical Affairs Director provides support to the Medical Affairs/Clinical Affairs Group… more
- Merck (Nashville, TN)
- **Job Description** **Role Summary:** + The Field Medical Alignment Director (FMAD) supports the achievement of our scientific and medical strategies across ... the portfolio of Company Products, serving as part of the Country Field Medical Affairs Leadership Team. + Key responsibilities include working on the continuous… more