- Ryder System (Nashville, TN)
- …of assigned staff. Assists Director with other staff as directed. Work with Director and other management team to develop tactics and strategies to achieve ... staff. Handles commercial lines bodily injury and property damage claims as well as insurance and contractual coverage issues....annual metrics and other KPI's + Participates with the Director in the selection and management of… more
- HCA Healthcare (Nashville, TN)
- …department and company strategy and philosophy of proactive, efficient and effective claims management . + Continuous and appropriate documentation within, and ... and administration of special projects as assigned by the Claims Director , HCI President and VP of...industry trends, changes in laws and rules affecting liability claims management decisions. **People** + Work collaboratively… more
- CVS Health (Nashville, TN)
- …during the plan year. The **Medicare** **Benefits Standards & Guidance Lead Director ** ensures accountability for the implementation, management , and maintenance ... Employer Groups. The **Medicare** **Benefits Standards & Guidance Lead Director ** acts as the point of contact to our...such as Benefit & Product Strategy, Benefits & Product claims configuration, Medicare Service Operations (MSO), Medical … more
- Humana (Nashville, TN)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members in the… more
- Humana (Nashville, TN)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
- Humana (Nashville, TN)
- … management or utilization management . **Additional Information** Reports to a Lead Medical Director . The Medical Director conducts Utilization ... a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests… more
- LifePoint Health (Brentwood, TN)
- …serve on work groups and committees. * Perform benchmarking and analyze risk management claims data to identify trends, opportunities and understanding of ... * Director , Clinical Risk Management /Solutions - Behavioral...accompany. * Review professional and general liability events / claims to identify opportunities to manage risk, prevent loss… more
- Ascension Health (Nashville, TN)
- …market. Must be located with in the TN market. We're looking for an experienced Director of Utilization Management to join our team! In this pivotal role, you'll ... optimize patient care and partner with the National Senior Director of UM to align on organizational goals. Ready...within the insurance plan. + Ensure integration of utilization management functions with network strategy and claims … more
- HCA Healthcare (Smyrna, TN)
- …team of daring managers who care without reservations or limits? Our TriStar StoneCrest Medical Center team is looking for a Patient Safety Director . HCA ... over the course of three years. **Benefits** TriStar StoneCrest Medical Center offers a total rewards package that supports...across the country? Apply today to our Patient Safety Director and be a part of the innovation of… more
- Wellpath (Nashville, TN)
- …and documentation of business cycle processes to maintain compliance. + Collaborate with claims , risk management , and legal teams to ensure accurate financial ... * Growth and training **Perks and Benefits** In addition to comprehensive benefits including medical , dental, vision, paid time off, and 401k, we foster a work, life… more
- Prime Therapeutics (Nashville, TN)
- …our passion and drives every decision we make. **Job Posting Title** Senior Director of Underwriting - REMOTE **Job Description** The Sr. Director Underwriting ... for prospective clients and new customer acquisitions. **Responsibilities** + Analyze claims data and develop cost-of-care projections for existing customer renewals… more
- Sedgwick (Nashville, TN)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Marketing Analytics Director **PRIMARY PURPOSE OF THE ROLE:** The Marketing Analytics Director ... growth opportunities + A diverse and comprehensive benefits offering including medical , dental vision, 401K, PTO and more Work environment requirements for… more
- CVS Health (Nashville, TN)
- …+ Innovation and ideation around new areas of data driven impact around medical cost and patient experience + Work closely with other development teams to ... experience in developing and operating innovative healthcare analytic solutions utilizing member, claims , clinical and provider data + 10+ years working with… more
- Trustmark (Nashville, TN)
- …+ Collaborate with the sales leadership teams of VP of Sales & Client Management , Senior Directors' Sales, and the whole sales team to maximize opportunities. + ... accounting of activities and sales. + Collaborate with and support the Client Management team to assure persistency goals are being achieved. + Review national… more
- Community Health Systems (Franklin, TN)
- …Billing/Coding preferred + 2-4 years of experience in medical billing, insurance claims processing, or revenue cycle management required + 1-3 years in ... is responsible for managing complex billing functions, ensuring timely and accurate claims processing, and resolving issues related to insurance payments and account… more
- UMB Bank (Nashville, TN)
- …across all payment channels. Will work with the Enterprise Fraud Prevention and Claims teams to provide data to help identify emerging fraud trends and UMB's ... concert with the Enterprise Fraud Prevention and Enterprise Fraud Claims teams to identify fraud exposure and make necessary...to fulfill overall business needs and expectations of the Director of Enterprise Fraud Operations and the bank's senior… more
- Prime Therapeutics (Nashville, TN)
- …understanding of pharmaceutical claims data and general understanding of medical claims data; highly analytical + Experience identifying opportunities for ... and leadership expectations. + Serves as a consultant to management on major matters pertaining to laws and regulations,...ability to adjust focus **Reporting Structure** + Reports a Director in the Compliance department Potential pay for this… more
- Cardinal Health (Nashville, TN)
- …on policies. **_Manager, Ethics and Compliance_** Reporting to the Compliance Director , this position is responsible for supporting the programmatic requirements for ... focus include: compliance training, policy development, exclusion screening tracking, management of investigations and development of programmatic presentation materials.… more
- HCA Healthcare (Nashville, TN)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more
- HCA Healthcare (Brentwood, TN)
- …and retirement of our colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no cost or for a low ... health coverage as well as free telemedicine services and free AirMed medical transportation. + Additional options for dental and vision benefits, life and… more