• Organon & Co. (Nashville, TN)
    **Job Description** **The Position** The Regional Payer Account Director (RPAD) reports directly to the Executive Director , Regional Payer Accounts. The RPAD ... will develop and manage business relationships through productive business relationships as...solutions that enhance partnership. Collaborating with the National Account Director , the RPAD participates in the development of, as… more
    DirectEmployers Association (11/26/25)
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  • Director Pharmacy Benefit

    HCA Healthcare (Nashville, TN)
    …**Introduction** Do you want to join an organization that invests in you as a Director Pharmacy Benefit Business Development? At HealthTrust, a division ... make a difference. We are looking for a dedicated Director Pharmacy Benefit Business...years minimum of previous experience in pharmacy benefits , PBM service HR consulting, business development,… more
    HCA Healthcare (09/19/25)
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  • PRN Director Pharmacy Solutions

    HCA Healthcare (Nashville, TN)
    …Do you want to join an organization that invests in you as a PRN Director Pharmacy Solutions? At HealthTrust, a division of HCA, you come first. HCA ... incredible team members over the course of three years. ** Benefits ** Work from Home offers a total rewards package...a difference. We are looking for a dedicated PRN Director Pharmacy Solutions like you to be… more
    HCA Healthcare (10/10/25)
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  • Lead Director , Pharmacy Appeals

    CVS Health (Nashville, TN)
    …guiding other internal business units to resolve issues quickly. The Lead Director , Pharmacy Appeals is also responsible for working with the Presidential ... heart, each and every day. **Position Summary** The Lead Director , Pharmacy Appeals will lead a team...processes, and being a leader working with other internal business units to develop new solutions to meet the… more
    CVS Health (12/07/25)
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  • Pharmacy Product Director - Medicare…

    Highmark Health (Nashville, TN)
    …multiple projects while successfully meeting all deadlines + Familiarity with pharmacy benefit management processes or operations **SCOPE OF RESPONSIBILITY** ... of care data **Substitutions** + None **Preferred** + Masters of Pharmacy or Masters of Business Administration + AMCP-ASHP accredited residency in managed care … more
    Highmark Health (11/14/25)
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  • Medical Director - Pharmacy Appeals

    Humana (Nashville, TN)
    …a part of our caring community and help us put health first** The Medical Director relies on broad clinical expertise to review Medicare drug appeals (Part D & B). ... The Medical director work assignments involve moderately complex to complex issues...National and Local Coverage Determinations, CMS-recognized Compendia, NCCN, Humana Pharmacy Policies and Procedures, and clinical literature as appropriate.… more
    Humana (12/03/25)
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  • Senior Director Business Development

    HCA Healthcare (Nashville, TN)
    …field required + 10 years minimum of previous experience in pharmacy benefits , PBM service HR consulting, business development, sales operations and 5 years ... an organization that invests in you as a Senior Director Business . At HealthTrust, a division of...incredible team members over the course of three years. ** Benefits ** HCA offers a total rewards package that supports… more
    HCA Healthcare (11/26/25)
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  • Senior Manager, Pharmacy Pricing

    RxBenefits (Nashville, TN)
    In this multi-disciplinary, cross functional role, the Senior Manager, Pharmacy Pricing will report to the Director , Pharmacy Pricing & Analytics. The Senior ... issues involving performance discrepancies, claims issues, and reporting. The successful Pharmacy Pricing Senior Manager will be able to manage multiple projects… more
    RxBenefits (12/10/25)
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  • Clinical Account Director - Remote

    Prime Therapeutics (Nashville, TN)
    …the future of pharmacy with us. **Job Posting Title** Clinical Account Director - Remote **Job Description** The Clinical Account Director is responsible for ... + Coordinate formulary management for the client including, client specific Pharmacy &Therapeutics (P&T) or business committee decision making and… more
    Prime Therapeutics (12/07/25)
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  • PCO Medical Director - UM - Part Time…

    CenterWell (Nashville, TN)
    …one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing ... community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews...Humana processes, as well as a focus on collaborative business relationships, value-based care, population health, or disease or… more
    CenterWell (11/06/25)
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  • Clinical Account Director

    RxBenefits (Nashville, TN)
    …that meet client needs. The Director is ultimately responsible for a pharmacy benefits relationship that meets client intent for access, service and ... drive a mutually beneficial partnership. This role requires a strong background in pharmacy combined with exceptional business acumen to effectively oversee the… more
    RxBenefits (11/08/25)
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  • Medical Director - Medicaid N. Central

    Humana (Nashville, TN)
    …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 ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
    Humana (10/25/25)
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  • RN Branch Director , Home Health

    CenterWell (Nashville, TN)
    …one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing ... and help us put health first** Reports To: Market Executive - Director , Area Home Health Branch Administration FLSA: Exempt **Work Schedule** : Full-time/40… more
    CenterWell (12/09/25)
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  • Branch Director , Home Health

    CenterWell (Nashville, TN)
    …one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing ... community and help us put health first** $10K Sign-On Bonus The Branch Director is accountable for managing the day-to-day branch operations to ensure the following:… more
    CenterWell (12/11/25)
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  • PRN Director Clinical Resource Management

    HCA Healthcare (Nashville, TN)
    …Do you want to join an organization that invests in you as a PRN Director Clinical Resource Management? At HealthTrust, a division of HCA, you come first. HCA ... incredible team members over the course of three years. ** Benefits ** HCA offers a total rewards package that supports...a difference. We are looking for a dedicated PRN Director Clinical Resource Management like you to be a… more
    HCA Healthcare (12/03/25)
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  • Associate Director , Strategic Planning…

    Otsuka America Pharmaceutical Inc. (Nashville, TN)
    …**Application Deadline** : This will be posted for a minimum of 5 business days. **Company benefits :** Comprehensive medical, dental, vision, prescription drug ... The Associate Director , Strategic Planning & Operations will support the...benefits . Come discover more about Otsuka and our benefit offerings; https://www.otsuka-us.com/careers-join-otsuka . **Disclaimer:** This job description is… more
    Otsuka America Pharmaceutical Inc. (12/11/25)
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  • VP & Medical Director

    Travelers Insurance Company (Nashville, TN)
    …level included in this posting. To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/ benefits / . ... conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.… more
    Travelers Insurance Company (10/24/25)
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  • Associate Director , Global Product Quality…

    Otsuka America Pharmaceutical Inc. (Nashville, TN)
    …**Application Deadline** : This will be posted for a minimum of 5 business days. **Company benefits :** Comprehensive medical, dental, vision, prescription drug ... **Job Summary** The Associate Director , Global Product Quality - GMP Process is...benefits . Come discover more about Otsuka and our benefit offerings; https://www.otsuka-us.com/careers-join-otsuka . **Disclaimer:** This job description is… more
    Otsuka America Pharmaceutical Inc. (12/10/25)
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  • Associate Director , Market Access…

    Sumitomo Pharma (Nashville, TN)
    …a dynamic, highly motivated, and experienced individual for the position of Associate Director , Market Access Engagement - Rare Disease, who will act as the face ... a high-functioning team with the goal to help everyone succeed for the benefit of the patients we serve. The ideal candidate will effectively identify, develop,… more
    Sumitomo Pharma (10/31/25)
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  • Area Director Sales, Home Health

    CenterWell (Nashville, TN)
    …one of the largest providers of home health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing ... and help us put health first** As an **Area Director of Sales** , you will: + Manage, develop...or exceeded. + Analyze gross profit factors, market conditions, business volume/mix and competition. + Partner with Sales Management… more
    CenterWell (12/02/25)
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