- 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 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
- CVS Health (Nashville, TN)
- …have Internal Medicine or Internal Medicine/Pediatrics (Med/Peds) Board Certification. In the Medical Director role, you will provide oversight for medical ... staff ensuring timely and consistent responses to members and providers. As a Medical Director you will focus primarily on review appeal cases for denied … more
- Evolent (Nashville, TN)
- …the mission. Stay for the culture. **What You'll Be Doing:** As a Cardiology, Field Medical Director you will be a key member of the utilization management team. ... on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization… 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
- Elevance Health (Nashville, TN)
- **Clinical Operations Associate Medical Director ** **Interventional Pain** **Carelon Medical Benefits Management** **Location:** Alternate locations may be ... of one of our Elevance Health PulsePoint locations. The **Clinical Operations Associate Medical Director ** is responsible for supporting the medical … more
- ICON Clinical Research (Brentwood, TN)
- Medical Director (Cardiology), United States, Remote ICON plc is a world-leading healthcare intelligence and clinical research organization. We're proud to ... to shape the future of clinical development. We are currently seeking a ** Medical Director (Cardiology)** to join our diverse and dynamic team. As a Medical… more
- Molina Healthcare (Bowling Green, KY)
- **JOB DESCRIPTION** **Job Summary** The Medical Director for Specialty Medical Services & Market Performance will provide clinical expertise and support to ... improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to Medicare,… 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. The ... Corporate Medical Director works on problems of diverse scope and complexity...and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation… more
- Evolent (Nashville, TN)
- …for the mission. Stay for the culture. **What You'll Be Doing:** As a Field Medical Director , you will be a key member of the utilization management team. ... a timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to the Utilization Management process,… more
- HCA Healthcare (Hermitage, TN)
- …**Specialization:** Internal Medicine **Job Summary:** HCA TriStar is seeking an Inpatient Rehab Medical Director at TriStar Summit Medical Center in ... Certified in Internal Medicine + Ability to obtain TN Medical Licensure and DEA + Rehab or Rehab ...Medical Licensure and DEA + Rehab or Rehab Director Experience **Incentives/Benefits:** + Annual CME stipend + Monthly… 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
- Merck (Nashville, TN)
- …systems accounts + Serves as a resource for the HS MAD Team Lead, HS Executive Director Medical Affairs, and other members of Country Medical Affairs on ... **Job Description** **Role Summary** + The Health Systems Medical Affairs Director (HS MAD) is a therapeutic and disease expert who develops ongoing professional… more
- Merck (Nashville, TN)
- **Job Description** We are seeking a Growth and Improvement minded Regional Medical Scientific Director | Cardiopulmonary & Pulmonary Hypertension that can help ... drive our Strategic Operating Priorities. **Summary, Focus and Purpose** The Regional Medical Scientific Director | Cardiopulmonary & Pulmonary Hypertension is a… more
- Merck (Nashville, TN)
- **Job Description** The Oncology Regional Medical Scientific Director is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and disease expert who engages in ... bidirectional exchange of scientific or medical information with Scientific Leaders (SLs). The role provides...RMSD serves as a role model for other field medical team members in ways that include on-boarding and/or… more
- Merck (Nashville, TN)
- …needs to support collaboration to further differentiate our portfolio. The Oncology Regional Medical Scientific Director , RMSD, is a credentialed (ie, MD, PhD, ... **Job Description** Our Medical Affairs team advances patient care by engaging...patient care by engaging in scientific exchange with external medical experts and industry leaders ensuring the scientific value… more
- Merck (Nashville, TN)
- **Job Description** **Role Summary** + The Regional Medical Scientific Director (RMSD) is a credentialed (ie, PhD, PharmD, DNP, MD) therapeutic and disease ... expert who engages in bidirectional exchange of scientific or medical information with Scientific Leaders (SLs). The role provides...RMSD serves as a role model for other field medical team members in ways that include on-boarding and/or… more
- Sumitomo Pharma (Nashville, TN)
- …website https://www.us.sumitomo-pharma.com or follow us on LinkedIn. **Job Overview** The Director , Medical Affairs Strategy (Hematology/Oncology) will be a key ... member of the Medical Affairs team reporting to the Executive Director , Medical Affairs Strategy. In this role, individuals are responsible for Medical … more