- Molina Healthcare (Bowling Green, KY)
- **JOB DESCRIPTION** **Job Summary** The Medical Director for Specialty Medical Services & Market Performance will provide clinical expertise and support ... quality improvement activity (QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Director Clinical Pharmacy and Specialty Operation? At HealthTrust, you come first. HCA ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...make a difference. We are looking for a dedicated Director Clinical Pharmacy and Specialty Operation like… 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...+ Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted… 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
- 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 ... to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of...of age). + Board Certified in an approved ABMS Medical Specialty with continued certification throughout employment.… 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
- 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 ... to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all...+ Current and ongoing Board Certification an approved ABMS Medical Specialty + A current and unrestricted… 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 ... Management staff ensuring timely and consistent responses to members and providers. As a Medical Director you will focus primarily on review appeal cases for… 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. ... timely and accurate manner. + May assist the Senior Medical Director in research activities/questions related to...+ Current, unrestricted clinical license in medicine or required specialty - + Obtaining and maintaining medical licenses… 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...of assignment + Board Certified in an approved ABMS Medical Specialty + Excellent communication skills +… more
- Highmark Health (Nashville, TN)
- …Doctor of Osteopathic Medicine (DO) + Awarded Board Certification at least once in specialty recognized by the American Board of Medical Specialties or the ... American Osteopathic Association Specialty Certifying Boards + Active medical state licensure required. Additional specific state licensure(s) may be required… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a(an) Specialty Nurse Educator? At TriStar Centennial Medical Center, you come first. HCA ... over the course of three years. **Benefits** TriStar Centennial Medical Center, offers a total rewards package that supports...make a difference. We are looking for a dedicated Specialty Nurse Educator like you to be a part… more
- Humana (Nashville, TN)
- **Become a part of our caring community and help us put health first** The Medical Director 's primary responsibility is the review of medical authorizations ... necessity of a given service, level of care, or medical item/supply. The Medical Director 's...DO degree + Board Certified in an approved ABMS Medical Specialty + Excellent communication skills with… 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
- Ascension Health (Nashville, TN)
- **Details** + ** Specialty :** Physician, Cardiology, Cardiovascular Service Line Co- Director + **Schedule:** Full-time, .6 clinical .4 administrative + **Practice ... system of care, consisting of a network of hospitals, affiliated joint ventures, medical practices, clinics and specialty facilities. Ascension is a leading… more
- Cardinal Health (Nashville, TN)
- …support our goal of helping more patients get access to life changing specialty therapies. Additionally, the Director will develop and maintain transparent, ... **Position Summary:** Sonexus (TM) is seeking an experienced and motivated ** Director , Access and Patient Support (APS)** to join and support our growing… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Director Clinical Pharmacy Member Support? At HealthTrust, you come first. HCA Healthcare has committed ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...make a difference. We are looking for a dedicated Director Clinical Pharmacy Member Support like you to be… more
- Cardinal Health (Nashville, TN)
- **Position Summary:** Sonexus (TM) is seeking an experienced and strategic **Senior Director , Access and Patient Support (APS)** to join and support our growing ... organization. In this executive-level role, the Senior Director will provide visionary leadership to advance our patient...of enabling more patients to gain access to life-changing specialty therapies. This role will be responsible for influencing… more
- Sumitomo Pharma (Nashville, TN)
- …qualified, highly motivated, experienced individual for the position of **Regional Sales Director , Prostate Cancer - Southeast.** The position reports to the Senior ... Area Sales Director . **The location of the position is field based...interpreting/analyzing data, and has an in-depth understanding of the medical field and biopharmaceutical industry. + The ability to… more
- HCA Healthcare (Brentwood, TN)
- …incentive eligible. **Introduction** Do you have the career opportunities as a ** Director of Radiology Physician Resource Group** you want with your current ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...of colleagues. Do you want to work as a ** Director of Radiology Physician Resource Group** where your passion… more