- Humana (Nashville, TN)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement… more
- AutoZone, Inc. (Memphis, TN)
- …Risk Director will oversee and strategically direct all risk management -related activities. This position will also oversee and strategically direct the ... day-to-day, tactical work related to risk management which is performed by internal staff, insurance brokers,...is performed by internal staff, insurance brokers, and third-party claims administrators. With the Total Cost of Risk at… 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
- Ascension Health (Nashville, TN)
- …Ascension Saint Thomas hospitals throughout the TN market. We're looking for an experienced Director of Utilization Management to join our team! In this pivotal ... 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
- Humana (Nashville, TN)
- …us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate ... Medical Director works on problems of diverse scope and complexity...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with… more
- Sedgwick (Nashville, TN)
- …+ Establishes policy and procedures to assure compliance to best practices, claims management services standards, state regulations, and client service ... work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Director , Network Operations **PRIMARY PURPOSE** : To be responsible for the… more
- HomeSafe Alliance (Nashville, TN)
- **Title:** Sr. Director of Data Platform **_HomeSafe Alliance_** is the single global household goods movement manager of over 300,000 Military Household Goods moves ... We are looking for an experienced and visionary **Senior Director of Data Platform** to lead the development and... of Data Platform** to lead the development and management of the organization's enterprise data platform. The Senior… more
- Elevance Health (Nashville, TN)
- **JR130960 Business Change Director (Quality Control Test Architect, PBM systems)** CarelonRx's Business Operations org is looking to hire a PBM Test Program Manager ... This high-performing individual contributor will be responsible for working with management to identify and implement varied projects, programs and plans that… more
- Cardinal Health (Nashville, TN)
- …are used. **What this position contributes to Cardinal Health:** The Associate Director , Access and Patient Support (APS) is responsible for the tactical execution ... collaboration and integration with cross functional teams. The Associate Director oversees revenue and budget accountability, organizational development, and… more
- Sedgwick (Nashville, TN)
- …rounding ability + Strong understanding of workers compensation, liability and disability claims management + In-depth knowledge of client servicing + Ability ... Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Client Services Director - Casualty | CST & EST Time Zones...EST Time Zones **PRIMARY PURPOSE** : To determine account management strategies related to client service plans; to be… more
- Takeda Pharmaceuticals (Nashville, TN)
- …to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director , Global Labeling Lead where you will be responsible for the development ... guidance. **How you will contribute:** With guidance from leadership: Management of Labeling Cross-Functional Teams + Independently leads Labeling cross-functional… more
- Sedgwick (Memphis, TN)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Director Global Accounts Payable **PRIMARY PURPOSE OF THE ROLE:** The Global ... Director of Accounts Payable is responsible for leading the...across the AP team through training, coaching and performance management . + Continually evaluates processes, systems for improvement. +… more
- Sedgwick (Memphis, TN)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Director Marketing Campaign Strategy and Execution **PRIMARY PURPOSE OF THE ROLE:** ... The Director , Marketing Campaign Strategy and Execution is responsible for...improve client satisfaction. **QUALIFICATIONS** + 8+ years B2B Campaign Management leadership experience. + Solid experience with campaign technologies… more
- The Cigna Group (Chattanooga, TN)
- …channels of communication with matrix partners including but not limited to, Claims Operations, Medical Management . Credentialing, Legal, Medical ... East Tennessee market. Must reside within Chattanooga, Knoxville or TriCities.** The ** Director , Provider Contracting** serves as an integral member of the Provider… more
- Medtronic (Memphis, TN)
- …a more connected, compassionate world. **A Day in the Life** The IP Director , Neuromodulation will be responsible for (a) leading, mentoring and developing a ... advice and strategic direction on key IP issues, and (c) strategic management of the Neuromodulation patent portfolio to support the business's growth initiatives… more
- Cracker Barrel (Lebanon, TN)
- …assures all benefits designs comply with applicable legislation and management directives. Proactively manages the benefit programs' costs, administrative processes, ... for a diverse employee population with specific experience in medical , dental, prescription drugs, leave administration, retirement programs including 401(k)… more
- Marriott (Nashville, TN)
- …**Schedule** Full Time **Located Remotely?** N **Position Type** Management **JOB SUMMARY** As a member of the property ... * High school diploma or GED; 3 years experience in the human resources, management operations, or related professional area. OR * 2-year degree from an accredited… more
- HomeSafe Alliance (Nashville, TN)
- **Title:** Operations Supervisor - Move Management (International Alaska) **_HomeSafe Alliance_** is the single global household goods movement manager of over ... directly or through PPM options + Provide consolidated oversight and management of coordinators under supervision + Monitor international operations performing… more
- Evolent Health (Nashville, TN)
- …Stay for the culture. **What You'll Be Doing:** The **Coordinator, Intake Utilization Management ** at Evolent will serve as a point of contact for processing ... medical treatment requests in accordance with departmental policies, regulatory...contractual agreements. **Collaboration Opportunities** : The Coordinator, Intake Utilization Management reports directly to the Manager, Intake Utilization … more
- Covenant Health Inc. (Knoxville, TN)
- …analysis of monthly operating budgets. + Develops staffing matrixes. + Assists with delayed claims and late charges as assigned. Project Management + Plans and ... largest employer. Parkwest is Covenant Health's and West Knoxville's premier medical facility and a top-performing heart hospital, offering our patients world-class… more