- Ascension Health (Nashville, TN)
- …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, ... **Details** + **Department:** Utilization Management + **Schedule:** Monday -...to optimize patient care and partner with the National Senior Director of UM to align on… more
- Covenant Health Inc. (Louisville, TN)
- …budgeted targets. + Provides medical/psychiatric leadership/consultation to Provider Relations, Medical Utilization Management , and Quality Management Staff ... of physicians on updated utilization review guidelines. + Participates in Utilization Management Committee. + Performs other related duties as required.… more
- Prime Therapeutics (Nashville, TN)
- …It fuels our passion and drives every decision we make. **Job Posting Title** Senior Director of Underwriting - REMOTE **Job Description** The Sr. Director ... and provide estimated savings for prospect clients + Reviews utilization , cost trends, and other assumptions that are used...+ Provide recommendations on product and customer rates to senior management and coordinates approval process. +… more
- Evolent (Nashville, TN)
- …impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your ... Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + On… more
- Evolent (Nashville, TN)
- … Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + On ... or regions, assuming overall accountability for utilization management while working in conjunction with the Senior... management while working in conjunction with the Senior Medical Director . **Qualifications - Required and… more
- Evolent (Nashville, TN)
- …**What** **You'll** **Do:** + Serve as a **specialty-matched expert** for cardiovascular utilization management and next generation idea and value creation. + ... UM process. + Support **special projects** as needed, including potential oversight of utilization management for select health plans or regions. **What We… more
- Evolent (Nashville, TN)
- … Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... the culture. **What You'll Be Doing:** As a Field Medical Director , you will be a key member of the utilization management team. We can offer you a… more
- Cushman & Wakefield (Nashville, TN)
- …Operations Director plays a crucial role in collaborating with senior Portfolio Administration (PA) leaders to develop performance goals and long-term ... **Job Title** Global Operations Director , Portfolio Administration **Job Description Summary** Global Operations Director , Portfolio Administration Job Summary… more
- Community Health Systems (Franklin, TN)
- …department management by compiling and reviewing reports to present to senior management . + Presents project status updates by defining progress, problems ... quality of patient care and reduce unnecessary post-acute care utilization . The Director will be able to...developed written and verbal communication skills. + Excellent project management and prioritization skills. Must have the ability to… more
- HCA Healthcare (Nashville, TN)
- …Do you want to join an organization that invests in you as a Director Foundational Infrastructure Services? At HCA Healthcare, you come first. HCA Healthcare has ... you have the opportunity to make a difference. We are looking for a dedicated Director Foundational Infrastructure Services like you to be a part of our team. **Job… more
- Vanderbilt University Medical Center (Nashville, TN)
- …Health Executive Search Team is conducting a national search for an Administrative Director of Nursing - VHVI Region. The Administrative Director of Nursing ... the mission, vision, and credo of the Vanderbilt Clinical Enterprise. The Administrative Director of Nursing - VHVI Region will maintain the established goals of the… more
- Prime Therapeutics (Nashville, TN)
- …Client Relations Director Sr **Job Description** The Trade Client Relations Senior Director is responsible for proactively bringing innovative pharmacy and ... of care to its members. The Trade Client Relations Senior Director has an in depth understanding...& Therapeutics (P & T) committee meetings; facilitate pharmacy Utilization Management Criteria and ensure medical policy… more
- Elevance Health (Nashville, TN)
- …+ Provide strategic guidance and direct support to teams involved in Utilization Management , Specialty Benefits Management , Payment Integrity, Advocacy, ... of initiatives related to the organization's product lifecycle strategy. Our ideal Director brings strong leadership, robust program management skills, and… more
- Sanofi Group (Memphis, TN)
- **Job title** : Director of Strategic Account Managers - Neurology, Multiple Sclerosis - South Central **Location** : Remote USA, Territory: CO, NM, TX, OK, AR, TN, ... and creating a family, supportive environment while also achieving results. The Director of Strategic Account Managers (DSAM) is responsible for hiring, training,… more
- Concentrix (Nashville, TN)
- …Deep knowledge of the Adobe ecosystem and product suite. + Experience with senior executive client relationship building and relationship management + Experience ... Job Title: Director , Sales - Adobe Practice Job Description At...+ Responsible for spearheading solutions, boosting sales, supporting account management , providing expert consulting, and overseeing all operational dimensions… more
- HCA Healthcare (Nashville, TN)
- …and integrity. We care like family! Jump-start your career as a Case Management Senior Manager today with HCA Healthcare. **Benefits** HCA Healthcare, offers ... Eligibility for benefits may vary by location._** Come join our team as a Case Management Senior Manager. We care for our community! Just last year, HCA… more
- Fujifilm (Nashville, TN)
- …results and excellent client satisfaction. Will be a driving influence with senior leadership in creating short- and long-term initiatives to improve efficiencies ... and effective problem and product resolution. Champion world-class field service management by embracing Fujifilm's service culture and core values. Develop and… more
- Highmark Health (Nashville, TN)
- …account, and member educational initiatives that promote the Organization's Formularies, utilization management programs, and case/ disease management ... Therapeutics Committee review. + Assist in the development and implementation of utilization management programs including but not limited to: prior… more
- Prime Therapeutics (Nashville, TN)
- …and ability to adjust focus **Reporting Structure** + Reports to Sr Professional, Manager, Director or Senior Director in the Compliance department Potential ... notifications, and periodic reports related to licensed functions (Pharmacy Benefit Management (PBM), Third Party Administrator, Utilization Review Organization,… more
- CenterWell (Nashville, TN)
- …in day-to-day tasks as needed and requested by lead pharmacist or National Director of Pharmacy. + Responsible for interacting with other departments to assist with ... by accessing and understanding formulary restrictions, plan limitations, drug utilization review overrides, requesting and completing prior authorization, and/or… more