• Manager , Utilization

    Humana (Nashville, TN)
    …and help us put health first** Humana Healthy Horizons in Virginia is seeking a Manager , Utilization Management ( Behavioral Health) who will utilize ... of behavioral health services and/or benefit administration determinations. The Manager , Utilization Management ( Behavioral Health) applies… more
    Humana (05/30/24)
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  • Clinical Case Manager Behavioral

    CVS Health (Nashville, TN)
    …Health Counselor) Preferred Qualifications + Crisis intervention skills preferred managed care/ utilization review experience preferred + Case management and ... thinking skills to facilitate appropriate member physical health and behavioral healthcare through assessment and care planning, direct provider… more
    CVS Health (05/30/24)
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  • Provider Contracting Senior Manager

    The Cigna Group (Nashville, TN)
    …experience. + Intimate knowledge of managed care operations and facility network management in behavioral and/or medical with experience with commercial and ... **Role Summary** The Provider Contracting Senior Manager will have oversight of a region of...developing a performance meeting process which will increase the utilization and expand the number of Facility Center of… more
    The Cigna Group (06/05/24)
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  • Case Management Manager Reporting…

    HCA Healthcare (Nashville, TN)
    …Do you want to join an organization that invests in you as a Case Management Manager Reporting Analytics? At HCA Healthcare, you come first. HCA Healthcare has ... a difference. We are looking for a dedicated Case Management Manager Reporting Analytics like you to...satisfaction goals within a deadline + Knowledge of case management and/or utilization review preferred + Ability… more
    HCA Healthcare (05/24/24)
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  • Manager Case Management

    HCA Healthcare (Nashville, TN)
    …a work environment where diversity and inclusion thrive? Submit your application for our Manager Case Management opening with HCA Healthcare today and find out ... benefits may vary by location._** We are seeking a Manager Case Management for our team to...facilitate process standardization to promote improved outcomes, maximize resource utilization , and achieve organizational goals. The Manager more
    HCA Healthcare (04/05/24)
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  • Manager Automation

    HCA Healthcare (Nashville, TN)
    …design to manage and maintain data security and integrity + Ensures the utilization of software release management + Deliver software, infrastructure and ... We care like family! Jump-start your career as a Manager Automation today with HCA Healthcare. **Benefits** HCA Healthcare...for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… more
    HCA Healthcare (05/25/24)
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  • National Director, Transitional Care & High-Risk…

    CenterWell (Nashville, TN)
    …Coordinate quality improvement activities to address high risk, high-utilizers/high-cost patient management through the utilization of the 5M's framework as ... ER visits, readmissions, total cost of care, and reducing acute care utilization ). * Familiarity in integrated care management programs with primary… more
    CenterWell (05/03/24)
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  • Manager Automation

    HCA Healthcare (Nashville, TN)
    …design to manage and maintain data security and integrity + Ensures the utilization of software release management + Deliver software, infrastructure and ... join an organization that invests in you as a(an) Manager Automation? At HCA Healthcare, you come first. HCA...for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… more
    HCA Healthcare (05/31/24)
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  • Manager MEDITECH Consulting Service WFH

    HCA Healthcare (Nashville, TN)
    …testing plans and events, go live activities, support, and optimization. + Management of resource utilization and project assignments, prioritization of task ... over 156,000 hours volunteering in our communities. As a Manager Consulting Service WFH with CereCore you can be...for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services… more
    HCA Healthcare (04/25/24)
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  • Contract Manager

    HCA Healthcare (Nashville, TN)
    **Description** **Introduction** The Contract Manager on the Development Team for Hospital Based Services (CSG) is responsible for managing all development and ... contracting projects including process management , standardization and improvement, problem management , communication, customer service and relationship… more
    HCA Healthcare (06/07/24)
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  • Manager HR Enterprise Support

    HCA Healthcare (Nashville, TN)
    …HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As the Manager HR Enterprise Support with HCA Healthcare you can be a part of ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...in our organization. We are looking for an enthusiastic Manager HR Enterprise Support to help us reach our… more
    HCA Healthcare (05/31/24)
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  • Performance Improvement Project Manager

    HCA Healthcare (Nashville, TN)
    …We care like family! Jump-start your career as a(an) Performance Improvement Project Manager today with Work from Home. **Benefits** Work from Home, offers a total ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...Come join our team as a(an) Performance Improvement Project Manager . We care for our community! Just last year,… more
    HCA Healthcare (06/07/24)
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  • Technical Product Manager

    HCA Healthcare (Nashville, TN)
    …you want to join an organization that invests in you as a Technical Product Manager ? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300 ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...difference. We are looking for a dedicated Technical Product Manager like you to be a part of our… more
    HCA Healthcare (04/21/24)
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  • Accessories eCommerce Merchandising Senior…

    Ford Motor Company (Nashville, TN)
    …is best-in-class. **In this position ** The Accessories eCommerce Merchandising Manager is responsible for deeply understanding customer needs and optimizing the ... business value daily by pulling, analyzing, and translating web analytics and behavioral data into actionable insights to enhance sales, conversion, and customer… more
    Ford Motor Company (05/04/24)
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  • Home Health RN Clinical Manager

    HCA Healthcare (Nashville, TN)
    …colleagues in their positions. Join our Team as a(an) Home Health RN Clinical Manager and access programs to assist with every stage of your career. **Benefits** ... for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services...skills. Apply today for our Home Health RN Clinical Manager opening and continue to learn! **Job Summary and… more
    HCA Healthcare (05/10/24)
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  • Non-Vehicle eCommerce Operations Sr Manager

    Ford Motor Company (Nashville, TN)
    …is best-in-class. **In this position ** The Non-Vehicle eCommerce Operations Senior Manager is responsible for deeply understanding B2C and B2B Parts and Accessories ... efficiency and customer satisfaction by pulling, analyzing, and translating analytics and behavioral data into actionable insights with forecasted values for each to… more
    Ford Motor Company (05/08/24)
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  • Care Manager , Suicide Prevention Program

    Mindoula Health (Nashville, TN)
    …basis + Develop and coordinate community resources with emphasis on medical, behavioral , violence prevention, and social services. + Assess members for risk, make ... continuously with members, family, physician(s), and other providers to lower over- utilization of unnecessary resources. + Report critical incidents and information… more
    Mindoula Health (05/18/24)
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  • Accounting Senior Manager - Insurance NAIC…

    The Cigna Group (Nashville, TN)
    **Role Summary** The Accounting Senior Manager is responsible for the US statutory reporting for four legal entities including The Cigna Group's largest regulated ... (7 employees and 4 offshore shared service partners). Responsible for the optimal utilization of team. + Responsible for accurate, timely filing of quarterly and… more
    The Cigna Group (05/21/24)
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  • Account Manager (FRN Sales)

    Universal Health Services (Brentwood, TN)
    …Treatment Services Division for Universal Health Services." Position Summary: The Account Manager (FRN Sales) is responsible for achieving the desired utilization ... customer and ask for business. + Develops individual sales plans, territory management and routing schedules for review with supervisor. Adjusts plans as directed… more
    Universal Health Services (05/29/24)
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  • Associate VP, Complex Care

    CenterWell (Nashville, TN)
    …health and full-risk frameworks, including patient engagement, clinical professional skillsets, utilization management , care management , clinical information ... the complex needs of seniors and improve health outcomes and avoidable utilization (eg, palliative care, post-acute care, transitions of care) at a population… more
    CenterWell (05/04/24)
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