- Medalogix (Nashville, TN)
- …more about the merging of Forcura and Medalogix. Position Summary The Director , Clinical Operations leverages his/her extensive knowledge managing multiple ... 2025, Forcura, the intelligent workflow management company, and Medalogix, a clinical decision support company, announced that they have combined. Together, the… more
- familycarecenter (Brentwood, TN)
- …retirement, wellness, profit sharing and more. Position Overview: The Regional Medical Director provides therapy and/or medication management as needed ... to identify, diagnose, and treat patients under their care. Essential Responsibilities: Provide clinical services at or above the customary practice standards in… more
- ThermoFisher Scientific (Lebanon, TN)
- …the future. **Location/Division Specific Information** Join Thermo Fisher Scientific as a Medical Director / Clinical Trial Physician(FSP) based in the United ... where you're encouraged to challenge yourself and contribute to breakthrough solutions , the Medical Director / Clinical Trial Physician could be a great fit.… more
- Highmark Health (Nashville, TN)
- …responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using ... Medical Policy criteria sets to evaluate the ... necessity and appropriateness of the requested treatment of service . Depending on the nature of the case, telephonic… more
- Humana (Nashville, TN)
- …and Waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by other healthcare ... Humana policies, clinical standards, and (in some cases) contracts. The Medical Director provides medical interpretation and decisions about the… more
- Vanderbilt University Medical Center (Nashville, TN)
- …Health Executive Search Team is conducting a national search for an Administrative Director : Professional Practice and Clinical Education. The Magnet Program ... **Discover Vanderbilt University Medical Center** : Located in Nashville, Tennessee, and...Director / Administrative Director : Professional Practice and Clinical Education is… more
- HCA Healthcare (Nashville, TN)
- …colleagues invested over 156,000 hours volunteering in our communities. As a Clinical Resource Director with Surgery Ventures powered by HCA Healthcare ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services ...in our organization. We are looking for an enthusiastic Clinical Resource Director to help us reach… more
- HCA Healthcare (Nashville, TN)
- …and vision plans, tuition discounts, along with unique benefits, including: + Comprehensive medical coverage that covers many common services at no cost or ... and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. +...is recognized. _Submit your application for the opportunity below:_ Director of Clinical Education Galen College of… more
- AccentCare, Inc. (Franklin, TN)
- Overview Director Clinical Operations Location: Franklin, TN Position: Director Clinical Operations, Hospice Job ID: 2025-71712 Remote/Virtual Position: ... the community of care we're building together. Be the Director of Clinical Operations You Can Be...submission and /or synchronization. + Ensures that all patient/family services comply with federal, state(s) and local regulatory requirements… more
- Prime Therapeutics (Nashville, TN)
- …our passion and drives every decision we make. **Job Posting Title** Sr Director Clinical Strategy and Oncology Specialty Solutions/PharmD required- REMOTE **Job ... Description** The Senior Director Clinical Strategy and Oncology Specialty Solutions...the development of strategic business roadmaps that integrate both medical and pharmacy solutions. This position will provide leadership… more
- Highmark Health (Nashville, TN)
- …anchor, including MAQCs and pharmacists, in collaboration with the partnership director who manages non- clinical workforce activity. + **Relationship Management ... :** **JOB SUMMARY** This role will support the leadership team for Clinical Transformation and executive physicians in leading the day-to-day operational model of… more
- Cognizant (Nashville, TN)
- …submit the medical necessity determinations to the Health Plan/ Medical Director based on the review of clinical documentation in accordance with ... denials including but not limited to referral, preauthorization, medical necessity, non-covered services , investigational/experimental and billing resulting… more
- Community Health Systems (Clarksville, TN)
- …Practice Services (PPS), Accountable Care Organization (ACO) teams, and service line leaders to address provider engagement, service delivery challenges, ... by fostering relationships with providers, aligning market strategies, and driving service line growth. This role collaborates with hospital leadership, service… more
- Grifols Shared Services North America, Inc (Nashville, TN)
- …(MSL primary call points include Immunology, Neurology, Hematology/Oncology). The Field Director ensures compliant execution of field medical plans, strategy, ... and develop, produce and market innovative medicines, solutions and services in more than 110 countries and regions. The...solutions for the therapeutic area(s). + Partners with the Medical Directors, National MSL Sr Director , and… more
- Humana (Nashville, TN)
- …processes, and outpatient services and equipment, within their scope. The Medical Director may speak with contracted external physicians, physician groups, ... , requested level of care, and/or requested site of service should be authorized. All work occurs with a...**Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided… more
- HCA Healthcare (Nashville, TN)
- …who care without reservations or limits? Our TriStar Health team is looking for a Medical Staff Services Director . HCA Healthcare is an advanced healthcare ... 3% to 9% of pay (based on years of service ) + Employee Stock Purchase Plan with 10% off...save lives across the country? Apply today to our Medical Staff Services Director and… more
- Humana (Nashville, TN)
- …an impact** **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided by other healthcare ... clinical documentation, dispute/grievance and appeals processes, and outpatient services and equipment, within their scope. Medical ...a Lead Medical Director . The Medical Director conducts post- service , inpatient… more
- Humana (Nashville, TN)
- …all activities. **Responsibilities** The Medical Director provides medical interpretation and determinations whether services provided by other ... Medical Director 's work includes reviewing of all submitted medical records, synthesizing complex hospital-based clinical scenarios, and providing expert… more
- Vanderbilt University Medical Center (Nashville, TN)
- …efficient clinical /business operations (including but not limited to: clinical services , staff development, compliance, audit/risk management, revenue cycle, ... **Discover Vanderbilt University Medical Center** : Located in Nashville, Tennessee, and...Team is conducting a national search for an Executive Director , Clinic & Infusion Pharmacy Services , reporting… more
- CenterWell (Nashville, TN)
- … Medical Director for Home-Based Care Programs is a key clinical leadership position responsible for the medical direction, clinical oversight, ... polychronic, and high-risk Medicare patients within a full-risk, value-based framework. The Medical Director collaborates in a dyad partnership with the Strategy… more
