- Molina Healthcare (Bowling Green, KY)
- …and ensure adherence to business, system and regulatory requirements of Provider Data Management / Network Adequacy. **Knowledge/Skills/Abilities** + ... among multiple systems to ensure accurate reporting of the Provider Network across the enterprise. Validate data...Integrates work with other teams including New Markets team, Network Management , Product Teams, PDM and IT.… more
- Molina Healthcare (Bowling Green, KY)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. + **Knowledge/Skills/Abilities** + Strategically plans, ... **Job Description** **Job Summary** The Network Solutions Director is responsible for...solutions utilizing provider data such as the Provider Online Directory, Utilization Management , Customer Experience,… more
- Molina Healthcare (Bowling Green, KY)
- …and system requirements of customers as it pertains to contracting, network management and credentialing. **Knowledge/Skills/Abilities** * Strategically plans, ... in developing and implementing appropriate Corrective Action Plans for submission of provider network files, etc. * Engages with IT and other departments to… more
- Evolent (Nashville, TN)
- …Account teams and payer clients to align priorities and deliver high-quality provider network engagement, performance reporting, and present to health plans ... OR THE SOUTHWEST REGION We are seeking a strategic and collaborative Associate Director , Provider Engagement to lead our oncology-focused provider engagement… more
- Molina Healthcare (Bowling Green, KY)
- … and senior leadership/ management . * Communicates new strategies to corporate provider network leadership for input. * Utilize standardized system(s) to ... Georgia _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for...including VBP program templates. Works with Legal and Corporate Network Management as needed to modify contract… more
- Datavant (Nashville, TN)
- …to customer outcomes, regulatory drivers, and market trends in risk adjustment, care management , and provider enablement. + Identify and prioritize use cases ... is powered by the largest, most diverse health data network in the US, enabling data to be secure,...across different facets within prospective and concurrent solutions. + Provide mentorship, performance management , and career development… more
- HCA Healthcare (Nashville, TN)
- …Our TriStar Skyline Medical Center team is looking for a Respiratory Therapy Director . HCA Healthcare is an advanced healthcare network that has committed ... across the country? Apply today to our Respiratory Therapy Director and be a part of the innovation of...responsible for a variety of duties related to the management and operations of the assigned department(s), including but… more
- Merck (Nashville, TN)
- …world-class Asset Management , Maintenance and Reliability (MRAM) program across a network of ~30 manufacturing sites. This role will own the design, deployment ... role for a technical change agent with broad global experience in asset management , maintenance, reliability and systems engineering. **What you will do** + Lead the… more
- Datavant (Nashville, TN)
- …of Internal Audit will evaluate the effectiveness of internal controls, risk management practices, and governance processes across Datavant's Provider , Payer, ... is powered by the largest, most diverse health data network in the US, enabling data to be secure,...realize our bold vision for healthcare. **Role Summary:** The ** Director of Internal Audit** will design, implement, and oversee… more
- Cardinal Health (Nashville, TN)
- …we can get life-changing therapies to patients who need them-faster.** The Director of Business Development, Patient Hub Services, is responsible for business ... of Access and Patient Support, Clinical Services and Reimbursement Services. The Director will build key customer relationships to uncover customer needs to align… more
- HCA Healthcare (Nashville, TN)
- …2. + Foundational understanding of technical concepts related to information technology, network management , information security, privacy, and AI. In today's ... is incentive eligible. **Introduction** Do you have the career opportunities as a Director IT Negotiations you want with your current employer? We have an exciting… more
- Amrize (Nashville, TN)
- …product management to understand the new product pipeline and provide feedback regarding opportunities, customer needs and competitive products. + Identify ... ABE Strategic Commercial Director Requisition ID: 14083 Location: Nashville, TN, US,...work across 1,000 sites supported by an unparalleled distribution network . Infrastructure, commercial and residential, new build, repair and… more
- Molina Healthcare (Bowling Green, KY)
- **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy and development with ... business and system requirements of customers as it pertains to contracting, network management and credentialing. **Job Duties** This role negotiates assigned… more
- HCA Healthcare (Nashville, TN)
- …or limits? Our TriStar Health team is looking for a Medical Staff Services Director . HCA Healthcare is an advanced healthcare network that has committed up ... the country? Apply today to our Medical Staff Services Director and be a part of the innovation of...of the AVP of Medical Staff Services. Responsibilities include management of the credentials verification program, data entry, tracking/trending… more
- Pfizer (Nashville, TN)
- **ROLE SUMMARY** The ** Director , HV&E, Solid Tumors** will support the strategic goals of the Oncology Division by driving optimal patient access for our medicines. ... therapy being studied for the treatment of multiple solid tumors. The HV&E Director will be responsible for developing and executing against the global evidence… more
- Highmark Health (Nashville, TN)
- …cross organizational programs and projects + 5 years Familiarity with health plan and provider contracting or revenue management + 2 years Understanding of ... provider contract documents and overall contract management process **LICENSES or CERTIFICATIONS** **Required** + None **Preferred** + None **SKILLS** + Excellent… more
- Cornerstone Caregiving (Nashville, TN)
- Operating Director for East Nashville, TN Operating Director Full-Time East Nashville, TN Apply Now Apply Now Job Summary Cornerstone Caregiving, the largest ... expand nationwide, we are searching for an exceptional Operating Director to lead this branch's growth. Supported by our...this branch's growth. Supported by our homebase and a network of Operating Directors, you will play a pivotal… more
- Molina Healthcare (Bowling Green, KY)
- …as meeting or exceeding productivity standards. Educates and interacts with network and group providers and medical managers regarding utilization practices, ... guideline usage, pharmacy utilization and effective resource management . + Develops and implements a Utilization ...(QIA) in collaboration with the clinical lead, the medical director , and quality improvement staff. + Facilitates conformance to… more
- CVS Health (Nashville, TN)
- …it all with heart, each and every day. **Position Summary** + The Sales Director (ie Sr. Analyst, Sales Executive - internal title) will have an assigned territory ... in excess of assigned target. + Additionally, the Sales Director will support key activity related to prospecting and...will support key activity related to prospecting and RFP management across all territories. + This role will report… more
- HCA Healthcare (Nashville, TN)
- …**_Note: Eligibility for benefits may vary by location._** We are seeking a Hospital Laboratory Director for our team to ensure that we continue to provide all ... of staff hiring, orientation, competency, training, performance feedback and performance management . + Develops and recognizes staff through coaching and regular… more