- Humana (Nashville, TN)
- …a Lead Medical Director , depending on the line of business. The Medical Director conducts Utilization Management or clinical validation of the care ... **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
- HCA Healthcare (Nashville, TN)
- …department and company strategy and philosophy of proactive, efficient and effective claims management . + Continuous and appropriate documentation within, and ... and administration of special projects as assigned by the Claims Director , HCI President and VP of...industry trends, changes in laws and rules affecting liability claims management decisions. People + Work collaboratively… more
- HCA Healthcare (Nashville, TN)
- …within HCA Healthcare's Risk & Insurance department reporting directly to the Managing Director of Property Claims . You will support the Insurance programs ... and vendor selection process. + Assist the VP Insurance, AVP Insurance and Manager/ Director of Property Claims with other responsibilities as needed. **What… more
- HCA Healthcare (Nashville, TN)
- …the department and company strategy and philosophy of proactive, efficient and effective claims management . + Manage local claims workflow/processes from the ... the larger Risk & Insurance Department reporting to a Director of Claims . As the Division ...JD) is preferred + 5+ years of experience in claims management , hospital operations, or risk … more
- Otsuka America Pharmaceutical Inc. (Nashville, TN)
- …medicines for those with CNS disorders, we are seeking a skilled and experienced Medical Director of CNS Early Assets, Global Medical Affairs, responsible ... , Franchise Lead CNS Early Assets. **Position Summary:** The Medical Director , Global Medical Affairs,...for any assigned assets in development. + Support lifecycle management initiatives and planning for assigned assets as applicable.… more
- Humana (Nashville, TN)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
- Humana (Nashville, TN)
- …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
- Humana (Nashville, TN)
- …put health first** The Corporate Medical Director (CMD) relies on medical background to review 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)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. VP Medical Director **PRIMARY PURPOSE** **:** To evaluate medical reports ... service requirements and assure efficient, cost effective, quality program delivery for medical and disability management . + Coordinating and evaluating the… 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
- Otsuka America Pharmaceutical Inc. (Nashville, TN)
- …medicine and/or clinical pharmacology and associated disciplines (eg biostatistics, data management , medical writing). + An advanced understanding of clinical ... in support of domestic and international clinical development initiatives. The Senior Director , GCD works in a multidisciplinary matrix environment and supports the… more
- Otsuka America Pharmaceutical Inc. (Nashville, TN)
- **_Associate Director , Established Brands Marketing_** **Position Summary** The Associate Director , Established Brands Marketing is responsible for driving ... CNS portfolio. The individual will work closely with market access, sales, medical affairs, and finance to implement commercial strategies that sustain product… more
- Otsuka America Pharmaceutical Inc. (Nashville, TN)
- **Position Summary:** The Director GVE Operations oversee and coordinates projects within the department to ensure alignment with organizational goals. This role is ... other integrated data generation initiatives. This position reports to the Senior Director , Global Integrated Evidence & Innovation Operations and can be based in… more
- Otsuka America Pharmaceutical Inc. (Nashville, TN)
- **Associate Director , Field Strategy, Nephrology/Immunology** **Position overview:** The **Associate Director , Field Strategy** plays a critical role in enabling ... execution and provide feedback to optimize performance at all levels + **Compliance Management :** + Must comply with all state and federal laws, regulations 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) Fortune Best Workplaces in Financial Services & Insurance Client Services Director **PRIMARY PURPOSE** : To determine account management strategies… more
- Otsuka America Pharmaceutical Inc. (Nashville, TN)
- **Position Overview:** The Senior Director , MSAT Biologics provides strategic and technical leadership for all late-stage and commercial manufacturing processes for ... through effective technology transfer, validation, process monitoring, and lifecycle management . This individual will serve as the primary technical steward… more
- Evolent (Nashville, TN)
- …on oncology and member-centric products. This role plays a critical part in both ** Medical Cost Management ** and **Product Management ** , leveraging advanced ... mission with a company behind it. **What You'll Be Doing:** **Associate Director , Performance Analytics - Oncology & Member Product Focus** **Overview:** Evolent is… more
- Sedgwick (Nashville, TN)
- …Insurance Marketing Technology Director **PRIMARY PURPOSE OF THE ROLE:** The Director , Marketing Technology leads the strategy and management of our current ... promotional growth opportunities. + A diverse and comprehensive benefits offering including medical , dental, vision, 401K, PTO and more. The statements contained in… more
- Otsuka America Pharmaceutical Inc. (Nashville, TN)
- **Job Summary** **** The Associate Director , MSAT - Downstream provides specialized technical leadership and oversight for all downstream manufacturing processes ... technology transfer, validation support, process monitoring, troubleshooting, and lifecycle management activities conducted by external partners. + **Key Responsibilities:**… more
- Otsuka America Pharmaceutical Inc. (Nashville, TN)
- The Director , Strategy & Analysis and Contract Operations is responsible for directing and conducting pricing analysis of government policy and evaluating pricing ... GTN approach. + Establishes KPIs to track the performance of operations. **People Management :** + Leads a team to achieve agreed to goals and ensures compliance… more