- Travelers Insurance Company (Knoxville, TN)
- …strategies for upholding standards and educating staff on proactive compliance measures. As a Director , Regulatory & Filing , you will direct and manage the ... - $184,200.00 **Target Openings** 1 **What Is the Opportunity?** The Regulatory & Filing team is dedicated to ensuring Travelers' products and practices adhere… more
- Otsuka America Pharmaceutical Inc. (Nashville, TN)
- …stages to post commercialization; with emphasis on the large global clinical trials and regulatory filing activities. The Senior Director , GCD is responsible ... late-stage life-cycle management strategies, + Demonstrated experience in leading a successful regulatory filing . + Ability to work across different therapeutic… more
- Humana (Nashville, TN)
- …and overseeing audit activities to ensure compliance with internal policies, regulatory requirements, and industry standards. The Director Internal Audit ... part of our caring community and help us put health first** The Director , Internal Audit develops, plans and evaluates internal audit programs for the organization's… more
- HCA Healthcare (Nashville, TN)
- …+ Oversees education on policies and procedures to support systems, changes, master file standards, regulatory requirements, and best practices + Stays abreast ... an organization that invests in you as an Education Director ? At Parallon, you come first. HCA Healthcare has...of regulatory requirements and company compliance policies in order to… more
- Sumitomo Pharma (Nashville, TN)
- …+ Contributes to developing clinical components of BLA/NDAs, sNDAs, MAAs and other regulatory filing documents + Contributes to company responses to health ... motivated, and experienced individual for the position of Senior Medical Director , Clinical Research (Ophthalmology) to join our R&D Organization. This individual… more
- Humana (Nashville, TN)
- …of our caring community and help us put health first** The Director , Corporate Communications develops and coordinates lines of communication outside the ... organization. The Director , Corporate Communications requires an in-depth understanding of how...reputation. + Proven experience in complex business environments and regulatory industries. + Strong understanding of the healthcare sector,… more
- Sumitomo Pharma (Nashville, TN)
- …https://www.us.sumitomo-pharma.com or follow us on LinkedIn. **Job Overview** The **Senior Director , Clinical Operations** is a member of the Clinical Operations ... of clinical trials operations, Good Clinical Practice (GCP), and relevant regulatory guidelines. **Job Duties and Responsibilities** + Ensure monitoring across all… more
- Zurich NA (Nashville, TN)
- …results. + Spearhead SBU led efforts in underwriting quality, including file / regulatory documentation and Technical Underwriting Reviews/Audits + Work with ... VP, Energy Technical Director 127854 Zurich North America is hiring an Energy Technical Director to join our Specialties Energy SBU. This position reports to the… more
- Sumitomo Pharma (Nashville, TN)
- …Programming using SAS + Ability to generate documents / files required for regulatory filing . Ex. Reviewers' Guides, Define.XML, Annotated CRFs etc. + Executing ... Pinnacle 21 Checks + Knowledge about CDISC and Regulatory Guidelines + Demonstrate coaching skill to mentor Statistical Programmers + Demonstrate ability to… more
- Verint Systems, Inc. (Nashville, TN)
- …+ Monitor benefits programs to ensure compliance with internal guidelines and regulatory requirements, adjusting plans and programs as needed. + Partner with ... for overseeing all annual compliance processes, health & welfare 5500, PCORI filing + Conduct regular meetings with brokers and account managers across plans… more
- Community Health Systems (Powell, TN)
- …health records to support coding, reimbursement, physician chart completion, and regulatory compliance. This position plays a critical role in chart deficiency ... records, monitoring deficiencies, and ensuring compliance with hospital and regulatory guidelines. + Processes unbilled accounts, supporting timely coding,… more
- UMB Bank (Nashville, TN)
- …team provides timely, accurate, and seasoned judgment related to operational, regulatory compliance risk, suggests strategies for mitigating risk, promotes a strong ... culture of risk management, and fulfills regulatory expectations of administering effective risk management frameworks, compliance...activities at the direction of the Enterprise Risk Management Director . Being a UMB associate is unlike working at… more
- HCA Healthcare (Brentwood, TN)
- …system billing edits to ensure appropriate claim results that meet payer, regulatory and provider requirements. Assist service centers, clients and payers regarding ... + Provides balancing exception trending information to manager and director with comments regarding peaks and valleys in data....SSI billing vendor software. + Experience with Claim Update File (CUF) or XML is preferred. + Experience with… more
- Vanderbilt University Medical Center (Nashville, TN)
- …will report directly to and work under the supervision of the Medical Director . This position requires Acute Care Certification. The NP will be responsible for ... via depositions or court testimony per subpoena; participate in pre- filing and pretrial conferences as needed. + Perform other...+ Perform other duties as assigned by the Medical Director . **Expectations for Providers:** + To provide the highest… more
- Humana (Nashville, TN)
- …perceived value while balancing expense and business requirements, including regulatory compliance. Advises executives to develop functional strategies (often ... communications, and compliance. Under the general direction and oversight of the Associate Director of Retirement & Financial Well-being, this role will serve as the… more
- Cognizant (Nashville, TN)
- …health insurers' internal claims, appeals, and retro-authorization as well as timely filing deadlines and processes. . Review clinical denials including but not ... Draft and submit the medical necessity determinations to the Health Plan/Medical Director based on the review of clinical documentation in accordance with Medicare,… more
- GE HealthCare (TN)
- …service, assign personnel, and follow up on commitments. + May assist Director of Service (DOS), Manager of Clinical Engineering (MCE) with employee appraisals, ... customer contact and formal quality reviews. + Responsible for prompt and accurate filing of expense, time, and service reports. + May track and analyze financial… more
- Community Health Systems (La Follette, TN)
- …external payers to ensure claims are submitted in accordance with regulatory guidelines and organizational policies. The Medicare Billing Specialist supports ... coverage and benefits using tools such as Common Working File (CWF), payer portals, and internal systems. + Coordinates...part of the application or hiring process, contact the director of Human Resources at the facility to which… more