- Humana (Nashville, TN)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Nashville, TN)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or Physician with Ten (10) Years of Clinical Practice with Older Adults (Medical Director ) is dedicated full time to the Indiana Pathways program to assist the… more
- Humana (Nashville, TN)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes reviewing of all submitted medical records, synthesizing complex… more
- Humana (Nashville, TN)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
- Evolent Health (Nashville, TN)
- …as we solve complex business problems. **Collaboration Opportunities:** The Director , Actuarial utilizes and develops analytical tools to solve complex ... and modeling for value-based care arrangements with government and commercial payors, including medical expenses, risk scores, benchmark/premiums, attribution, and… more
- Humana (Nashville, TN)
- …first** The Sr. Manager, Lead Category Manager will report directly into the Director of IT Procurement and will lead the development of category strategies, design ... sourcing plans, oversee negotiations, implement contracts , and drive successful supplier relationships. This leader is also responsible for ensuring strong alignment… more