- Otsuka America Pharmaceutical Inc. (Nashville, TN)
- …Must demonstrate a high level of understanding of regulations related to promotion compliance . May be assigned additional responsibilities as deemed necessary. ... Must demonstrate a high level of understanding of regulations related to promotion compliance . May be assigned additional responsibilities as deemed necessary.… more
- Vanderbilt University Medical Center (Nashville, TN)
- …care, education, and research. **Organization:** Quality Admin **Job Summary:** The Associate Director supervises, coordinates and monitors the work activity ... . The VUMC Quality Administration Laboratory Department is in need of a ** Associate Director ** to join the team! **Department Summary:** Our new… more
- Humana (Nashville, TN)
- …problems of diverse scope and complexity ranging from moderate to substantial. The Associate Director , Data Quality/Integrity will lead and manage the HEDIS ... high quality metrics, documentation, quality controls, reporting, and exceptional delivery. The Associate Director will be responsible for ensuring the team… more
- Humana (Nashville, TN)
- …us put health first** We are seeking a strategic, collaborative, and results-driven Associate Director to lead the development and execution of leadership and ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- CenterWell (Nashville, TN)
- …training program for coding staff to ensure continuous skill development and compliance with coding standards. + Partner with analytics and audit to identify ... coder errors and develop plans to address deficiencies/specific areas of focus. ** Associate Engagement and Retention:** + Develop and implement strategies to foster… 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 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 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 data requires an in-depth evaluation of variable factors. The Medical Director provides medical interpretation and decisions about the appropriateness of services… more
- Humana (Nashville, TN)
- …part of our caring community and help us put health first** The Director , Consumer Experience ensures optimized interaction between Humana and its customers through ... of predictable and sustainable readiness practices, to ensure that experiences, both associate and consumer facing deliver on intended objectives. The Director ,… more
- Humana (Nashville, TN)
- …of our caring community and help us put health first** The Director , Strategy Advancement provides data-based strategic direction to identify and address business ... support for business segments or the company at large. The Director , Strategy Advancement requires an in-depth understanding of how organization capabilities… more
- Humana (Nashville, TN)
- …our caring community and help us 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...necessity of services provided by other healthcare professionals in compliance with coverage policies, procedures, and performance standards. CMD… more
- Humana (Nashville, TN)
- …of our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims. The Corporate Medical ... Director works on problems of diverse scope and complexity...appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Exercises… more
- CenterWell (Nashville, TN)
- …caring community and help us put health first** Humana is seeking a Director of RxEducation Operations to lead our Pharmacy telephonic member education operation. ... services (cost , quality, service, improved clinical outcomes, ease). The ** Director of RxEducation Operations** oversees the enrollment, education, engagement, and… more
- CenterWell (Nashville, TN)
- **Become a part of our caring community and help us put health first** The Director of Clinical Pharmacy will be the leader of Forecasting and would lead the team ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Humana (Nashville, TN)
- …be considered are Louisville, KY, Chicago, IL, and Nashville, TN._ As Director , Corporate Strategy, you will provide strategic guidance and thought leadership to ... (collectively, "Humana") offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart… more
- Humana (Nashville, TN)
- …with business partners to uphold ethical standards and mitigate risks. The Senior Compliance Professional will support the Director of Compliance , by ... about 340+ senior focused primary care centers in 15 states. The Regulatory Compliance team that supports the PCO is responsibility to assess, investigate, audit and… more
- CenterWell (Nashville, TN)
- …professional and personal lives. We promote lifelong well-being by giving our associate fresh perspective, new insights, and exciting opportunities to grow their ... and lead with the care team through daily huddles. . Helps Regional Medical Director (RMD), Physician and Center Administrator in setting a tone of cooperation in… more
- Community Health Systems (Antioch, TN)
- …billing questions, payment posting, and claim rebilling, while maintaining compliance with corporate policies and regulatory standards. **Essential Functions** + ... payment allocation. + Processes and posts credit card payments daily, ensuring compliance with company policies and financial controls. + Verifies and updates… more
- CenterWell (Clarksville, TN)
- …professional and personal lives. We promote lifelong well-being by giving our associate fresh perspective, new insights, and exciting opportunities to grow their ... expertise with the care team through daily huddles. . Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in practice by… more
- Community Health Systems (Clarksville, TN)
- …and documents chain-of-custody urine drug screens as required. + Ensures compliance with laboratory safety standards by wearing appropriate Personal Protective ... complete departmental tasks. + Maintains accurate records and statistical data in compliance with regulatory and departmental standards. + Performs other duties as… more