- Ascension Health (Nashville, TN)
- …. Must be located with in the TN market . We're looking for an experienced Director of Utilization Management to join our team! In this pivotal role, ... **Details** + **Department:** Utilization Management + **Schedule:** Monday -...root-cause analysis to enhance our processes. You'll collaborate with Market Care Management , Finance, CDI, and Physician… more
- Humana (Nashville, TN)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in ... community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement...with prior experience participating in teams focusing on quality management , utilization management , case … more
- GoTo (Nashville, TN)
- …of opportunities for growth and learning, blaze your own trail with us. As the Senior Director or Director of Product Management for our ITSG Team, you will ... be at the forefront of our IT management product strategy, overseeing the development and execution of... and enterprise remote support space-along with expertise in market dynamics and customer insights. You will work closely… more
- Humana (Nashville, TN)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in ... community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement...with prior experience participating in teams focusing on quality management , utilization management , case … more
- Humana (Nashville, TN)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....with prior experience participating in teams focusing on quality management , utilization management , case … more
- Amazon (Nashville, TN)
- …we distribute millions of products each year to our loyal customers. The Director , Safety & Compliance, defines and executes the safety and compliance initiatives ... is passionate about safety and compliance and possesses a strong project management background. They will have experience developing and implementing safety … more
- HCA Healthcare (Nashville, TN)
- …assessments of focused topics within HCA Healthcare hospitals/ASCs including credentialing, utilization management , peer review, medical staff and board bylaws, ... performance. Role complements and provides guidance to division vice president, quality or director , quality and risk management . Up to 75% TRAVEL REQUIRED Major… more
- HCA Healthcare (Nashville, TN)
- …purpose and integrity. We care like family! Jump-start your career as a(an) Director of Supply Chain today with TriStar Skyline Medical Center. **Benefits** TriStar ... vary by location._** Come join our team as a(an) Director of Supply Chain. We care for our community!...Service Center and the facility. Your functions include inventory management , vendor relationship management , and managing supply… more
- Elevance Health (Nashville, TN)
- …preferred. + Extensive orthopedic surgery experience preferred. + Experience with utilization management , especially with CMS guidelines preferred. For ... **Clinical Operations Associate Medical Director ** **Orthopedic Surgery** **Virtual** : This role enables associates to work virtually full-time, with the exception… more
- Dodge Construction Network (Nashville, TN)
- Director , Data Acquisition Location: Remote, United States, United States **Description** The Director , Data Acquisition, is responsible for overseeing the ... efficient and effective management of a remote and offshore team focused on...high-quality data delivery is the top priority for the Director , Data Acquisition. This is achieved by partnering closely… more
- Highmark Health (Nashville, TN)
- …portfolio of AI-powered products, including a core administrative platform, modular utilization and care management solutions, patient-focused digital products, ... **Company :** enGen **Job Description :** **JOB SUMMARY** The Director of Sales & Partnerships is a critical leadership role responsible for driving significant… more
- Evolent (Nashville, TN)
- …leadership is preferred. + Familiarity with value-based care models and utilization management frameworks is preferred. **Technical Requirements:** We require ... of our specialty programs and administrative platform. **Role Overview** The Associate Director role on Client Analytics will support both internal teams (EAS,… more
- Burns & McDonnell (Nashville, TN)
- …Business Development Director to expand our presence in the power market . This role will focus on building trust-based relationships with electric utilities, ... a proven ability to build and execute account growth strategies. KEY RESPONSIBILITIES: Market Growth & Strategy + Develop and execute a targeted account growth… more
- Vanderbilt University Medical Center (Nashville, TN)
- …education, and research. **Organization:** Quality Admin **Job Summary:** The Associate Director supervises, coordinates and monitors the work activity of a unit ... Quality Administration Laboratory Department is in need of a **Associate Director ** to join the team! **Department Summary:** Our new 110,000-square-foot diagnostic… 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 ... for the monitoring of older (non-pipeline) agents for potential market events that would drive unanticipated changes in cost...events that would drive unanticipated changes in cost and utilization . The team also leads our trend detection process,… more
- Merck (Nashville, TN)
- …headquarters submission (ex-USA). + Manages programs (patient support, educational or risk management ) to support appropriate and safe utilization of Our Company ... **Job Description** **Role Summary:** + The Global Director Medical Affairs (GDMA) is responsible for supporting the execution of scientific & medical affairs plans… more
- Prime Therapeutics (Nashville, TN)
- …fuels our passion and drives every decision we make. **Job Posting Title** Sr. Director Actuarial Forecasting - REMOTE **Job Description** The Senior Director of ... to provide strategic pricing advice on structures and methodology using market research, financial projections, and complex actuarial modeling + Collaborates with… more
- SHI (Nashville, TN)
- **Job Summary** The Director of Datacenter & Hybrid Cloud Serviceswill lead and expand SHI's Datacenter & Hybrid Cloud Services practice, driving innovation and ... lead a team of Managers, ensuring the successful design, implementation, and management of complex infrastructure and cloud solutions. **About Us** Since 1989, SHI… more
- SHI (Nashville, TN)
- **Job Summary** The Director - Azure Cloud Services will lead and expand SHI's Azure Cloud Services practice, driving innovation and delivering exceptional ... Solutions Architects and Engineers ensuring the successful design, implementation, and management of complex Azure cloud solutions. **About Us** Since 1989, SHI… more
- Highmark Health (Nashville, TN)
- …:** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and ... and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician member...member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on cases,… more