- 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
- 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
- Merck (Nashville, TN)
- …consider qualified applicants with arrest and conviction records for employment in compliance with the San Francisco Fair Chance Ordinance **Los Angeles Residents ... Customer-Focused, Data Analysis, Design Thinking, Email Marketing, Health Education Promotion , Marketing, Marketing Analytics, Marketing Automation, Marketing Campaign Development,… 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)
- …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
- 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
- Humana (Nashville, TN)
- …condition management, health outcomes, patient experience, and plan operations. The Director , Stars HOS Improvement and Operations is responsible for overseeing the ... (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)
- **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
- Community Health Systems (Franklin, TN)
- …billing information. Complies with all policies and procedures of the Corporate Compliance Program. Reports Noncompliance issues detected to the department Manager, ... Director and/or the Senior Director of Physician...standards. **Qualifications** + HS Diploma or GED required + Associate Degree in Health Information Management or related field… more
- CenterWell (Bellevue, 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 (Franklin, TN)
- …ensures proper sequencing, modifier use, and place-of-service coding in compliance with governmental regulations, third-party payer policies, and corporate ... and working collaboratively with internal teams to support physician coding compliance and reimbursement. **Essential Functions** + Assigns accurate CPT, HCPCS, and… more
- CenterWell (Madison, 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 (Franklin, TN)
- …Coordinator is dedicated to managing quality assurance processes and ensuring compliance with industry standards. This role involves coordinating with various ... improvement opportunities. + Assists in medical record audits, ensuring compliance with payer requirements and timely submission of quality-related documentation.… more