- Humana (Nashville, TN)
- …site of service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Evolent (Nashville, TN)
- …setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional cardiology to ... innovation, continuous improvement, and clinical excellence. + **This position is 100% Remote and can be completed from any state. Multiple opportunities for a… more
- Molina Healthcare (Bowling Green, KY)
- **Job Description** **Job Summary** The Director of IT (Telecom) provides strategic and operational leadership for the organization's enterprise communication, ... and secure interactions for members, providers, and employees. The director leads multidisciplinary teams responsible for communication engineering, AI innovation,… more
- Molina Healthcare (Bowling Green, KY)
- …knowledge of Medicare Advantage and/or Medicare Supplement programs, including CMS regulatory requirements, enrollment processes, and compliance standards. + ... **Job Description** **Job Summary** The Director of Business Analysis & Process Improvement leads...and healthcare domains, aligning strategic initiatives with business and regulatory goals. + Experience managing vendor partnerships + Expertise… more
- Fujifilm (Nashville, TN)
- **Position Overview** The Regulatory Compliance Manager (Corporate) is a member of the FUJIFILM Holdings America Corporation ("HLUS") Department reporting to the ... Corporate Compliance Director . The Compliance Manager...Collaborate closely with colleagues in Legal, IT, HR, Finance, Regulatory and other core functions in order to direct… more
- CenterWell (Nashville, TN)
- …site of service should be authorized. All work occurs with a context of regulatory compliance , and work is assisted by diverse resources which may include ... a part of our caring community and help us put health first** The Medical Director , Primary Care relies on medical background and reviews health claims. The Medical … more
- Humana (Nashville, TN)
- …site of service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include ... 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 … more
- Humana (Nashville, TN)
- …policies, procedures, and performance standards. All work occurs with a context of regulatory compliance , and work is assisted by diverse resources which may ... for consistency in thinking, authorship, meeting departmental expectations, and compliance timelines. **Use your skills to make an impact**...+ Other activities as assigned by the managing Medical Director Travel: While this is a remote … more
- Humana (Nashville, TN)
- …policies, procedures, and performance standards. All work occurs with a context of regulatory compliance , and work is assisted by diverse resources which may ... for consistency in thinking, authorship, meeting departmental expectations, and compliance timelines. **Use your skills to make an impact**...+ **Other activities as assigned by the managing Medical Director ** Travel: While this is a remote … more
- Humana (Nashville, TN)
- …site of service should be authorized. All work occurs within a context of regulatory compliance and work is assisted by diverse resources which may include ... help us put health first** The Behavioral Health Medical Director is responsible for behavioral health care strategy and/or...or line of business. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- Humana (Nashville, TN)
- …site of service should be authorized. All work occurs with a context of regulatory compliance , and work is assisted by diverse resources which may include ... of our caring community and help us put health first** The Medical Director relies on medical background and reviews preauthorization requests for services. The… more
- Humana (Nashville, TN)
- …site of service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Humana (Nashville, TN)
- …site of service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include ... of our caring community and help us put health first The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Merck (Nashville, TN)
- **Job Description** + The Precision Medicine - Medical Affairs Director - Health Systems Oncology (PM MAD-HSO) develops ongoing professional relationships with ... and quality management in a balanced and credible manner consistent with the regulatory environment and the company's ethical standards. This role also serves as a… more
- CBRE (Nashville, TN)
- Lab Services Alliance Director Job ID 242804 Posted 22-Oct-2025 Service line GWS Segment Role type Full-time Areas of Interest Laboratory Services Location(s) ... Indianapolis - Indiana - United States of America, Remote - US - Remote - US - United States of America Full Spectrum Lab Services from CBRE offers a… more
- FranklinCovey (Nashville, TN)
- …post-secondary schools and institutions. To learn more, visit franklincovey.com **Title:** Director of Research **Payroll Title:** Director , Research **Division ... Exempt **Reports to:** EVP, Market and Customer Intelligence **Location:** Remote - Anywhere in the contiguous US **Compensation:** Anticipated compensation… more
- Molina Healthcare (Bowling Green, KY)
- …implementation of NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Specialist, Quality Interventions/ QI ... of these quality improvement functions: Quality Interventions and Quality Improvement Compliance . + Implements key quality strategies, which may include initiation… more
- Otsuka America Pharmaceutical Inc. (Nashville, TN)
- …to build a culture of continuous improvement. + Stay current with global regulatory and compliance requirements related to evidence generation and data use. ... **Position Summary:** The Director GVE Operations oversee and coordinates projects within...New Jersey. Otsuka maintains a hybrid work policy and remote options will be considered for US candidates. **Key… more
- Akumin (Clarksville, TN)
- …and billing processes across all payers and lines of business. + Ensure compliance with all payer requirements, regulatory guidelines, and coding standards (eg, ... We are seeking an experienced, strategic, and results-driven Senior Director of Billing and Collections to lead our end-to-end billing operations. This senior… more
- Cardinal Health (Nashville, TN)
- … compliance tracking. + Continuously monitor and synthesize evolving regulatory , competitive, and payer environments to ensure the organization's partnership ... in value-based care contracting. Functioning as a strategic hunter, this Director is the deal architect, personally driving the identification, structuring, and… more