• National Utilization

    Humana (Nashville, TN)
    **Become a part of our caring community and help us put health first** The Utilization Management (UM) Director , Clinical Strategy and Practice for Medicaid ... of how organization capabilities interrelate across the function or segment. The Utilization Management (UM) Director , Clinical Strategy and Practice… more
    Humana (06/06/25)
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  • Market Director of Utilization

    Ascension Health (Nashville, TN)
    …TN market. 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 -... to optimize patient care and partner with the National Senior Director of UM to align… more
    Ascension Health (04/25/25)
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  • AVP, Utilization Review & Pharmacy

    Zurich NA (Nashville, TN)
    …+ Experience in development and implementation of cost containment programs + Case management , utilization review, catastrophic or disability experience + 5 or ... AVP, Utilization Review & Pharmacy 123092 Zurich Insurance is...recruiting and retaining team members. + Drive the performance management process by communicating job expectations, monitoring and evaluating… more
    Zurich NA (05/22/25)
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  • Medical Director - Medicaid N. Central

    Humana (Nashville, TN)
    …to the Lead Medical Director - North Central Medicaid Markets. 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
    Humana (05/14/25)
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  • Medical Director , MSK Surgery

    Evolent (Nashville, TN)
    …classes as needed for new hires to educate and train on Utilization management system and Field Medical Director process, standards and resources. + Acts as ... for the culture. **What You'll Be Doing:** The Medical Director for MSK Surgery is a key member of...reviews appeal cases and/or attends hearings for discussion of utilization management decisions. + Strong partnership with… more
    Evolent (05/20/25)
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  • Medical Director - Care Plus - Florida

    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
    Humana (04/24/25)
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  • Field Medical Director , Interventional…

    Evolent (Nashville, TN)
    …impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your ... Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
    Evolent (04/30/25)
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  • Medical Director - Florida

    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
    Humana (06/05/25)
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  • Medical Director - OneHome

    Humana (Nashville, TN)
    …Medical Director , depending on size of team 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 fundamentals of CMS Medicare Guidance on...with prior experience participating in teams focusing on quality management , utilization management , case … more
    Humana (05/31/25)
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  • Field Medical Director , Vascular Surgery

    Evolent (Nashville, TN)
    …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National more
    Evolent (06/06/25)
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  • Field Medical Director , Cardiology

    Evolent (Nashville, TN)
    …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National more
    Evolent (05/16/25)
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  • Regional Field Director , RNS Program…

    United Therapeutics (Nashville, TN)
    …is innovative and inspiring where you can truly make a difference. The Regional Field Director , RNS Program Management serves as a director of all clinical ... the commercial non-promotional team. In addition, the Regional Field Director , RNS Program Management will: + Serve...initiation of a UT product, adverse effect mitigation, device utilization , and dosing upon request + Support the Clinical… more
    United Therapeutics (06/05/25)
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  • Medical Director -Payment Integrity

    Humana (Nashville, TN)
    …interpretation skills, with prior experience participating in teams focusing on quality management , utilization management , case management , discharge ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
    Humana (06/06/25)
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  • Director of Customer Management

    Lumen (Nashville, TN)
    …we digitally connect the world and shape the future. **The Role** The Audience Management Director will be responsible for leading the strategy and execution of ... them into actionable insights that drive competitive advantage and innovation. Strategic Utilization of Adobe CDP and Advanced Toolsets: + Implement a cohesive… more
    Lumen (05/31/25)
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  • Field Medical Director , Physical Medicine…

    Evolent (Nashville, TN)
    …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + ... Rehab you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National more
    Evolent (05/30/25)
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  • Field Medical Director , Oncology

    Evolent (Nashville, TN)
    …Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. . ... Oncology, you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National more
    Evolent (05/20/25)
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  • Therapy Services Director

    HCA Healthcare (Nashville, TN)
    …departments to include management and coordination of clinical activities, fiscal management , and quality patient care. The Director shall assume overall ... perform all job duties and tasks in accordance with national and state professional governing guidelines and state practice...of Tennessee preferred. + 3-5 years of previous healthcare management experience at an Assistant Director level,… more
    HCA Healthcare (05/09/25)
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  • Director of Physician Resource Group

    HCA Healthcare (Brentwood, TN)
    …is incentive eligible. **Introduction** Do you have the career opportunities as a ** Director of Physician Resource Group** you want with your current employer? We ... of colleagues. Do you want to work as a Director of Physician Resource Group where your passion for...flow, patient satisfaction, practice volume, billing and collections, service utilization , coding, physician and staff training + Have strategic… more
    HCA Healthcare (05/30/25)
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  • Director of Supply Chain

    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
    HCA Healthcare (03/26/25)
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  • Director PI Labor Hospital Based Medicine

    HCA Healthcare (Brentwood, TN)
    …Do you want to join an organization that invests in you as a Director Performance Improvement Labor Hospital Based Medicine? At HCA Healthcare, you come first. HCA ... you have the opportunity to make a difference. We are looking for a dedicated Director Performance Improvement Labor Hospital Based Medicine like you to be a part of… more
    HCA Healthcare (05/24/25)
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