- 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)
- …a part of our caring community and help us put health first** The Associate Director , Business Systems Analysis performs analysis of business, process and user ... cost/benefit analysis and translation into proper system requirement specifications. The Associate Director , Business Systems Analysis requires a solid… more
- Otsuka America Pharmaceutical Inc. (Nashville, TN)
- The Associate Director , Channel Analytics will be a key member of the Business Analysis team, responsible for leading marketing mix and channel analytics to ... of promotional investments across various channels (HCP, DTC, digital, non-personal promotion , etc.). + Develop and refine multi-touch attribution models and other… 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 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)
- …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)
- …our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. 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. Represents… 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 Drug Trend and Pipeline Forecasting will be the leader of Forecasting and would ... (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
- CenterWell (Nashville, TN)
- …active participant and lead with the care team through daily huddles. + Helps Associate Medical Director (AMD), Physician and Center Administrator in setting a ... moderate to substantial. Nurse Practitioner, Virtual Care (VSP/PT) provides health promotion and maintenance through the diagnosis and treatment of acute illness… 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
- Community Health Systems (Franklin, TN)
- …Specialist II assists in managing complex accounts payable processes, ensuring compliance with financial policies, tax regulations, and internal controls. This ... the ability to perform data analysis and generate reports **Preferred:** + Associate Degree or Bachelor's degree in Accounting, Finance, Business Administration, or… more
- Community Health Systems (Franklin, TN)
- …validating documentation within the Electronic Health Record (EHR). This role ensures compliance with medical staff bylaws, medical staff rules and regulations, The ... verifies document authentication, and ensures that medical records meet compliance standards before being considered complete. **Essential Functions** + Analyzes… more