• Corporate Medical Director

    Humana (Nashville, TN)
    **Become a part of 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...experience + Knowledge of the managed care industry including Medicare , Medicaid and/or Commercial products + Must be passionate… more
    Humana (04/24/25)
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  • Medical Director - Medicare

    Humana (Nashville, TN)
    **Become a part of 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...experience + Knowledge of the managed care industry including Medicare , Medicaid and or Commercial products + Must be… more
    Humana (05/14/25)
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  • Director , Corporate Strategy

    Humana (Nashville, TN)
    …will be considered are Louisville, KY, Chicago, IL, and Nashville, TN._ As Director , Corporate Strategy, you will provide strategic guidance and thought ... a part of our caring community and help us put health first** Humana's Corporate Strategy team is a small, high-performing group that works closely with Humana's… more
    Humana (05/09/25)
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  • Medical Director - Care Plus…

    Humana (Nashville, TN)
    …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
    Humana (04/24/25)
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  • Medical Director - Pacific SW Region

    Humana (Nashville, TN)
    …Information** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director , depending on size of region or line ... caring community and help us put health first** The Medical Director relies on medical ...materials, internal teaching conferences, and other sources of expertise. Medical Directors will learn Medicare and … more
    Humana (05/10/25)
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  • Director Regulatory and Accreditation WFH

    HCA Healthcare (Nashville, TN)
    …Do you want to join an organization that invests in you as a Director Regulatory and Accreditation WFH? At HCA Healthcare, you come first. HCA Healthcare has ... colleagues. The available plans and programs include: + Comprehensive medical coverage that covers many common services at no...make a difference. We are looking for a dedicated Director Regulatory and Accreditation WFH like you to be… more
    HCA Healthcare (04/20/25)
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  • Nursing Regulatory and Compliance Director

    HCA Healthcare (Nashville, TN)
    …an organization that invests in you as a Regulatory and Accreditation Clinical Compliance Director ? At HCA, you come first. HCA Healthcare has committed up to $300 ... met. We offer eligible colleagues an attractive benefit package that includes medical , wellbeing, dental and vision benefits along with some unique benefits… more
    HCA Healthcare (05/01/25)
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  • Associate Director , Data Quality/Integrity…

    Humana (Nashville, TN)
    …diverse scope and complexity ranging from moderate to substantial. The Associate Director , Data Quality/Integrity will lead and manage the HEDIS Supplemental Data ... metrics, documentation, quality controls, reporting, and exceptional delivery. The Associate Director will be responsible for ensuring the team lives Humana's… more
    Humana (05/06/25)
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  • IT Infrastructure Procurement Category Manager

    Humana (Nashville, TN)
    …The IT Infrastructure Procurement Category Manager will report directly into the Director of IT Infrastructure Procurement and will lead the development of category ... of commercial protection and to minimize risk to Humana. + Drive corporate compliance to the preferred-supplier program via end-user change management and… more
    Humana (04/24/25)
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  • HIIM Data Integrity Analyst

    Community Health Systems (Franklin, TN)
    **Job Summary** The HIIM Data Integrity Analyst is responsible for reviewing medical records for completeness, timeliness, and accuracy, ensuring compliance with ... Medical Staff Bylaws, Medical Staff Rules and...Joint Commission (TJC) or other accrediting bodies' standards, the Medicare Conditions of Participation for Hospitals, and other regulatory… more
    Community Health Systems (05/06/25)
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