• Medical Director -- Claims

    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 ... **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement… more
    Humana (05/08/25)
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  • Manager, Medical Malpractice and General…

    Community Health Systems (Franklin, TN)
    …the Manager identifies and addresses trends to mitigate risk and improve claims management processes. **Essential Functions** + Manages professional and general ... **Job Summary** The Manager, Medical Malpractice and General Liability Claims ...submissions. + Provides training and guidance to staff on claims management best practices, procedures, and regulatory… more
    Community Health Systems (04/01/25)
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  • Sr Claims Supervisor

    HCA Healthcare (Nashville, TN)
    …department and company strategy and philosophy of proactive, efficient and effective claims management . + Continuous and appropriate documentation within, and ... and administration of special projects as assigned by the Claims Director , HCI President and VP of...industry trends, changes in laws and rules affecting liability claims management decisions. **People** + Work collaboratively… more
    HCA Healthcare (05/08/25)
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  • Medical Director - Medicaid N.…

    Humana (Nashville, TN)
    …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members in the… more
    Humana (05/14/25)
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  • Medical Director , Global…

    Otsuka America Pharmaceutical Inc. (Nashville, TN)
    …medicines for those with CNS disorders, we are seeking a skilled and experienced Medical Director of CNS Early Assets, Global Medical Affairs, responsible ... , Franchise Lead CNS Early Assets. **Position Summary:** The Medical Director , Global Medical Affairs,...for any assigned assets in development. + Support lifecycle management initiatives and planning for assigned assets as applicable.… more
    Otsuka America Pharmaceutical Inc. (04/17/25)
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  • Medical Director - Care Plus…

    Humana (Nashville, TN)
    …community and help us put health first** The Medical Director relies on medical background and reviews health claims . The Medical Director work ... Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in an… more
    Humana (04/24/25)
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  • Director , Medical Affairs Congress…

    Otsuka America Pharmaceutical Inc. (Nashville, TN)
    ** Director , Medical Affairs Congress Strategy and Execution** The Director , Medical Affairs Congress Strategy and Execution, plays a pivotal role in ... and elevate our overall GMA objectives. **Position Overview** Reporting to the Senior Director of Medical Affairs Excellence & Operations, this role will… more
    Otsuka America Pharmaceutical Inc. (04/17/25)
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  • Senior Director , Legal Affairs

    Warner Music Group (Nashville, TN)
    …+ Find creative solutions to complex and atypical issues, with a focus on the management and resolution of incoming legal claims . **Here you'll get to:** + ... Senior Director , Legal Affairs Job Description: At Warner Music...corporate litigation in-house counsel, fielding inquiries and resolving pre-litigation claims from third parties, researching WMG's recorded music catalog… more
    Warner Music Group (05/03/25)
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  • Director , Global Medical

    Otsuka America Pharmaceutical Inc. (Nashville, TN)
    The Director , Global Medical Publications will support Otsuka in leading and developing an overall scientific communication strategy for publications and ... congresses, and will work closely with the Global Medical Affairs Teams, Clinical Teams, Global Value & Real-World Evidence Teams, and Publications Management more
    Otsuka America Pharmaceutical Inc. (04/17/25)
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  • Corporate Medical Director

    Humana (Nashville, TN)
    …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...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience + Working with… more
    Humana (04/24/25)
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  • Director , Global Clinical Development

    Otsuka America Pharmaceutical Inc. (Nashville, TN)
    …personnel management experience, will support position at entry (Associate Director / Director ). + An advanced understanding of drug development principles and ... disciplines, including immunology, biostatistics, clinical pharmacology, formulation science, data management , and medical writing. + Experience with the… more
    Otsuka America Pharmaceutical Inc. (04/17/25)
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  • Director , Global Clinical…

    Otsuka America Pharmaceutical Inc. (Nashville, TN)
    …personnel management experience, will support position at entry (Associate Director / Director ). + An advanced understanding of drug development principles and ... disciplines, including immunology, biostatistics, clinical pharmacology, formulation science, data management , and medical writing. + Complete understanding of… more
    Otsuka America Pharmaceutical Inc. (04/17/25)
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  • Market Director of Utilization…

    Ascension Health (Nashville, 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, you'll ... optimize patient care and partner with the National Senior Director of UM to align on organizational goals. Ready...within the insurance plan. + Ensure integration of utilization management functions with network strategy and claims more
    Ascension Health (04/25/25)
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  • Medical Director - Medicare…

    Humana (Nashville, TN)
    …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...focused on continuously improving consumer experiences **Preferred Qualifications** + Medical utilization management experience, + working with… more
    Humana (05/14/25)
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  • Sr Director , Performance Suite Analytics

    Evolent (Nashville, TN)
    …health outcomes and a more connected care journey. We are hiring for a Senior Director to join our Finance Team. The candidate selected for this role will be part ... and its customers in the Performance Suite where Evolent does not pay claims + Establish ideal data transfer protocols during client onboarding and implementation,… more
    Evolent (05/02/25)
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  • Director , Consumer Marketing, ADHD

    Otsuka America Pharmaceutical Inc. (Nashville, TN)
    The Director of CNS Consumer Marketing will be responsible for leading the consumer marketing efforts for two CNS brands. This role will be responsible for managing ... individual will also have two direct reports, an Associate Director and Senior Product manager, with the potential to...marketing + 2+ years dedicated to consumer marketing including management of a broadcast DTC program. + Experience with… more
    Otsuka America Pharmaceutical Inc. (05/16/25)
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  • Senior Director , Global Clinical…

    Otsuka America Pharmaceutical Inc. (Nashville, TN)
    …medicine and/or clinical pharmacology and associated disciplines (eg biostatistics, data management , medical writing). + An advanced understanding of clinical ... in support of domestic and international clinical development initiatives. The Senior Director , GCD works in a multidisciplinary matrix environment and supports the… more
    Otsuka America Pharmaceutical Inc. (04/17/25)
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  • Director , Creative Services

    Otsuka America Pharmaceutical Inc. (Nashville, TN)
    …and medical review requirements. + Implement workflow and project management tools to optimize creative requests, approvals, and revisions. **Collaboration & ... **Position Summary** The Director , In-House Creative Services will lead the development,...materials. This position will oversee the strategy, execution, and management of creative services, which may include an internal… more
    Otsuka America Pharmaceutical Inc. (05/16/25)
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  • Associate Director , Established Brands…

    Otsuka America Pharmaceutical Inc. (Nashville, TN)
    **_Associate Director , Established Brands Marketing_** **Position Summary** The Associate Director , Established Brands Marketing is responsible for driving ... CNS portfolio. The individual will work closely with market access, sales, medical affairs, and finance to implement commercial strategies that sustain product… more
    Otsuka America Pharmaceutical Inc. (05/16/25)
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  • Associate Director , Brand & Sales…

    Otsuka America Pharmaceutical Inc. (Nashville, TN)
    The Associate Director , Brand and Sales Analytics will be part of a high performing team that provides actionable, innovative solutions to address key business ... questions & opportunities. The Associate Director , Sales & Marketing Analytics should be able to...IQVIA, Symphony, Market Access Data (ie patient longitudinal data, claims data, distribution, sales, demand, promotion, formulary) + Strength… more
    Otsuka America Pharmaceutical Inc. (05/16/25)
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