- Ascension Health (Nashville, TN)
- …. 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 -...root-cause analysis to enhance our processes. You'll collaborate with Market Care Management , Finance, CDI, and Physician… more
- 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
- 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
- Otsuka America Pharmaceutical Inc. (Nashville, TN)
- …medical needs and nutraceutical products for the maintenance of everyday health. As a Director , US Market Access Strategy and Innovation you will be a champion ... preparation across the Team. This position reports to Senior Director , US Market Access Strategy and Innovation...and future lifecycle stages + Support the development and management of a clear US Market Access… more
- 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 (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 (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 (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
- 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 ... with overall marketing and business objectives. + Proactively identify emerging market trends and customer behaviors, translating them into actionable insights that… more
- 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
- Elevance Health (Nashville, TN)
- …preferred. + Extensive orthopedic surgery experience preferred. + Experience with utilization management , especially with CMS guidelines preferred. For ... **Clinical Operations Associate Medical Director ** **Orthopedic Surgery** **Virtual** : This role enables associates to work virtually full-time, with the exception… more
- Otsuka America Pharmaceutical Inc. (Nashville, TN)
- **Associate Director , Channel Strategy and Patient Affordability** The Associate Director , Channel Strategy and Patient Affordability reports to the Executive ... Director , Channel Strategy and Patient Affordability. The Associate ...resources effectively across the team to ensure efficient budget utilization , while identifying cost saving opportunities + Design operational… more
- Highmark Health (Nashville, TN)
- …portfolio of AI-powered products, including a core administrative platform, modular utilization and care management solutions, patient-focused digital products, ... **Company :** enGen **Job Description :** **JOB SUMMARY** The Director of Sales & Partnerships is a critical leadership role responsible for driving significant… more
- Evolent (Nashville, TN)
- …leadership is preferred. + Familiarity with value-based care models and utilization management frameworks is preferred. **Technical Requirements:** We require ... of our specialty programs and administrative platform. **Role Overview** The Associate Director role on Client Analytics will support both internal teams (EAS,… more
- Burns & McDonnell (Nashville, TN)
- …Business Development Director to expand our presence in the power market . This role will focus on building trust-based relationships with electric utilities, ... a proven ability to build and execute account growth strategies. KEY RESPONSIBILITIES: Market Growth & Strategy + Develop and execute a targeted account growth… more
- Amazon (Nashville, TN)
- …The successful candidate will be responsible for expanding the adoption and utilization of Amazon's Security Management System (SeMS), leveraging its ... Description Amazon is seeking a Director of World-Wide Aviation Security to lead our...industry evolution and enable growth initiatives through effective risk management . This role requires close collaboration with WWOS and… more
- Vanderbilt University Medical Center (Nashville, TN)
- …education, and research. **Organization:** Quality Admin **Job Summary:** The Associate Director supervises, coordinates and monitors the work activity of a unit ... Quality Administration Laboratory Department is in need of a **Associate Director ** to join the team! **Department Summary:** Our new 110,000-square-foot diagnostic… 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 ... for the monitoring of older (non-pipeline) agents for potential market events that would drive unanticipated changes in cost...events that would drive unanticipated changes in cost and utilization . The team also leads our trend detection process,… more
- Avnet (Nashville, TN)
- … market share while delivering productivity and effectiveness through utilization of business processes, customer segmentation strategies, tool utilization , ... contributes to the development of functional strategies. Responsible for efficient utilization of significant resources within the function. + Objectives are defined… more
- Prime Therapeutics (Nashville, TN)
- …fuels our passion and drives every decision we make. **Job Posting Title** Sr. Director Actuarial Forecasting - REMOTE **Job Description** The Senior Director of ... to provide strategic pricing advice on structures and methodology using market research, financial projections, and complex actuarial modeling + Collaborates with… more