- Prime Therapeutics (Nashville, TN)
- …our passion and drives every decision we make. **Job Posting Title** Director , Compliance ( Regulatory ) - Remote **Job Description** The Director of ... to internal and external leaders regarding escalated legal and compliance issues, regulatory and client audits; serves as primary contact for assigned… more
- Otsuka America Pharmaceutical Inc. (Nashville, TN)
- …planning, execution, and follow-up of internal and external audits to ensure compliance with regulatory requirements. + ** Regulatory Authority Engagement:** ... Summary** We are seeking an experienced and dynamic Executive Director of R&D Global Quality to join our team....submission support, lead the R&D audit program, engage with regulatory authorities, and maintain clinical data integrity. The leader… more
- Evolent (Nashville, TN)
- …setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your expertise in interventional cardiology to ... innovation, continuous improvement, and clinical excellence. + **This position is 100% Remote and can be completed from any state. Multiple opportunities for a… more
- Prime Therapeutics (Nashville, TN)
- …Sr Director Clinical Strategy and Oncology Specialty Solutions/PharmD required- REMOTE **Job Description** The Senior Director Clinical Strategy and Oncology ... management abilities + Knowledge of healthcare regulations, payer strategies, and compliance requirements + Proficient in Microsoft products, including excel and… more
- Humana (Nashville, TN)
- …overseeing audit activities to ensure compliance with internal policies, regulatory requirements, and industry standards. The Director Internal Audit will ... part of our caring community and help us put health first** The Director , Internal Audit develops, plans and evaluates internal audit programs for the organization's… more
- Humana (Nashville, TN)
- …elected representatives and their staff, as well as to officials and staff in regulatory and other agencies. The Director , State Affairs requires an in-depth ... a part of our caring community and help us put health first** The Director , State Affairs represents the organization's position on legislation and/or regulatory … more
- CenterWell (Nashville, TN)
- …our caring community and help us put health first** The National Medical Director for Home-Based Care Programs is a key clinical leadership position responsible for ... and high-risk Medicare patients within a full-risk, value-based framework. The Medical Director collaborates in a dyad partnership with the Strategy Advancement and… more
- BWX Technologies, Inc. (Oak Ridge, TN)
- …Health and Safety (EHS) to lead the development and execution of world-class regulatory compliance , safety, licensing, and quality programs for our advanced ... role reporting to the Vice President of Enrichment. The Director of EHS will be responsible for building and...+ 20+ years of experience in nuclear operations, licensing, regulatory compliance , and safety within DOE, NRC-regulated,… more
- Sumitomo Pharma (Nashville, TN)
- …with brand strategy and market access goals. + Collaborate closely with **legal, compliance , privacy and regulatory teams** to ensure program design and ... encounters is considered confidential. ** Compliance ** : Achieve and maintain Compliance with all applicable regulatory , legal and operational rules and… more
- Community Health Systems (Franklin, TN)
- …and organizational priorities. Working closely with clinical, quality, safety, and regulatory leaders, the Director translates identified workforce education ... **Summary** The Director of Clinical Education & Development, under the...continuing education, based on identified needs from quality, safety, compliance , and regulatory teams. + Translate evidence-based… more
- Humana (Nashville, TN)
- …policies, procedures, and performance standards. All work occurs with a context of regulatory compliance , and work is assisted by diverse resources which may ... for consistency in thinking, authorship, meeting departmental expectations, and compliance timelines. **Use your skills to make an impact**...+ Other activities as assigned by the managing Medical Director Travel: While this is a remote … more
- Humana (Nashville, TN)
- …site of service should be authorized. All work occurs with a context of regulatory compliance , and work is assisted by diverse resources which may include ... 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 … more
- Humana (Nashville, TN)
- …unit requirements for medical coders. They have close engagement with legal and compliance teams to ensure all efforts meet regulatory requirements. They oversee ... part of our caring community and help us put health first** The Director , Provider Education develops and leads initiatives, strategies, and processes focused on… more
- Humana (Nashville, TN)
- …be authorized at the Inpatient level. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- Grifols Shared Services North America, Inc (Nashville, TN)
- …work performance and deliverables meet or exceed goals and objectives. + Ensures compliance with all applicable regulatory , legal, and operational rules and ... and regions. The primary responsibility of the MSL Field Director is the management, performance, and coaching of a...aligned with goals and objectives. This position is a remote full-time role in the US with estimated 50%… more
- Humana (Nashville, TN)
- …site of service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include ... of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations… more
- AccentCare, Inc. (Franklin, TN)
- Overview Director Clinical Operations Location: Franklin, TN Position: Director Clinical Operations, Hospice Job ID: 2025-71712 Remote /Virtual Position: ... Full-time Coverage Area: Greater Nashville area Find Your Passion and Purpose as a Director of Clincial Operations Salary: $110k - $130k DOE Schedule: M-F / Limited… more
- Renaissance (Nashville, TN)
- …information, acts with discretion and is accountable for legal and regulatory compliance . **In this role as Global Director ** **Total Rewards, you will have ... Benefits, and Equity Plans including overall management, design, administration, communication, compliance , activities and vendor management. The Director will… more
- WM (Nashville, TN)
- …waste-based energy production projects. This role can be based in Houston or remote in other locations. I. Job Summary Responsible for identifying, and controlling ... the defined geographic area of coverage including: GCCS installation/modifications, compliance monitoring, testing, and reporting program development/change/optimization review. This… more
- Community Health Systems (Franklin, TN)
- **Job Summary** The Payment Compliance & Contract Management (PCCM) Analyst is responsible for maximizing reimbursement by identifying variances between posted and ... contracts, and other payers. This role includes analyzing contract compliance , identifying revenue opportunities, and communicating discrepancies to relevant… more