- Sedgwick (Nashville, TN)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Director - Claims ( REMOTE ) Are you looking for an opportunity to ... Establishes policy and procedures to assure compliance to best practices, claims management services standards, state regulations, and client service requirements. +… more
- Humana (Nashville, TN)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... how to operationalize this knowledge in their daily work. The Medical Director 's work includes computer-based review of moderately complex to complex clinical… more
- Merck (Nashville, TN)
- **Job Description** The Oncology Regional Medical Scientific Director , Oncology is a credentialed (ie, MD, PhD, PharmD, or DNP) therapeutic and disease expert who ... external medical and scientific community. Scientific exchange does not include promotional claims about any drug, vaccine or biologic product. The Oncology Regional… more
- Zurich NA (Nashville, TN)
- … Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-MD1 #LI- DIRECTOR #LI- REMOTE EOE Disability / Veterans ... AVP, Complex Construction Claims - NY Labor Law 126105 Zurich North...dynamic and experienced leader to join our Complex Liability Claims team. In this high-impact role, you'll take charge… more
- Zurich NA (Nashville, TN)
- …and litigation management skills. This position can be office, hybrid, or fully remote anywhere in the lower 48 states. ** Claims Handling & Investigation:** ... Professional Liability Claims (Attorney), Claims Construction, (Senior or...AM - Owings Mills, AM - Parsippany, AM - Remote Work (US), AM - Rocky Hill, AM -… more
- Danaher Corporation (Nashville, TN)
- …the Danaher Business System which makes everything possible. The Field Reimbursement Director position is a provider / customer facing role responsible for ... coordinate and engage targeted customers within the US. Reporting to the Senior Director of Market Access Americas, this highly visible role will play a pivotal… more
- Zurich NA (Nashville, TN)
- …experience in the Claims or Underwriting Support are OR AVP, Underwriting Director - Energy, Oil, Gas and Chemicals Requirements: + High School Diploma or ... Executive Underwriter OR AVP, Underwriting Director - Energy, Oil, Gas & Chemicals 128378...and 10 or more years of experience in the Claims or Underwriting Support area OR + Zurich Certified… more
- CenterWell (Nashville, TN)
- … Director , Primary Care relies on medical background and reviews health claims . The Medical Director , Primary Care work assignments involve moderately complex ... Director relies on medical background and reviews health claims . The Medical Director work assignments involve...teams or organizational committees. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- Humana (Nashville, TN)
- …The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... 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)
- …The Medical Director relies on medical background and reviews health claims . The Medical Director work assignments involve moderately complex to complex ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Otsuka America Pharmaceutical Inc. (Nashville, TN)
- **Position Summary:** The Director GVE Operations oversee and coordinates projects within the department to ensure alignment with organizational goals. This role is ... other integrated data generation initiatives. This position reports to the Senior Director , Global Integrated Evidence & Innovation Operations and can be based in… more
- Akumin (Clarksville, TN)
- We are seeking an experienced, strategic, and results-driven Senior Director of Billing and Collections to lead our end-to-end billing operations. This senior ... oversee all facets of the billing lifecycle, including charge capture, claims management, collections, cash application, denial resolution, and system optimization.… more
- Otsuka America Pharmaceutical Inc. (Nashville, TN)
- The Executive Director , US Access Strategy & Marketing, CNS leads the Access Strategy and Marketing team responsible for the development of US market access ... channel customers. This role is based in Princeton with remote work placement as an option and reports to...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Otsuka America Pharmaceutical Inc. (Nashville, TN)
- As the Director of Global Marketing (Nephrology & Immunology), you will transform science into strategy by driving global brand strategy, influencing launch ... degree (MBA, PharmD, PhD, MD) strongly preferred. + Location: Remote , with ability to be in Princeton, NJ for...you will be reimbursed, this is not Otsuka. These claims are fraudulent and you are strongly advised to… more
- Humana (Nashville, TN)
- …Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The Corporate Medical Director works on problems ... and complexity ranging from moderate to substantial. The Corporate Medical Director provides medical interpretation and decisions about the appropriateness of… more
- Growth Ortho (Nashville, TN)
- Job Title: Director , RCM Implementation Location: Remote (with limited travel as needed) Reports To: SVP, Revenue Cycle Organization: Growth Orthopedics - MSO ... Position Summary: Growth Orthopedics (GO) is seeking an experienced and dynamic Director of RCM Implementation to lead the execution of strategic Revenue Cycle… more
- Cognizant (Nashville, TN)
- **Schedule:** Monday to Friday - Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact by performing advanced level work ... accounts. . Maintain working knowledge of applicable health insurers' internal claims , appeals, and retro-authorization as well as timely filing deadlines and… more
- Prime Therapeutics (Nashville, TN)
- …every decision we make. **Job Posting Title** Health Plan Account Manager Sr - Remote **Job Description** The Sr Health Plan Account Manager serves as a line of ... or insurance, to include 1 year of experience within claims analysis or other operational PBM functions and 3...ability to adjust focus **Reporting Structure** Reports to the Director within the Markets Team Every employee must be… more
- Zurich NA (Nashville, TN)
- …Diploma or Equivalent and 10 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance Apprentice including an Associate ... and 8 or more years of experience in the Claims or Underwriting Support area AND + Knowledge of...AM - Jacksonville, AM - Memphis, AM - Miami Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered:… more
- Zurich NA (Nashville, TN)
- …Qualifications** * Bachelors Degree and 7 or more years of experience in the Claims , Consulting, Risk Engineering or Underwriting area OR * High School Diploma or ... and 9 or more years of experience in the Claims , Consulting, Risk Engineering or Underwriting area OR *...for resume submission. Location(s): AM - Anoka, AM - Remote Work (US) Remote Working: Hybrid Schedule:… more