- e CancerCare (Nashville, TN)
- …with Health Insurance companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible ... aligns negotiation with strategy. Essential Functions: In collaboration with the Director of Managed Care , negotiate and manage assigned contracts, including… more
- Humana (Nashville, TN)
- …Advanced degree in nursing or business-related field + Previous experience working in a managed care field + 5 or more years of previous management/supervisor ... health first** Humana Healthy Horizons in Virginia is seeking an Associate Director , Care Management (Maternal-Child Health) who will lead teams of nurses and… more
- Humana (Nashville, TN)
- …services (such as inpatient rehabilitation). **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with...size of region or line of business. The Medical Director conducts Utilization Management of the care … more
- Humana (Nashville, TN)
- …services such as inpatient rehabilitation. **Preferred Qualifications** + Knowledge of the managed care industry including Medicare Advantage, Managed ... a medical management review organization, such as Medicare Advantage, managed Medicaid, or Commercial health insurance. + Experience with...size of region or line of business. The Medical Director conducts Utilization Management of the care … more
- Humana (Nashville, TN)
- …services such as inpatient rehabilitation. **Preferred Qualifications:** + Knowledge of the managed care industry including Medicare Advantage, Managed ... community and help us put health first** The Behavioral Health Medical Director may develop procedures, processes, productivity targets, and new delivery models.… more
- Valvoline Global (Nashville, TN)
- …product innovation and sustainable business solutions. Our corporate values of ** care ** , **integrity** , **passion** , and **excellence** shape everything we ... Global, you join a culture that is committed to: treating all people with care , operating with integrity, striving for excellence in everything we do, and showing… more
- HCA Healthcare (Nashville, TN)
- …for supporting and advising on the workflow and operational functions within the managed contact centers. In addition, the Director is responsible for overseeing ... work environment where diversity and inclusion thrive? Submit your application for our ** Director of AI Workflow Development** today and find out what it truly means… more
- HCA Healthcare (Nashville, TN)
- …Do you have the career opportunities as a Laboratory Portfolio and Services Director you want with your current employer? We have an exciting opportunity for ... auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more. + Free counseling… more
- Gallatin Center for Rehabilitation and Healing (Gallatin, TN)
- …Effectively managing key relationships with hospital therapists, physicians, key hospital staff, managed care providers, rehab suppliers, and other key referral ... GENERAL PURPOSE: The Assistant Director of Rehabilitation is responsible to assist with all but not limited to internal departmental communication and operations,… more
- Prime Therapeutics (Nashville, TN)
- …meetings and for publication acceptance. **Responsibilities** + 7+ years of pharmacy, managed care and pharmaceutical industry experience. + At least 1-2 ... Strong interpersonal, consultation, organizational, tracking and follow-up skills. + Pharmacy, Managed Care , Pharmaceutical Industry experience. + Ability to… more
- Prime Therapeutics (Nashville, TN)
- …**Responsibilities** + Knowledge of and experience with Medicaid pharmacy practice, managed care pharmacy practice, and/or pharmaceutical rebate contracting. + ... drives every decision we make. **Job Posting Title** Sr Director , Value Based Pricing - Preferably on the West...Pharmacy (PharmD) required. + 10+ years' professional experience in managed care and/or Medicaid. + 5+ years'… more
- Vanderbilt University Medical Center (Nashville, TN)
- …including proforma financial analysis, development of internal pricing models, supporting managed care rate negotiations and process improvement activities ... + Ability to evaluate third party payor reimbursement in partnership with managed care professionals to support strategic initiatives. + Experience working… more
- CenterWell (Nashville, TN)
- …Conviva/CenterWell market location(s) + Experience working in a value-based care , senior care , and/or Medicare managed care **Workstyle** This is a ... our caring community and help us put health first** The National Director , Clinical Pharmacy is a strategic pharmacy leader responsible for developing, implementing,… more
- Marriott (Nashville, TN)
- …Remotely?** Y **Relocation?** N **Position Type** Management **JOB SUMMARY** The Director , Technical Services & Security Compliance (TSSC) - Technical Compliance ... broad base of applications, software and hardware throughout the US and Canada Managed Hotels. In addition this position will be tasked with supporting the… more
- Brookdale Senior Living (Brentwood, TN)
- …Director of Clinical Reimbursement is responsible for the oversight of Medicare/Medicaid/ Managed Care reimbursement and regulatory issues. This will role will ... to our skilled nursing communities. + Ensures that reimbursement structures are managed , evaluated, and capture accurate resource utilization at the facility level.… more
- Nashville Center for Rehabilitation and Healing (Nashville, TN)
- …an understanding of MDS requirements related to varied payers including Medicare, Managed Care and Medicaid + Ensures timely electronic submission of ... as in-house case manager by considering all aspects of the residents care and coordinating services with physicians, families, third party payers and facility… more
- Humana (Nashville, TN)
- …on leading and managing teams + Prior Medicare/Medicaid experience + Prior managed care experience + Proficiency in analyzing and interpreting healthcare ... community and help us put health first** The Associate Director , STARS Improvement develops, implements, and manages oversight of...**Required Qualifications** + Bachelor's Degree in Business, Finance, Health Care or a related field + 2 or more… more
- Compass Group, North America (Nashville, TN)
- …our clients. Job Summary: Based at St. Thomas Midtown Hospital, the System Director of Dining Services provides operational oversight of all food and nutrition ... 8 Directors and over 250 Associates will roll up to this position. As the System Director , you will report to a TouchPoint Vice President with a dotted line to our… more
- Prime Therapeutics (Nashville, TN)
- …assigned. **Responsibilities** Minimum 10 years experience in product development preferably within the managed care industry plus 5+ or more years of experience ... passion and drives every decision we make. **Job Posting Title** Senior Director , Product Development & Innovation **Job Description Summary** Provide leadership in… more
- Humana (Nashville, TN)
- …field plus work experience of three (3) to five (5) years leading or operating a managed long term care or LTSS program **OR** five (5) to seven (7) years ... put health first** Humana Healthy Horizons is seeking a Director , Long-Term Supports and Services (LTSS) Strategy who will...of prior experience leading or operating a managed long term care or LTSS program.… more