• Medical Director - Florida

    Humana (Nashville, TN)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... with external physicians by phone to gather additional clinical information or discuss determinations regularly, and in some instances...** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director ,… more
    Humana (07/29/25)
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  • Medical Director - South Central

    Humana (Nashville, TN)
    **Become a part of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to ... with external physicians by phone to gather additional clinical information or discuss determinations regularly, and in some instances...** Typically reports to a Regional Vice President of Health Services, Lead, or Corporate Medical Director ,… more
    Humana (07/11/25)
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  • Director of Client Success, Payer Risk…

    Datavant (Nashville, TN)
    Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the ... Our platform is powered by the largest, most diverse health data network in the US, enabling data to...experiences to realize our bold vision for healthcare. The Director of Client Success will report to the VP… more
    Datavant (07/18/25)
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  • Associate Medical Director , PVRM

    Sumitomo Pharma (Nashville, TN)
    …Switzerland GmbH) focused on addressing patient needs in oncology, urology, women's health , rare diseases, psychiatry & neurology, and cell & gene therapies. With ... novel therapies to patients sooner. For more information on SMPA, visit our website https://www.us.sumitomo-pharma.com… more
    Sumitomo Pharma (08/02/25)
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  • Director , AI/ML Transformation

    UNUM (Chattanooga, TN)
    …+ Performance Based Incentive Plans + Competitive benefits package that includes: Health , Vision, Dental, Short & Long-Term Disability + Generous PTO (including paid ... time to volunteer!) + Up to 9.5% 401(k) employer contribution + Mental health support + Career advancement opportunities + Student loan repayment options + Tuition… more
    UNUM (07/04/25)
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  • Physician Education Specialist

    Community Health Systems (Franklin, TN)
    coding teams. + Maintains strict confidentiality regarding provider information , patient data, and financial records, ensuring compliance with organizational ... provides training and education to CHS-affiliated providers and staff on accurate coding and documentation to ensure compliance with federal, state, and local laws.… more
    Community Health Systems (07/12/25)
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  • Remote Coder III-IP Coder

    Community Health Systems (Franklin, TN)
    Health Information Management or related field preferred or + 1 year coding certification in Health Information Management or related field preferred ... scheduled. + Maintains productivity levels set forth by Community Health Systems while maintaining a 95% coding ... Specialist (CCS) required or + RHIT - Registered Health Information Technician AHIMA RHIT required or… more
    Community Health Systems (06/20/25)
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  • Dir Revenue Cycle

    Covenant Health Inc. (Knoxville, TN)
    Overview Director of Revenue Cycle , CMG Business Office Full Time, 80 Hours Per Pay Period, Day Shift Covenant Health Overview: Covenant Health is the ... area's fastest-growing physician practice division. Headquartered in Knoxville, Covenant Health is a community-owned integrated healthcare delivery system and the… more
    Covenant Health Inc. (08/11/25)
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  • PT Acct Billing Liaison

    Covenant Health Inc. (Knoxville, TN)
    …80 Hours Per Pay Period, Day Shift Covenant Medical Group is Covenant Health 's employed and managed medical practice organization, with more than 300 top Physicians ... Skills, Personal Traits, Abilities and Interests: Ability to review and disseminate information from Medicare and other Payers to CMG offices. Strong verbal and… more
    Covenant Health Inc. (05/16/25)
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  • Sr Analyst, Scope Management - Healthcare

    Evolent (Nashville, TN)
    …Active credential or professional coding certification, such as: + Registered Health Information Technician (RHIT) + Certified Hematology and Oncology Coder ... **Your Future Evolves Here** Evolent partners with health plans and providers to achieve better outcomes... plans to ensure that prior authorization and financial coding stay accurate, compliant, and aligned with evolving needs.… more
    Evolent (07/18/25)
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